Dental implant professional

Immediate implantation of upper 2nd molar

2012-01-30T18:14:00.000+08:00

Pre-OP

Immediate implantation

Bone grafting

Teruplug filling

Suturing

Critical case management (12) - Balloon-assisted open sinus lift and closure of a tiny membrane perforation

2012-01-18T19:33:00.001+08:00

** PostSx 1 month:

** Panoramic Xray 1 month:

** Post Sinus Sx 3 months:

** Post sinus surgery (6 mo) dental implantations (Miniflap + Flapless):

** Post dental implant 2 months:

** Final restorations:

Post Sinus surgery 2Y7M

Small sinus membrane perforation management- Lateral open window for Sinus lift / bone grafting via Piezotome + Urinary catheter and Osteon Sinus bone graft

2012-01-13T20:56:00.000+08:00

Pre-OP

Post-OP

a small sinus membrane perforation during ostetomy

Teruplug to help closing perforation and further sinus lifting

Sinus grafting and lateral wall repositioning

Bio-Gide membrane insertion

Post Sx 40 days

Dental implantations + 24GBR/ridge expansion after 5 mo sinus surgery

Post implant 1 wk

Early delay implantation + GBR

2012-01-12T14:34:00.000+08:00

Post extraction 2 mo

Implant + GBR

Post implant 5 mo

Crown; post implant 6.5 mo

Repeated crown; post implant 7.5 mo

F/U; post implant 9 mo

Severely ridge deficiency of upper anterior zone

2012-01-11T15:52:00.000+08:00

PreOP

#12 site CBCT

#21 site CBCT

Severely ridge deficiency (Combined )

Initial ridge splitting via Piezotome

Further ridge splitting by Chisel

Ridge expansion by expansion reamer

post ridge splitting/expansion

Dental implant with Astra Tech 3.5S XT

Dental implant with Astra Tech 3.0XT

2 implants insertion

Bone grafting with FDBA+ BioOss

Bio-Gide membrane

Suturing

2 wks' healing

3 wks' healing

Nice healing (postOp 6 Wks)

PostSx 10 wks

before 2nd surgery (6 months after implants insertion)

After 2nd surgery

Apical film check up

#12 CBCT 2nd surgery

#21 CBCT 2nd surgery

1 wk after 2nd Surgery

Plan to prosthetic design-big compromised

Ti-design abutment + Zrco2

Temporary restorations

Simultaneous Sinus Augmentation and Dental Implantations

2012-01-10T23:31:00.000+08:00

PreOp CT Sagittal view

PreOP CT Coronal view

PreOP

PostOP

** Clinical Procedures:

PreOP

Flap reflection

Sinus Membrane elevation

Teruplug packing

Simultaneous dental implantations

Sinus bone augmentation

Sutures

** Nice healing (1 wk):

** Catheter Balloon helped the sinus lift via iPhone live video:

** PostSx 2 wks:

** PostSx 3 months:

** 2nd surgery for implants exposure:

Post 2nd Sx 6 wks

Abutment s insertion

Final restorations

VISTA technique for dental implant upper Lt' incisor / ridge expansion / GBR

2012-01-04T22:44:00.001+08:00

PreOP apical film

CBCT

PreOP

Dental implant after ridge expansion via VISTA

Bone grafting

Collagen membrane

Suturing

Post-implant

PostSx 2 wks

PostSx 4 wks

Piezotome to remove a fractured implant fixture and defect preservation

2012-01-04T21:36:00.000+08:00

PreOP

OP finding

Piezotome helped to remove a fractured implant

after fractured implant removal

suturing

after Bio-Oss bone grafting + Teruplug barrier

PostSx 2wks

GBR for severely ridge deficiency

2012-01-03T16:31:00.001+08:00

Pre-Extraction

Post-Extraction

Before GBR

Bio-Oss bone grafting

Bio-Glide collagen membrane

Suturing

Post-Implant

PostOp 4 wks

The fate of 2 lower incisors

2011-12-30T11:00:00.002+08:00

Early-delay implantation & GBR

2011-12-28T10:41:00.000+08:00

PreOP

PostOP with BioOss + Dynamatrix

PostOP

Immediate dental implant + mod. VISTA technique

2011-12-24T19:50:00.000+08:00

PreOP

Flapless tunnel extension

Buccal tunnel extension

Immediate implantations

NANO collage membrane

Membrane insertion

after bone grafting

Teruplug coverage with PeriAcry

* Post IIP 1.5 months:

Impression

Final abutments insertion

Final restorations

2 months' follow up

Free gingival grafting during 2nd surgery

2011-12-23T13:57:00.000+08:00

PreOP

Partial thickness flap

FGG from tuberosity area

Impression stage

Final restorations

Screw retained or Cement retained for Posterior molars?

