Contemporary Periodontal Surgery: An Illustrated Guide to the Art Behind the Science by Geoffrey Bateman / Shuva Saha / Iain L C Chapple
Author:Geoffrey Bateman / Shuva Saha / Iain L C Chapple
Language: eng
Format: epub
Publisher: Quintessence Publishing Co. Ltd.
Fig 5-21a Radiograph of peri-implant cyst pre-surgery.
Fig 5-21b Operative site post-enucleation of infected cyst and implant debridement.
Fig 5-21c The defect packed with BioOss mixed with Dentamycin antibiotic gel.
Fig 5-21d BioOss covered with Bio-Gide membrane prior to wound closure.
Fig 5-21e The implants from 5-21 a, 12 months following regeneration surgery. The implants had re-osseointegrated and were stable.
There is some evidence that bone regeneration is more predictable than periodontal regeneration, where complete wound closure is achieved over the membrane – that is, in the absence of teeth or a transmucosal implant abutment. This is likely to be due to the fact that healing can occur in the absence of chronic irritation from a plaque biofilm. Therefore, when treating peri-implant bone loss, the transmucosal component is removed and a cover screw used to hold the membrane in place, prior to complete flap closure over the cover screw to re-cover the implant. Resorbable bone screws and pins may also be used to secure the membrane peripherally (Chapter 10).
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