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Showing posts from January, 2023

Case of peri-implantitis in the mandible

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This year, I am a 64-year-old male patient. In 2008, I had implants placed and received a bar over denture in a similar manner. In 2019, during my visit, signs of peri-implantitis were observed in the lower jaw as follows. This is a photo I uploaded earlier, and in this way, I used a smart brush for thorough cleansing, detoxified with TC, and then transplanted homologous bone. This is a photo from February 2020. This is a photo from September 2020. Particularly, patient cleansing education was conducted.   This is a photo from December 12, 2022. Q1. Was the bone defect only at the root cause? A. Fortunately, there was a 3.4 wall defect around the implant for the bone defect Q2. Did you use only homologous bone without a membrane?   A2. I didn't use resorbable membrane

Mobility of bilateral central incisors

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The patient is a 44-year-old female with mobility of both central incisors, indicating the need for implants. Implants were placed in both central incisor areas due to thin bone in the lateral incisor region on both sides.  A total of four implants were placed to support the planned prosthetic restoration. Here is the immediate implant placement in the areas of tooth #11 Here is the immediate implant placement in the areas of tooth #21 I paid special attention to the path, considering the anticipation of a screw-type restoration in the future. I performed bone grafting in the gap area. I performed contouring augmentation in both lateral incisor areas. Here is the photo immediately after the surgery. Here is the photo after the final restoration. Before. After  

Case of tooth intrusion during extraction

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The patient referred to me yesterday is the one in whom the tooth shifted mesially during the extraction of tooth #48. There can be various complications related to wisdom tooth extraction. One of them is when the tooth shifts mesially during the extraction due to weak cortical bone on the distal side. This kind of situation, where the tooth moves towards the front, can occasionally occur. Especially when the tooth is displaced into the mandibular canal area, it can be challenging to locate and remove, sometimes requiring general anesthesia. Therefore, applying excessive force in a mesial direction during wisdom tooth extraction can indeed pose risks, as it may lead to difficult and potentially complicated situations. You extended the dislodgment towards the distal direction to carefully locate and extract the tooth, making it a bit challenging but successfully removing it.  After surgery, x-ray photo.

Immediate implant placement case 3

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A 51-year-old female patient with pain in tooth #21, undergoing immediate implant placement. The state after immediate implant placement with a healing abutment and a gingival height of 4mm. I adjusted the depth to maintain the gingival height at 4-5mm. After surgery. After final prothetics   I proceeded with the fabrication of the final crown without creating a provisional crown.