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Initial situation
初診時
Initial front view - deep bite.
Initial front view - deep bite.
Initial view of right quadrant.
Initial view of right quadrant.
Initial left quadrant - recently malpositioned implants, sutures still in place.
Initial left quadrant - recently malpositioned implants, sutures still in place.
Close-up left quadrant.
Close-up left quadrant.
Initial occlusal view.
Initial occlusal view.
Initial implant position #35 (FDI).
Initial implant position #35 (FDI).
Initial implant position #36 (FDI).
Initial implant position #36 (FDI).
Initial implant position #37 (FDI).
Initial implant position #37 (FDI).
Initial x-ray
初診時のパノラマエックス線写真
CT scan with mal-positioned implants.
位置不良のインプラントのCTスキャン像
Radiographic guide.
Radiographic guide.
Planned implant for #35 (FDI).
Planned implant for #35 (FDI).
Planned implant for #36 (FDI).
Planned implant for #36 (FDI).
Planned implant for #37 (FDI).
Planned implant for #37 (FDI).
Occlusal view.
Occlusal view.
Immediate removal of implants by reverse torque.
Immediate removal of implants by reverse torque.
Evaluation of osteotomies.
Evaluation of osteotomies.
Primary closure with mattress suture.
Primary closure with mattress suture.
Removed mal-positioned implants.
Removed mal-positioned implants.
Buccal osseous resorption.
吸収した頬側骨
Opening of surgical site.
術野の粘膜剥離
Application of allograft and autograft.
同種骨と自家骨を補填
Placement of PTFE-titanium re-inforced membrane.
PTFEチタニウム非吸収性メンブレンの
Closure of flap with continuous mattress suture.
連続マットレス縫合による粘膜縫合
Healed site with PTFE.
PTFEメンブレンが入った状態の治癒した粘膜
Full thickness mucoperiosteal flap.
全層弁で剥離
Removal of PTFE.
PTFEメンブレンの除去
Complete removal of PFTE membrane.
除去したPTFEメンブレン
Clinical observation of site.
骨造成された骨面
Adjustment of surgical template intraorally.
口腔内でのサージカルテンプレートの調整
Final seating of surgical template.
適合したサージカルテンプレート
Pilot osteotomies.
パイロットドリルによる埋入窩の形成
Next drill sequence.
次のドリルによる埋入窩の形成
Full flap to investigate site.
骨面の確認の為に全層弁で剥離
Final osteotomy drill.
最終形成ドリルによる埋入窩の形成
Implant placement.
インプラント体の埋入（ピックアップした状態）
Implant is slowly inserted.
インプラント体をゆっくりと挿入していく
Final seating with 35Ncm.
35Ncmで埋入を行った
Placement of cover screws.
カバースクリューの締結
Closure of site with resorbable suture.
吸収性の糸で縫合
Final implant position #35 (FDI).
下顎左側第二小臼歯のインプラント埋入位置
Final implant position #36 (FDI).
下顎左側第一大臼歯のインプラント埋入位置
Final implant position #37 (FDI).
下顎第二大臼歯のインプラント埋入位置 •
Pre-treatment model analysis.
Pre-treatment model analysis.
Vacuform tooth-borne stent.
Vacuform tooth-borne stent.
Adjustment of surgical template on master cast.
Adjustment of surgical template on master cast.
Definitive restoration.
Definitive restoration.
Occlusal view of definitive restoration.
Occlusal view of definitive restoration.
Occlusal view of definitive restoration. Close-up.
Occlusal view of definitive restoration. Close-up.
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Patient cases:
Multi-unit restorations
(Mandible / Posterior)

複雑な部分欠損症例の治療

Lead:  
George Duello

Questions

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Team members

Tom Matthes
Prosthodontist
Jerry Jacobi
Dental Technician
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