Treatment of an horizontal and vertical defect

Dr. Marco Piscopo
Initial situation

A male patient (55 years old) shows a horizontal and vertical defect in the posterior area of the upper jaw. 

Used biomaterials
  • GTO®
  • Lamina®
1. Oblique cranial view of the horizontal atrophic defect on a stereolithographic model

1. Oblique cranial view of the horizontal atrophic defect on a stereolithographic model

2. Lateral palatal view of the vertical atrophic defect on a stereolithographic model

2. Lateral palatal view of the vertical atrophic defect on a stereolithographic model

3. Vestibular supracrestal incision in order to ensure the amount of mucous tissue sufficient to cover the graft

3. Vestibular supracrestal incision in order to ensure the amount of mucous tissue sufficient to cover the graft

4. Preparation of the recipient site by means of a full-thickness trapezoidal flap

4. Preparation of the recipient site by means of a full-thickness trapezoidal flap

5. 1-mm thick Tecnoss® Lamina® positioned on the crestal side, to delimit the vertical atrophic defect, fixed with 1.3-mm osteosynthesis screws

5. 1-mm thick Tecnoss® Lamina® positioned on the crestal side, to delimit the vertical atrophic defect, fixed with 1.3-mm osteosynthesis screws

6. Atrophic defect filled with 50% OsteoBiol® GTO® and 50% autologous bone

6. Atrophic defect filled with 50% OsteoBiol® GTO® and 50% autologous bone

7. 1-mm thick Tecnoss® Lamina® positioned on the buccal side, to delimit the horizontal atrophic defect, fixed with 1.3-mm osteosynthesis screws

7. 1-mm thick Tecnoss® Lamina® positioned on the buccal side, to delimit the horizontal atrophic defect, fixed with 1.3-mm osteosynthesis screws

8. Second access performed 8 months after surgery

8. Second access performed 8 months after surgery

9. Removal of the osteosynthesis screws

9. Removal of the osteosynthesis screws

10. Insertion of 2 implant fixtures with 4x12 mm and 4x10 mm diameter

10. Insertion of 2 implant fixtures with 4x12 mm and 4x10 mm diameter

11. Surgical re-entry 4 months after implant positioning

11. Surgical re-entry 4 months after implant positioning

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

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