CASE REPORT

Reconstruction of the posterior maxilla using cerabone® plus – A case report

Original title: Socket preservation, sinus lift and lateral augmentation by using natural bovine bone substitute with hyaluronate
Zafiropoulos, G.; Trajkovski, B. Int J Dent Biomat Res 2023, 1, 1-6.
https://ijdbr.com/index.php/ijdbr/article/view/12

CASE DESCRIPTION

The patient presented with partial edentulism and pain in the in the posterior upper jaw. At this time point the region was supplied with a partial denture temporarily fixed on the teeth #13, #23, #27 and #28.

Detailed diagnosis of the concerning area revealed advanced horizontal bone atrophy in the region #24-25, vertical bone loss in region #26, and signs of chronic sinusitis. Tooth #27 was found avital with advanced root caries. Tooth #28 presented with occlusal caries.

TREATMENT

Two-stage bone augmentation for implant placement with three implants in positions #24, #25 and #26 was planned.

Following removal of the denture and teeth extraction a lateral sinus window was created. Then socket preservation of the tooth #27, as well as sinus augmentation with additional lateral augmentation in the area #24-25 was performed using cerabone® plus. The augmented area was covered with Jason® membrane. Tooth #28 was temporarily saved and used as an abutment of the removal temporary restoration.

Implants were placed six months post-augmentation. Four months later, the implants were uncovered and loaded by use of system specific customized abutments and metal ceramic fixed partial denture.

RESULTS & CONCLUSION

  • Sound graft integration into newly formed bone
  • Horizontal bone increase from 2.25 mm to 7.67 mm
  • Increase in bone volume allowed correct placement of dental implants
  • Implants were completely integrated into the regenerated bone
  • Satisfactory aesthetics by the end of the treatment

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