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

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INITIAL PRESENTATION

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1 WEEK POST-OP

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1 WEEK POST-OP 2 WEEK POST-OP

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3 MONTH RE-ENTRY

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

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BEFORE AFTER

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EVALUATION OF PARALLELISM

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PRE-OP IMPLANT SURGERY 2 MONTHS POST-IMPLANT SURGERY

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FREE GINGIVAL GRAFTING FOR AUGMENTATION OF TISSUE THICKNESS AROUND IMPLANTS

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HEMOSTASIS WITH SURGICEL AND CHROMIC GUT SUTURES

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20mm x 7mm FREE GINGIVAL GRAFT HARVESTED

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

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1 WEEK POST-OP

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3 WEEK POST-OP 6 WEEK POST-OP

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

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TUNNELING TECHNIQUE

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VERTICAL SLING SUTURING

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1 WEEK POST-OP 2 WEEK POST-OP

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

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FINAL PROSTHESIS

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BEFORE AFTER

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BEFORE AFTER

THANK YOU:

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

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