Postop Changes of the Genioplasty Mandible and Maxilla...flipper 1. Missing 10 and 11 2. Decay 9 3....
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Yale University School of Medicine JAMES J ABRAHAMS, M.D. Postop Changes of the Mandible and Maxilla Genioplasty Genioplasty Genioplasty Genioplasty Genioplasty
Transcript of Postop Changes of the Genioplasty Mandible and Maxilla...flipper 1. Missing 10 and 11 2. Decay 9 3....
Yale University School of Medicine
JAMES J ABRAHAMS, M.D.
Postop Changes of the Mandible and Maxilla
Genioplasty
Genioplasty Genioplasty
Genioplasty Genioplasty
Sialastic implantMandibulectomy / Fibula graft
Mandibulectomy / Fibula graft Oroantral fistula repair
Dental Implant surgery Root Canal
Dental Implants
Dental Implants
Implant Surgery
Implant Surgery
Implant Surgery
Implant Surgery
Implant Surgery
COMPLICATIONS
FRACTURED IMPLANT
Treatment Treatment
Treatment
18 months
ATROPHY
Right Left
Ridge
Augmentation Guided Tissue
Regeneration
12
7
ASHNR SOCIALITES ASHNR SOCIALITES
IMPLANT FAILURE
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IMPLANT FAILURE
• Bone resorption
• Infection
• Poor osseointegration
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Pre-op Post-op
SUBGINGIVAL CEMENT SUBGINGIVAL CEMENT
SUBGINGIVAL CEMENT SUBGINGIVAL CEMENT
SUBGINGIVAL CEMENT SUBGINGIVAL CEMENT
BONE LOSS ON MESIAL IMPLANT 4-2-2009
Bone Preservation
Soft Tissue Preservation
9/6/2013
9/6/2013 9/6/2013
9/6/2013 9/6/2013
9/6/20139/12/2013
3/28/2014
• Fx implant• Subgingival cement• Implant failure
COMPLICATIONS
• Preservation bone/soft tissue• Vital structure injury
DENTAL IMPLANTS????LOL
Sinus lift procedure
R F
Ridge Augmentation
flipper
1. Missing 10 and 11
2. Decay 9
3. Hopeless 9
4. Vertical bone loss 10 and 11
5. Horizontal bone loss 10 and 11
2. Diagnosis
1. Ext 9 and bone graft, flipper 2. Heal 2 m 3. Ridge aug 9,10,11 4. Heal 8 m - Stent, CT scan, Simplant 5. Exo 7, implant 7,9, 11 – bone graft 6. Heal 5 m 7. 2nd stg surg, THA, w CTG 8. Heal 1 m 9. Provisionalize 10. Heal 3 m 11. Final
3. Treatment Plan
Tx Time
18 months
degranulate
Bone allograft prgf
collacote
4 mon
tenting Regenaform, ossix, Calforma, Gem 21
Primary Closure
Horizontal vertical
Barium Stent
Cross sectional
No grafting
8 months
8 months
placement
Bovine bone Collagen
memb
2nd stg - CTG
goretex
gut closure
THE ENDDon’t forget to floss!!
Dental ImplantsComponents
ORTHODONTICS
Right Left
Dr. Michael Sonick
Congenitally Absent
• Tooth 7 (R lateral incisor)• Tooth 12 (L premolar)
SUCCESS STORY
9/16/2009 9/9/2009
9/16/2009 9/9/2009
NOTE BONE LOSS NOTE BONE LOSS
BONE GRAFT
& MEMBRANE
INJURY VITAL
STRUCTURES
-Mandibular nerve
-Maxillary sinus
-Nasal cavity
INJURY VITAL
STRUCTURES
-Mandibular nerve
-Maxillary sinus
-Nasal cavity
