MANDIBULAR ANTERIOR TEETH REPLACEMENT WITH IMPLANT BRIDGE

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STUDY CLUB CASE PRESENTATION: MANDIBULAR ANTERIOR TEETH REPLACEMENT WITH HARD/SOFT TISSUE AUGMENTATION AND FINAL RESTORATION:

STUDY CLUB CASE PRESENTATION: MANDIBULAR ANTERIOR TEETH REPLACEMENT WITH HARD/SOFT TISSUE AUGMENTATION AND FINAL RESTORATION Anthony J Reganato, DDS, MS Private Practice Periodontist West Suburbs-Chicago, IL “The Reganato Lecture Series” Sponsored by Woodlake Family Dental of Naperville, IL

Slide 2:

INITIAL PRESENTATION

Slide 9:

1 WEEK POST-OP

Slide 10:

1 WEEK POST-OP 2 WEEK POST-OP

Slide 11:

3 MONTH RE-ENTRY

Slide 12:

NO CHANGE IN CRESTAL BONE WIDTH WITH THERMOPLASTIC DFDBA LATERAL RIDGE AUGMENTATION HOWEVER, GBR ELIMINATED LABIAL UNDERCUT, MINIMIZING CHANCE OF CORTICAL FENESTRATION

Slide 13:

BEFORE AFTER

Slide 18:

EVALUATION OF PARALLELISM

Slide 20:

PRE-OP IMPLANT SURGERY 2 MONTHS POST-IMPLANT SURGERY

Slide 21:

FREE GINGIVAL GRAFTING FOR AUGMENTATION OF TISSUE THICKNESS AROUND IMPLANTS

Slide 22:

HEMOSTASIS WITH SURGICEL AND CHROMIC GUT SUTURES

Slide 23:

20mm x 7mm FREE GINGIVAL GRAFT HARVESTED

Slide 24:

GRAFT SUTURED AT CORNERS AND MID-APICAL SECTION HORIZONTAL SUTURING FOR GRAFT STABILIZATION FLAP SUTURED APICALLY

Slide 25:

1 WEEK POST-OP

Slide 26:

3 WEEK POST-OP 6 WEEK POST-OP

Slide 27:

6 WEEK RE-ENTRY VERTICAL TISSUE AUGMENTATION WITH ALLODERM ATTEMPTED IN ORDER TO REDUCE CHANGES IN PHONETICS

Slide 28:

TUNNELING TECHNIQUE

Slide 31:

VERTICAL SLING SUTURING

Slide 32:

1 WEEK POST-OP 2 WEEK POST-OP

Slide 33:

3 WEEK POST-OP FINAL IMPLANT –SUPPORT 4-UNIT FPD

Slide 34:

FINAL PROSTHESIS

Slide 36:

BEFORE AFTER

Slide 37:

BEFORE AFTER

THANK YOU:

THANK YOU CARNIVORE CHALLENGE “The Reganato Lecture Series” Sponsored by Woodlake Family Dental of Naperville, IL QUESTIONS AND DISCUSSION