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Discussion : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique [2]

Discussion : Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique [2]

author: Tibebu Tsegga, Thomas Wright | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

A critical appraisal of the gingival architecture in the final end point of this case demonstrates some radiolucency through the soft tissue outlining the platform of the Nobel Biocare TiUnite implant. This would lead us to believe that either the transmucosal bone level placement attempt was inaccurate or excessive reflection of the labial tissue has caused some degree of resorption. This is another liability that needs to be carefully addressed if this application is recaptured within the esthetic zone. Perhaps slight subcrestal placement of the dental implant or platform switched body feature would minimize this outcome. In our application, we utilized an implant platform topography that is purported by the manufacture to allow soft tissue adhesion and minimize crestal bone loss.

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