2011-12-03T10:10:00.000+08:00

Gingival hyperplasia of implants supported bar & clip overdenture

2011-12-03T09:18:00.000+08:00

VISTA for single upper anterior tooth + GBR

2011-11-30T21:31:00.001+08:00

Pre-OP

VISTA technique

Osseous defects

Bio-Oss(L) + Bio-Glide

Suturings

A referred case for stage Op for sinus lift and augmentation

2011-11-30T20:15:00.001+08:00

Pre-OP

Flap design

Lateral window design (very thin)

Sinus lift via Piezotome

Sinus lift assisted via Balloon

Sinus membrane lifting

Bio-Oss bone grafting

Bio-Gide membrane

Suturing

Post-OP

2 wks' healing

Bilateral Balloon assisted sinus lift and augmentation

PostSx 3 months

VISTA technique for lower anterior implants + GBR

2011-11-30T17:03:00.000+08:00

PreOp

VISTA technique with 1 incision

Undermined supra-osseous extension

Expansion reamer for ridge widening

Implants

Osseous defects

Bio-Glide membrane

Bio-Oss bone grafting

Suturing

3.0 Astra TX implants

Piezotome + Balloon sinus lift technique

2011-11-29T20:53:00.000+08:00

** PostSx 12 days & 1 month:

** Post Sinus grafting (6months) dental implantations:

** Flapless Dental implantation 1wk later & 4 months:** Apical film check-up (4 Mo) & final restorations (6 Mo)

** Final restorations:

** Long term follow up:

post sinus surgery 3Y3M

Immediate dental implantation and GBR via VISTA technique

2011-11-29T20:06:00.000+08:00

Pre-extraction

Apical film

Bone sounding after tooth extraction

Tooth extraction

VISTA technique

a fenestration defect

implant insertion

apical exposure of implant

FDBA bone graft filling

Further Bio-Oss bone graft filling

Collagen membrane insertion

Teruplug coverage

post-implant

PostSX 1wk

PostSx 1 wk

PostSx 1 month

PostSx 2 months

Critical site management (11) - Soft & hard tissue augmentation for a severely ridge resorption

2011-11-18T21:11:00.000+08:00

** PostSx 11 days:

** 2nd Onlay bone block graft + GBR for this severely ridge deficiency (8 wks later):

** Post bone augmentationSx 2 wks 4 wks:

** Post bone augmentation 4 wks & 6 wks:

** 2nd surgery for fixing screw removal and single implant + GBR:

** Post bone augmentation Sx 3 Mo & Post implant apical film check up:

** Post 2nd Sx 20 days & 1 mo:

** Provisional prosthesis stage:

** Final restoration:

** Follow up:

Post prosthetic restoration 1 Y

Post Prosthetic restoration 1.5Y

VISTA technique for anterior esthetic zone

2011-11-18T16:20:00.000+08:00

Pre-OP

one incision

Subperiosteal extension + Ridge expansion

Implant insertion

Bone grafting

Collagen membrane

Sutures

2 wks' healing

Upper molar implantation

2011-11-18T16:11:00.000+08:00

PreOP

PreExtraction

PreOP

Post implant +GBR

Pouch approaching to gain periimplant mucosa thickness during 2nd surgery

2011-11-09T16:14:00.000+08:00

Pouch hole

Pouch creation with VISTA kit

CT graft insertion (harvested from tuberosity)

Immediate implantation + GBR with Dyna Matrix / BioOss

2011-11-09T15:49:00.000+08:00

Immediate implants after extraction

DynaMatrix collagen membrane

Biooss bone graft

Sutures

PreOP

PostOP

Lateral Open window Sinus Lifting & Grafting

2011-10-12T17:06:00.000+08:00

PreOP

Post Sinus surgery

a small sinus membrane perforation during cutting

Teruplug covering

BioOss bone grafting

BioGide collage membrane insertion

After bilateral sinus surgery

PostSx 2 wks

Localized crestal sinus lift and augmentation for a chronic sinusitis patient after Molar extraction

