oral surgery
feature
Continued from p. 70
Titanium mesh was connected to the
implant extending from the occlusal to the
buccal side to maintain a space and to allow
bone growth between the implant service
and the external border of the maxillary
arch (Figs. 19-21).
A PRF membrane was used to cover the
titanium mesh to avoid direct contact to
the soft-tissue flap (Fig. 22). A tension-free
flap closure was done and a polytetrafluoroethylene (PTFE) suture was used (Fig. 23).
Fig. 22: Titanium mesh covered by PRF
membrane
Fig. 23: Tensionfree closure and
polytetrafluoroethylene (PTFE)
suture
Healing, impressions
an na res ts
After a healing period of five months, the
titanium mesh was removed and a temporary
acrylic crown was created to condition and
shape the soft tissue around the implant
(Figs. 24-27).
Fig. 19: Titanium mesh protecting the bone in
the augmented site
Fig. 24: Healed site
Fig. 25: Surgical dissection
and removal of titanium
mesh
Fig. 26: Customizing
a screw-retained
temporary crown
Fig. 20: A flat-cover screw stabilizing the mesh
Fig. 18: Correction of the buccal defect
Fig. 27: Temporary crown placed with two
stabilization sutures
Fig. 21: Buccal view of titanium mesh
72
Continued on p. 74
SEPTEMBER 2016 // dentaltown.com
http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown September 2016