Reconstruction of a severly compromized maxilla

Dr. Patrick Palacci
Initial situation

A young female patient (19 years old) shows a wide horizontal and vertical defect

Used biomaterials
  • GTO®
Teeth were lost (21 22 23). A significant portion of the labial bone was lost.

Teeth were lost (21 22 23). A significant portion of the labial bone was lost.

A temporary maryland bridge is placed. A large quantity of acrylic is placed to compensate tissue loss.

A temporary maryland bridge is placed. A large quantity of acrylic is placed to compensate tissue loss.

The entire labial plate of bone disappeared. Defect 16mm wide, 15mm height, 5mm depth.

The entire labial plate of bone disappeared. Defect 16mm wide, 15mm height, 5mm depth.

GTO® was placed on top of the ridge with successive layers.

GTO® was placed on top of the ridge with successive layers.

Newly formed bone at the re-entry time

Newly formed bone at the re-entry time

2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)

2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)

2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)

2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)

An additive layer of GTO® was placed in labial position.

An additive layer of GTO® was placed in labial position.

An additional layer was placed in a saddle position to gain in vertical as well.

An additional layer was placed in a saddle position to gain in vertical as well.

3D showing the graft and the implants placed.

3D showing the graft and the implants placed.

Second stage surgery 4 months later. Implants were still stable (ostell 74) and before soft tissue manipulation (Palacci flaps), GTO® was added in a coronal position to gain in vertical.

Second stage surgery 4 months later. Implants were still stable (ostell 74) and before soft tissue manipulation (Palacci flaps), GTO® was added in a coronal position to gain in vertical.

Occlusal view. Notice the vertical and horizontal gain in tissues.

Occlusal view. Notice the vertical and horizontal gain in tissues.

Front view. Notice the vertical and horizontal gain in tissues.

Front view. Notice the vertical and horizontal gain in tissues.

Before and after.

Before and after.

Before and after.

Before and after.

Final smile

Final smile

Used biomaterials
gto
GTO®
Are you a medical professional?
No

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