#Case 39

Today's case involves a patient who had implants placed around 20 years ago after a window approach, but the implants had to be removed due to peri-implantitis. This is a photo from before the upper right implant was placed in 2003. At that time, there was no CT scan available, and due to limited remaining bone volume, bone grafting was performed before implant placement. This year, the patient is a 65-year-old woman. This is a photo of the patient undergoing a Windows app procedure. Bio-Oss was used for bone grafting in this case. This is a photo taken after the surgery. Approximately 5 months later, the implant was placed, and the prosthesis was completed. In 2007 In 2008 In 2009 It's 2009 too. In 2011 In 2012 In 2014 In 2015 In 2017 In 2019 In 2020 And on February 3, 2022, after a long absence, the patient visited with discomfort in the area of tooth 17 and symptoms of maxillary sinusitis as shown. Based on the CT findings, there appears to be thickening of the right maxilla