Clinical cases

1. Cervical cavities around old fillings - compromised aesthetics, which is why patient look for help

 

 

2. Indirect restorations - composite inlay

 

3. Sinuslifting with crest access and immediate implant placement after extraction of tooth 26

 X-ray                                                                X-ray 

 

4. Immediate placement of implants after extraction

Panoramic X-ray

Preoperative orthopantomography

Extracted tooth

Extracted (removed) tooth

Curettage granulation

Preparation the area for implantation (curettage of granulation)

Autogenous bone collection with ACM bur

Collection of autogenous bone

bonewall

Traces of milling on vestibular bone wall

Autogenous bone chips with b-TCP

Autograft as a bone chips and synthetic bone graft (in this case 100% β-tricalcium phosphate)

Bone chips aplication

Application of autologous bone around implants

X-ray after 5 months

Radiography after five months of osseointegrated implants and formed new bone tissue

5. Endodontic retreatment of periapical granuloma

X-ray1

Inicial X-ray

  X-ray2

X-ray immediately after treatment and filling root canals by vertical condensation obturation technique

  X-ray3

Check up after 6 months

6. Immediate placement of implants after extraction

The patient sought help because of fallen bridge. Clinical establish mobility of the teeth supporting the bridge and fractured teeth abutment.

Имедиатно поставяне на импланти след екстракция   Имедиатно поставяне на импланти след екстракция

The initial radiographs of the teeth with poor prognosis

In this case we decide to perform single-step surgery: extraction of unviable teeth with the placement of implants and bone augmentation (simply using autogenous bone from the symphysis mixed with synthetic bone)

Имедиатно поставяне на импланти след екстракция

Panoramic X-ray of osseointegrated implants

healing abutment   healing abutment

Healing abutments

healing abutment   healing abutment

Satisfactorily shaping of soft tissue profile, despite the short time we had available to manipulate the soft tissues

morse connection   morse connection   morse connection

These pictures shows the type of connection between the implant and the superstructure. In this case a biological connection (conical connection - Morse taper)

протезиране върху импланти   протезиране върху импланти   протезиране върху импланти   протезиране върху импланти

протезиране върху импланти   протезиране върху импланти

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