Bridge on upper jaw with bone graft, 5-year follow-up
Doctor Peng Dong, the expert of tooth implantation in Peking University International Hospital and president of Beijing Hedu Stomatological Clinic Co., Ltd
Medical Case Report
| Sex / Age: Male/67 | |
| First Visit: 16/05/2015 | Implant Surgery: 03/07/2015 |
| Others Surgery (GBR…):03/07/2015 | Final Restoration: 26/12/2015 |
| First Recall: 06/01/2016 | |
| Chief Complaint: Loose fixed bridge on upper anterior teeth. | |
| Consideration(s): GBR | |
CASE OUTLINE
Loose fixed bridge on upper anterior teeth. Carefully extract tooth 2, on the upper right side and tooth 1 on the upper left side. After the healing period, C-Tech implants will be placed in the sites of right upper tooth 2 and left upper tooth 1. After five months, an oxidized zirconia porcelain bridge will be used for the final restoration.
TREATMENT PLAN
For right upper tooth 2, the width of the alveolar bone is 7.6mm, and the height is 13.4mm. For left upper tooth 1, the width of the alveolar bone is 7.4mm, and the height is 14.5mm. C-Tech implants (Model: EL-4311) will be placed in both sites using conventional implantation with simple bone grafting. After a period of five months, the second phase of the surgery will be conducted.
TREATMENT
1. Extract venous blood for the preparation of CGF for later use.
2. Perform standard disinfection and drape the area with cloths. Administer painless local anesthesia to the upper front teeth region. Make horizontal incisions along the alveolar ridge from right upper tooth 2 to left upper tooth 1. Make incisions inside the grooves between right upper tooth 3 and left upper tooth 2. Perform a labial side vertical reduction on right upper tooth 3. Reflect the gingiva and thoroughly clean the wound, observing bone defects on the labial side of right upper tooth 2 and left upper tooth 1.
3. Precisely position the C-Tech implants (Model: EL-4311) in the locations of right upper tooth 2 and left upper tooth 1. Use tapered drills to create boreholes measuring 3.7*13mm for each implant. Implant the C-Tech implants with closure screws. Fill the bone defects and perforations on the labial side with a mixture of bone powder and CGF. Cover the gaps with membrane, and cover the alveolar ridge with another layer of membrane, followed by a layer of CGF membrane. Securely suture the area.
4. After six months, take an impression and replace the restorative abutments with Model: EL-4503F*2. Permanently fix them with adhesive fixation, and apply an oxidized zirconia porcelain bridge for long-lasting restoration.
