Osseo - integration assessment by means of digital panoramic radiography and cone beam CT due to platelet rich plasma employment and graft placement in jaw bone defects

In this chapter a new and innovative technique named “IPG” utilized for the placement of seven (7)implants in the posterior areas of the maxilla in a 50 year old female patient, is presented. The noveltyof the proposed method is that the implants – that were placed in a flapless approach – entered boththe sinus cavities with intentional perforation of the Schneiderian membrane. Concentrated growthfactors (CGF), as well as Combioss – alloplastic bone grafting material – were employed in this study,following an innovative protocol. Radiographs were examined at various stages during the process ofosseointegration in order to assess the increase and maturation of bone structure formed around theimplants and over the sinus floor. New bone formation in the sinus cavity allowed for the sinusmembrane to reorganize and reconstruct over it, which constitute another proof of how well ourorganism is capable of adapting under new conditions.