台灣牙周補綴醫學會 2010 春季學術活動

台灣牙周補綴醫學會 2010 春季學術活動

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A reflection from the Live surgey

@ A combined dental implantation & ridge spitting + bone grafting from Srcaper (May23, 06') [Bone Scraping with Bone Collec]
* post suture (10 days after surgery) * 2nd surgery on 25,26 sites and additional bone grafting on 24 site(post-implantation 6 months):








@ Cortical bone collector in this case is reusable 50 times; after that, changes the blade to bone scraped. Some detail see another blog of mine: http://implantproducts.blogspot.com/2006/05/cortical-bone-collector.html

* Final restoration:(Jan17,2007)
** Post restoration 1 year:










** Taking a Certificate from Prof. Isaksson (big guy): I learded the specific ridge splitting and bone grafting from Halstam university program. This csae presentation is my deep-heart thanks to them and some kinds of refection after the course.

Subantral Membrane Elevation with Balloon technique

Balloon Subantral Membrane Elevator ( SME )

The advantages of Subantral Membrane Elevator, or SME:

1. Decreases Surgical Time
2. Reduces Risk of Membrane Tears
3. Mini Balloon Inflates to 3.1mm (Micro Mini Inflates to 1.9mm)
4. Can be used in small osteotomies
5. Single Use, Supplied Sterile
6. Supplied with 5cc Luer Lok® Syringe

@ Clinical Appilcation for SME with balloon technique:(by Dr. Perio Apr06')

*** 7mm bone height under sinus membrane >> localized elvation to insert 4.8X12mm dental implant.

@Detail slideshow description of Balloon Subantral Membrane Elevator

...PostSx 1 wk

** 2nd surgery and final restoration: See next blog!

Final restoration after the Balloon technique

* 2nd Surgery and Final restoration (apical films)

Simplified Mini-Incision (SMI) at Dental implant Surgery

Simplified Mini-incision for Dental Implant Surgery:(Designed by Dr. Perio)

1. Fit to Stage 1- and 2- surgery
2. Incision & Suture: a/Slight semilunar crest incision; b/two short vertical incisions (stoped at mucoginigival junction); c/Mini- middle releaving incision; d/apically positioned flap; e/one sling suture to fix flap; f/two fixing simple loop sutures.
3. Advantages for this thechnique: a/Simple procedure; b/faster tissue healing and c/ post-surgery more comfortable.

A case using SMI technique: (postSx 1wk)

@ Final healing:

Blog capacity is full ---Move to second part

** Notice !!!
Home move to Demtal Implant Professional !

See You .....

Localized Management of Sinus Floor (LMSF)

Localized management of sinus floor (LMSF) achieves implant placement and sinus lifting simultaneously. LMSF is a further application of the principles of the edentulous ridge expansion (ERE) technique. It comprises the dissection of a partial-thickness flap, the buccal expansion of the residual alveolar bone, and the fracture and elevation of the sinus floor with simultaneous implant placement. The selected patients, who showed no signs of sinus pathology, exhibited insufficient vertical alveolar bone dimensions for the placement of dental implants with the traditional technique. The minimal residual alveolar bone height was between 5 and 7 mm. Based on the criteria established by Albrektsson and his coworkers in 1986, the success rate of the 499 implants placed with the LMSF was 97.5%.(Code by Dr.Buschi et al;1998.Three hundred three patients were treated with 499 implants placed using the LMSF between April 1988 and December 1993)
#Clinical Report by Dr. Perio:

@LMSF with Wide Implant + Bone Grafting: (Dec10,05)

PostSx 1wk>>><<PostSx 4 months---

@Final restoration (May30,06')-post implantation 6 months later

#15GBR + #16LMSF (Dec05')

@Post Sx 5 months (May06')