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| 9/10/2012 10:59:16 AM | THEO ODYSSEOS | | Require to do Hard and soft tissue augmentation. | | you need to do G.B.R. and emdogain on the #23, later if needed , soft(connective) tissue graft. | | Register For Free To Reply |
| 9/7/2012 4:56:30 PM | TRI DUNG NGUYEN | | Require to do Hard and soft tissue augmentation. | | Dear Dr. Salama,
On the CBCT image, I think we need block graft for vertical and lateral bone augmentation because we have a big defect there. But there's no bone (root exposed) at neighbor teeth, how can the graft work?
Thank you very much for your comment.
Best regards,
Dr. Tri Dung. | | Register For Free To Reply |
| 9/7/2012 8:03:56 AM | Maurice Salama | | Require to do Hard and soft tissue augmentation. | | EMP....Enamel Matrix Protein or "Emdogain" from Straumann.
Dr. S | | Register For Free To Reply |
| 9/7/2012 2:58:45 AM | jasem jedaan | | Require to do Hard and soft tissue augmentation. | | thanks dr.salama what yuo mainEMP | | Register For Free To Reply |
| 7/1/2012 10:34:53 AM | Maurice Salama | | Require to do Hard and soft tissue augmentation. | | Root preparation with tetracycline for 3 minutes or EDTA (Prefgel) followed by EMP (emdogain) or PRGF (blood BTI) or PDGF (Gem 21) on the exposed root surfaces of the adjacent teeth would be ideal to maximize reattachment.
Dr. Salama | | Register For Free To Reply |
| 9/11/2012 11:58:03 PM | narayan tv | | Require to do Hard and soft tissue augmentation. | | Hi Tarun,
Very challenging case and a number of options have been discussed. I would work on the soft tissue first, do a connective tissue or a combined graft with the epithelised portion on the ridge and the connective tissue to cover the root and bulk up laterally. The problem I anticipate at this juncture without addressing the soft tissue first is that you'll have tension on your closure. 6-8 weeks after the soft tissue procedure, you'll be able to perform either a block for vertical augmentation or the GBR with a mesh much more comfortably.All the best with the case and keep us posted on the progress. | | Register For Free To Reply |
| 7/1/2012 1:43:57 AM | Tarun kumar | | Require to do Hard and soft tissue augmentation. | | Thanks Dr.Salama for the treatment plan.Would u think we need to use EMD on the exposed root surface of adjacent teeth for some Periodontal regeneration around it,when we do the Initial augmentation surgery.Will post you the CBCT images soon.
Dr.Tarun Kumar | | Register For Free To Reply |
| 7/1/2012 4:40:41 AM | neamat kolahquchi | | Require to do Hard and soft tissue augmentation. | | thanks dr salama for exellent comment.but i dont have biomodifire .please help me about this .can i use other things?
best regard
neamat | | Register For Free To Reply |
| 6/30/2012 11:38:34 PM | Maurice Salama | | Require to do Hard and soft tissue augmentation. | | Would love to evaluate the CBCT but my guess would be GBR with Ti-Mesh or Curve, tenting screws to maintain space as well as bio active modifier or BMP-2 in combination with mineralized allograft.
Follow this with CTG and further grafting as needed at time of implant placement.
Good luck
Dr. Salama | | Register For Free To Reply |
| 6/30/2012 1:39:53 PM | Tarun kumar | | Require to do Hard and soft tissue augmentation. | | Patient wants to get a an Implant retained restoration for canine.History of Extraction of partially impacted canine 3 months back.There is recession irt lateral incisor and first premolar.Patient has been advised CBCT.Planning for bone augmentation.Want expert opinion on how to go about the treatment.
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