2011-10-06T19:31:00.000+08:00

PreOP ( chronic sinusitis caused after extraction and

treated by ENT for 1 year)

Defect site

Piezotome with blade to prepare the lift site

Osteotome sinus floor lifting

Bone grafting

Periosteal relieving

Further ridge augmentation

Bio-Gide membrane

Suturing

Pre-OP

Post -OP

PostSx 1 month

Pre-Implantation

Flapless dental implantation

Panoramic Xray

Apical Xray

post socket preservation VISTA dental implantation

2011-10-04T12:05:00.001+08:00

Removal of a marginally fractured dental implant body with Piezotome and Reimplantation / GBR

2011-09-29T15:36:00.000+08:00

** Marginally fractured implant body (4.0 X 11mm ST Astra MicroSpeed)

** Removal of Fractured implant body via Piezotome & Reimplantation with 5.0X11 S Oseospeed + GBR:

** PostSx 3 months:

PostSx 6 months

2nd Sx & Terudermis

Abutment insertion

Final restoration

2 months' follow up

9 months' follow up

Immediate implant + CLP of adjacent tooth

2011-09-01T18:27:00.000+08:00

PreOP

Pouch elevation with VISTA kit designed by Dr. Homa

Atraumatic extraction

Immediate implant

Ice cream cone technique with Bone graft

Tie over suturing with Collagen Membrane open

Final restorations

Pre-Implant soft tissue augmentation

2011-08-30T18:13:00.000+08:00

PreOP

FGG insertion

Donor site with Teruplug

PostSx 1 wk

PostSx 2 wks

Implantation + GBR and Pontic plastic surgery

2011-08-25T20:26:00.002+08:00

PreOP

Implant site with defect

Implant insertion with peri-Implant defects

Bone grafting

Collagen membrane insertion

Suturing

1 wk's healing

1.5 months' healing

Impression stage

Provisional Cr & Br

Final restorations

Yellow pus ? discharge form Open sinus window with large septum- How to do?

2011-08-11T15:43:00.001+08:00

** Large sinus membrane rapture with yellow discharge?:
R/O sinus mucus retention cyst with sinus perforation around septum. Stop further sinus surgery, debridement of mucus discharge and set back lateral sinus bone wall. And wait and wait.....

** Redo the open lateral window sinus elevation with Piezotome before larger sinus septum + Catheter balloon sinus lift; and osteotome crestal sinus lift on septum site.(Simultaneous dental implantation):

** Panoramic Xray checking up:

PreOp

Post sinus membrane rapture

Resinus lift and dental implantations

** Resinus lift surgery with Piezotome and catheter balloon sinus elevation live video shot via Iphone:

** PostSx 12 days:

** 2nd surgery after sinus surgery + dental implantation 10 months

Post 2nd surgery

Abutments insertion

Gum recession treatment using Mucograft

2011-08-10T09:58:00.000+08:00

Mucograft insertion

Post sinus membrane perforation and 2nd sinus lift + sinus grafting

2011-08-06T09:43:00.000+08:00

Sinus membrane perforation (large)

2nd sinus lift and augmentation (7 mo later)

Post sinus grafting 2 mo

Stage dental implantation (Osteotome/flapless)

2 wks later/ Terudermis soft tissue management

Piezosurgery + Balloon assisted sinus elevation + Sinus grafting

2011-08-05T15:49:00.000+08:00

Piezosurgery with Piezotome + Catheter balloon sinus lift

Osteon sinus graft + Neomem collage membrane

Pre/Post Op Panoramic xray

** Catheter Balloon assisted Sinus lift Video shot by iPhone:

** PostSx 1 month:

** After 6 months' healing: Flapless Dental Implantations + Terudermis insertion

1 wk's healing

1.5 months' healing

** Impression stage:

Final restorations

Lateral open window for Sinus lift / bone grafting via Piezotome + Urinary catheter and Osteon Sinus bone graft

2011-07-16T17:35:00.000+08:00

** Oston Sinus bone graft is a synthetic bone graft made by Korea Genoss Co; with composition of b-TCP coating on HA Scaffold / Interconnected Pore (Porosity 77%) in granule size = 0.5~1.0mm. This case used 2 packs of grafts with total 1 cc amount.

