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Comprehensive dental implantology: the complete surgical approach with 30‐month follow‐up
Author(s) -
McCrea S.J.J.
Publication year - 2010
Publication title -
oral surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.156
H-Index - 11
eISSN - 1752-248X
pISSN - 1752-2471
DOI - 10.1111/j.1752-248x.2010.01098.x
Subject(s) - medicine , dentistry , implant , dental implant , soft tissue , dental alveolus , connective tissue , orthodontics , surgery , pathology
Though dental implant placement is now a well‐accepted surgical procedure, practitioners of dental implantology will often be faced with more and more complex problems to overcome as patients' demands increase: there may be hard and soft tissue factors that will hinder the stabilisation of the peri‐implant mucogingival complex following such surgery. This is a ‘step‐by‐step’ description of the comprehensive application of a number of surgical procedures illustrated by a case report with its 30‐month follow‐up:• The extraction and immediate insertion of a dental implant into the modified vacated tooth socket. • The insertion of a dental implant into what is considered an infected apical area. • The use of the mineral portion of bovine bone (Bio‐Oss, Geistlich, Wolhusen, Switzerland) to fill the cystic cavity found during surgery and the alveolar void that proves to be crestally stable over time. • The stabilisation and creation of a mucogingival complex that can be stable in an area prone to gingival recession as that of ‘thin gingival phenotype’ using the subepithelial connective tissue graft together with a coronally advanced flap