Bangkok Dental Spa By Dr.lily
27 Methawattana Building 2nd
Sukhumvit soi-19,
Bangkok, Thailand
2 min. walk from Asoke BTS station
Hot Line! (662)-651-0807
(662)-651-0730
Fax. (662) - 651- 0729
Bangkok Office
9.30 am. - 18.30 pm. Mon -Sat
( close on Sunday )
If you have any suggestions or comments, please e-mail us at
A patient from Hong Kong lost
her cantilever bridge #13,#12 . We fixed temporary cantilever
bridge to her and planned for the implant in the next trip.
This case is a little bit complicated case to fix the implant
on the front teeth #12. The work was done by a skill oral
surgeon and supervised by the prosthodontist to create the
best job.
Patient 's smile line is too high and the bone thickness is
not enough.
So the surgeon must be careful to grow the bone and fix the
implant in the right position. The surgeon must expand bone at
the #12 and remove the autogenous bone from the retromolar
triangle at the lower jaw.
Titanium template is needed to hold the freeze dried bone and
autogenous bone to fill the area . Patient was fixed with the
temporary cantilever bridge on #12 #13 for at least 6 months.
This patient flew directly from Hong Kong to accomplish the
surgery and returned immediately after.
Normally we need 7-10 days to follow up the case but this is
exceptional because she is able to take an immediate flight to
Bangkok at any time.
She called back 3dyas later and 2 weeks after her return that
she had no encounter with any kind of post- surgical
complication.
" Thank you for taking good care of me . This is my good
dental experience beyond my expectation" she said
OP
film before the treatment
Splint
porcelain crowns were loosed
Fixed
the metal pin
There
is a bone resorption at the pontic area (#12)
Fix
the new temporary splint and plan for the implant surgery.
Sarah x-ray
1 Incision
and then make the flap # 12 ,#13 area.
2 Drill
and open labial plate to fill the bone with autogenous and freeze
dried bone. Drill the bone to fix the implant at #12 area.
3 Enlarge
the bone
4 Expand
the bone
5 Drill
and check the depth for the implant fixation
6 Enlarge
the bone
7 Check
the depth at the final diameter
8 Check
the parallel and axis of the implant with the abutment #13
9 Check
the depth gauge
10 Check
the parallel and axis of the implant with the abutment #13
11
Check the depth on the screw tapping
12
Keep some bone from the Screw tapping to mix with the autogenous
bone from the lower jaw
13 Remove
the implant fixture from the steriled capule
14 Insert
the implant
15 Check
the parallel of the template abutment
16 Measure
the labial plate bone which need to be augmented.
17
18 Make
the incision at the lower jaw for bony harvesting.
19 Drill
the autogenoue bone at the retromalar triangle at the lower jaw.
20 Keep
the autogenous bone
21 Area
of the removed autogenous bone ( harvesting bone)
22 Make
to a small pieces of bone
23 Surgicel
will be used to stop the bleeding at the bone which is being
removed and suture to close the wound.
24 Make
to a small pieces
25
26 Measure
the size of the area in order to create bone we needed.
27 Cut
the titanium foil in the same size of the measurment
28 Tiatnium
foil is ready to fix
29 bone
graft with small pieces of autogenous bone .
30 Titanium
foil closed space to cover the bone graft
31 Suture
32 Titanium
foil closed space to cover the bone graft
OP
film before the treatment
