Advanced periodontal disease associated with iatrogenic dentistry

  • cover image
  • 1. Loss of #24, #26, #27 and #28, have to be extracted
  • 2.  3D X-rays, major bone loss around #26, #27, #28 furcation involvement. Significant concavity in #24
  • 3. Teeth are extracted, all labial bone is lost. Major bone loss is visible
  • 4. Teeth are extracted, all labial bone is lost. Major bone loss is visible
  • 5. GTO<sup>®</sup> is inserted into the alveoli
  • 6. A collagen membrane covers the defect filled with the biomaterial
  • 7. Re-entry 4 months later. Note the significant labial ridge augmentation as well as the soft tissue quality
  • 8. Note the optimal hard tissue volume obtained and the quality of the bone formation
  • 9.  Four implants of 3.5mm diameter are inserted
  • 10. X-ray illustrating the labial ridge augmentation
  • 11. The concavity level in the apical portion of the first premolar, is filled with GTO® in order to recreate a natural ridge profile
  • 12. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
  • 13. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
  • 14. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
  • 15. One-week post-op. Note the soft tissue healing
  • 16. Re-entry 4 months later. Implants are perfectly integrated into a well vascularized bone
  • 17. Soft tissue manipulation around implants
  • 18.  Healing after three weeks. Note the ridge augmentation as well as shape, colour, texture of soft tissue
  • 19. Abutments are selected and placed for a screw retained restauration
  • 20. Final reconstruction in place (Prosthodontist Dr Christian Roux, Marseille)
  • Clinical indication: horizontal augmentation
  • Products : Duo-Teck, GTO®
  • Authors : Dr. Patrick Palacci, Prof. Ulf Nannmark
  • Information about patient: Female, 54 years old
  • Credits : Documentation provided by Dr. Patrick Palacci, Brånemark Osseointegration Center Marseille, France
    Prof. Ulf Nannmark, Göteborg University, Sweden
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