A lot of times before dental implant surgery, surgeons find that patients don’t have enough bone volume for placement of dental implants. The surgeon’s first approach to this problem is placement of bone graft material to augment (expand and enlarge) the bone and create enough bone volume for predictable implant placement. The traditional approach of bone grafting requires big incisions, flapping of gums and placement of bone graft material, which can be harvested from the same patient in different surgical site or utilizing bone graft material from another human, species or synthetic material. The traditional technique will require time for bone graft to mature (3 to 6 months) and will subject the patient to post operative swelling and pain.
With availability and ease of CT-Scans, the patient’s bone volume could be easily assessed before surgery. Understanding that bone is flexible and malleable, bone manipulation is a very good alternative to traditional approach of bone grafting. It requires only very small incisions in the area where the implants need to be placed, with no need for any gum flapping of the bone. Then, using surgical osteotomes, we can bend and expand the bone in the desirable direction we desire, without any reflection of the gum tissue.
This will create immediate adequate bone volume without the need to use any bone graft material. Because of not having any flap, the post operative pain and swelling is almost none. The root-form implants are placed on the same day, with no need to wait. Even though this approach requires high level of surgical skills, it saves the patient from undergoing extensive surgeries, swelling and post-operative pain, not to mention, time and money.
In this blog, I included a pre and post-operative views of CT-Scan, showing how successfully patient’s bone was manipulated for optimum placement of root-form implants:
PRE-OPERATIVE SEGMENT OF CT-SCAN IN THE TREATMENT PLANNING SOFTWARE SHOWING THAT PATIENT HAS SUFFICIENT BONE WIDTH BUT DEFICIENT BONE HEIGHT
SAME DAY POST OPERATIVE SEGMENT OF CT-SCAN SHOWING HOW THE BONE WAS MANIPULATED VERTICALLY AND THE FLOOR OF THE MAXILLARY SINUS WAS LIFTED ABOUT 6MM-7MM FROM ITS ORIGINAL POSITION BEFORE SURGERY, WITH NO NEED FOR ANY BONE GRAFT MATERIAL TO BE USED AND THE IMPLANT WAS SUCCESSFULLY PLACED ON THE SAME DAY. THE CUT WAS SO MINIMAL THAT NO SUTURES WERE REQUIRED.
PRE-OPERATIVE PANOGRAPHIC VIEW OF THE PATIENT. THE SECOND FIGURE SHOWS IMPLANT PLACEMENT IN THE TREATMENT PLANNING SOFTWARE BEFORE SURGERY.
SAME DAY POST SURGICAL PANOGRAPHIC VIEW OF THE PATIENT WHERE BONE WAS MANIPULATED AND IMPLANTS WERE PLACED ON THE SAME DAY, WITH NO NEED FOR USE OF ANY BONE GRAFT MATERIAL. THE CUT WAS SO MINIMAL THAT NO SUTURES WERE REQUIRED.
PRE-OPERATIVE SEGMENT OF CT-SCAN IN THE TREATMENT PLANNING SOFTWARE SHOWING THAT PATIENT HAS SUFFICIENT BONE HEIGHT BUT DEFICIENT BONE WIDTH.
SAME DAY POST OPERATIVE SEGMENT OF CT-SCAN SHOWING HOW THE BONE WAS MANIPULATED HORIZONTALLY AND THE BUCCAL BONE PLATE WAS MOVED OUTWARD LABIALLY TO CREATE ENOUGH BONE WIDTH AND IMPROVE THE AESTHETICS OF THE GUM CONTOUR, WITH NO NEED FOR ANY BONE GRAFT MATERIAL TO BE USED. THE IMPLANT WAS SUCCESSFULLY PLACED ON THE SAME DAY. THE STITCHES CUT WAS SO MINIMAL THAT NO SUTURES (STITCHES) WERE REQUIRED.
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Contact Person: MOHAMED ALI, DDS
Email: koyeldas@malidds.com
Phone: +1 415-481-0779
Country: United States
Website: teethtomorrowsanfrancisco.com/