** PostSx 1.5 months & 16 wks :

**Panoramix check-up PostSx 16 wks:

** 2nd dental implantation after sinus lifting/sinus grafting 5 months: (Flapless dental implantations with slight localized osteotome sinus lift / grafting for # 26 site)

** Pano Xray check-up after dental implantation:

** Post dental implantations 1wk & 1.5 months:

** Abutments insertion (post implant 6 months):

** Final restorations:

** Another site for staged open sinus lifting and bone grafting:

# PreOP pano:

# Staged open sinus lift + bone grafting day 0 & 3 months:

** Surgical procedures:

http://ajouimplant.blogspot.com/2009/11/sinus-surgery-for-paper-like-sinus.html

# Uneruped supernumbery tooth & chronic sinus tract from it 3 mo later:(surgical extraction this supernumbery tooth is indicated during dental implantations) L't Sinus surgery before / R't after

** Supernumbery tooth extraction and Flapless dental implantation of #26~27 + #25 dental implant + GBR

** Clinical Findings:(PostSx 2 wks; sinus tract disappeared)

** 2nd surgery for 1st premolar:

Post restoration 10 months

Crestal open sinus elevation and ridge augmentation

2011-07-12T09:11:00.000+08:00

post extraction 6 wks

Piezoeletric osteotomy for crestal sinus elevation

Intact sinus membrane was noted

Bone grafting for sinus / ridge augmentation

Collagen membrane insertion

Suturing

Pre-Extraction

Post-sinus lift

PostSx 1 month

PostSx 2 months

PostSx 5 Mo

Early-delay implantation + GBR

2011-07-08T18:14:00.000+08:00

** 2 more wks follow-up:

** Post Crown 6 months:

Post restoration 2 Y 8 M

Localized crestal sinus lift + socket / ridge augmentation

2011-07-05T09:40:00.000+08:00

** PostSx follow up (2 months): a small Ti mesh exposure:

** 2nd surgery for removing Ti-Mesh + Dental implantations:

** Post implantations + ridge augmentation Sx 3 months:

** 2nd surgery for implants exposure:

** Apical film check up on 2nd sx for implants exposure:

** Final restorations:

Post restorations 9 months

Post restoration 15 months

Post restoration 18 Mo

Immediate implantation & provisional prostheses of anterior aesthetic zone

2011-06-20T16:42:00.000+08:00

** PreOP:

** Immediate implantation + Socket augmentation with autograft/FDBA/Cerasorb+Teruplug:

** Provisional prostheses:

** PostSx 50 days:

** final restoration (post restoration 6 months)

Immediate provisional restoration with Astra Tech 3.0S implant/abutment

2011-06-16T20:21:00.001+08:00

Pre - Implant

Astra Tech 3.0S

Implant insertion

Abutment insertion

Provisional restoration

Nice healing ;postSx 1 wk

Final restoration

Immediate implantation with Astra Tech 4.5 XT + Ridge preservation

2011-06-15T17:53:00.001+08:00

Pre-Extraction

Labial plate deficiency

Labial pouch preparation

Astra 4.5 XT dental implant insertion

Implant subgingival height

2mm cuff healing abutment in

Ice cream cone technique for ridge preservation

Bone grafting underneath filling + Teruplug coverage

Temporary denture insertion

Apical film check-up

1st mucogingival surgery for a severely ridge atrophy

2011-05-11T18:46:00.000+08:00

** PostSx 2 wks:

** Post ridge augmentation with ridge splitting + bone augmentation:

** Post ridge augmentation 4 months:

** Assessed augmented area:

** 3rd surgery for dental implantations (Nice ridge augmentation):

** Panoramix Xray:

** PostSx 1.5 months and impression stage:

Follow up

Immediate implantation after Piezoeletric removal of fractured implant body

2011-05-11T15:10:00.000+08:00

A fractured implant

site open

fractured implant exposure

osteotomy via Piezotome

fractured implant removed

reimplant with wider implant

tension-free flap

Bone grafting

collagen membrane

sutured

1 wk's healing

2 wks' healing

2nd Surgery for implant exposure

Bevel-partial-full flap design

GGR with Terudermis

Apical film check up

Impression stage

Final restorations

GBR + GGTR

2011-05-04T19:05:00.000+08:00

PreOP for a site of failed implant

Open up

A new implant

Bone grafting

Collagen membrane

GGTR with Terudermis

Suturing

2 wks' healing

Apical film check up

Post 2nd Surgery 1 wk

Combined soft/hard tissue augmentation with dental implant-New approach with Sugiyama's technique

2011-05-03T16:00:00.000+08:00

Pre-extraction

Pre-OP

Implant site

Implant insertion

Tension relieving

Bone grafting with Autograft/Alloplast

Collagen membrane

Terudermis insertion

Suturing

** PostSx 3Wks:

PostSx 2 months

Pre- 2nd surgery

Bevel-Partial-Full flap design

Vestibular suturing

Terudermis insertion

Impression stage

Final restoration

Soft / Hard Tissue Augmentation for Dental implant

2011-04-20T21:07:00.000+08:00

PreOP

Ridge expansion

Sandwich technique (1)

Sandwich technique (2)

Sandwich technique (3)

Sutures & Terudermis

Sutures & Terudermis insertion

PostSx 2 wks

PostSx 2 months

PostSx 3 mo

Impression stage

Final restorations

Immediate implantation of upper anterior central incisors after dentoalveolar trauma

2011-04-20T17:55:00.000+08:00

PreOP

Bony deficiency

Astra tech TX 4.5

Ice cream cone collagen membrane

Bone grafting

Suturing

PreOP

PostOp: keep an adjacent tooth

PostSx 1 wk

Immediate implantation on acute infection site + soft/hard tissue augmentation

2011-04-13T17:59:00.000+08:00

** PostSx 1 & 2 wk:

**PostSx 1 & 2 months:

** Case discussion:
1. Immediate implantation on acute infection site is not good candidate.
2. Apical sound bone engagement is required for immediate implantation.
3. Resorbable membrane to cover the grafts of implant site is maintained blood clot and bone grafts.
4. CT soft tissue graft is helpful for socket primary closure.
@Discussion from OsseoNews: Dental Implants in Infected Sites

** 2nd Surgery (3 months) :

** Impression stage:

*** Final Prosthetics:

*** Post Implantation 7 and 9.2 months:
** Post restoration 1 year:

** Post Surgery 4.5 Y:

Mucograft + CPF for a gum recession (The first case in Taiwan)

2011-04-08T15:34:00.000+08:00

Pre OP

Recipient site preparation

Coronally positioned flap

Aggressive root planing

Mucograft insertion

Suturing

PostSx 2 wks

M.I.T. in dentistry Expo

2011-04-07T14:15:00.000+08:00

Crestal open window sinus lift and augmentation

2011-03-25T19:34:00.001+08:00

Pre-extraction

Post extraction 6 months

OP site- tiny sinus floor perforation after extraction

Crestal window preparation viz Piezotome

Sinus membrane lifting

Teruplug collagen as the barrier

Sinus bone grafting

Ridge augmentation

Bio-Gide collage membrane

Suturing

PostSx apical film

PostSx Pano

CT graft + CPF for a severely root coverage

2011-03-23T17:19:00.000+08:00

PreOP

CT graft harvested from Upper tuberosity

Suturing

** Grand success of severe root coverage:

** PostSx 2 wks:

PostSx 4 months

GBR + Sinus surgery 豬羊 hand on in 2 days

2011-03-22T14:38:00.004+08:00

Surgical exposure for a palatally impacted canine

2011-03-21T19:52:00.001+08:00

Pre-OP

Impacted canine site

Osteotectomy with Piezotome

Osteotectomy after

Closure with a open window

Socket preservation after

2011-03-18T20:09:00.000+08:00

Socket preservation with Teruplug after

Implantation

2nd surgery

Final restoration

one year after

Socket Sinus Lift via IntraLift

2011-03-14T19:48:00.000+08:00

** PostSx 1 month:

** Post Sx 3 months:
** Clinical photo (postsx 3 Mo & 6 Mo):

** 2nd flapless surgery for dental implantations:

** Panoramix Xray on dental implantations:

** Post dental implantation 1 & 3 months:

** 1.5 years's follow up:

Anterior Immediate Implantation (3 years' reservation)

2011-03-13T22:46:00.002+08:00

6 years's follow up

Vista technique to augment pontic area of a severely periodontal destruction site

2011-03-11T21:00:00.001+08:00

Pre-OP

VISTA approach

Sutures

PostSx 3 wks

VISTA technique for GBR on esthetic zone

2011-03-11T12:29:00.000+08:00

VISTA technique created by Dr. Homa Zondhe

Buser elevator undermined extension to crestal and palatal aspects

Nice healing : 1 wk

PostSx 2 wks(via iPhone4)

PostSx 1.5 mo