We often meet cases when it is difficult for a doctor to indicate the tissue system defects and determine the treatment plan. In such cases, we need individual solutions, there are often changes in the treatment plan during surgery.
A patient aged 50, gave up smoking 6 months before the implant treatment. A significant improvement in hygiene, the patient was highly motivated. After bone regeneration and restoration of soft tissue, reconstruction of six teeth using porcelain crowns. The picture presents the quantity and quality of bone tissue after the reconstruction. In comparison to the initial state, a significant improvement in the bone structure was achieved, which would be impossible with methods of guided bone regeneration that use advertised brands of collagen membranes and “bones from a bottle”.
Missing five lower teeth in the lip section. Reconstruction of tissue and prosthetic rehabilitation.
A shortened dental arch ending with a three. Pale, atrophic soft tissue, low density bone and of poor blood supply. Unfavourable conditions for bone reconstruction. The treatment time was 18 months, after bones restoration, a satisfying, final result in the mandible, the next step will be to correct the bite plane.
Immediate implantation. Teeth with periodontal disease. The teeth extracted according to a currently popular western method: remove the teeth before the bone disappears. The result of such a procedure is less traumatic for the patient and guarantees a shorter time of prosthetic rehabilitation and lower total cost of treatment. Still, at the same time, the solution involves having more implants and less one’s own teeth. In the long follow-up period, this method gives good results.
A patient with a long history of implant treatment. The first implants were placed in positions no. 24 and 25, in Warsaw 25 years ago. The upper left canine implant has a sharp thread because after the implantation it was relatively quickly loaded to stabilize a temporary, removable denture. The maxilla bone was regenerated and rebuilt in stages throughout the upper right quadrant.
Reconstruction - the upper-left quadrant: tooth no. 23,24,25. After the surgery of the left maxillary sinus using the Caldwell-Luck method, it was initially seen as not eligible for implant treatment. Later, conditionally qualified for the bone and soft tissue reconstruction.
Partially edentulous patient (top teeth missing). Initially made ceramic bridges seemed to be successful, however, after a year the gums started swelling and bleeding. The patient returned for treatment. All the teeth in the jaw were extracted. Guided tissue regeneration of alveolar bone, modeling the shape and volume of soft tissues, porcelain bridges attached to the implants. A satisfying, anatomical and aesthetic result was achieved.
A patient aged 38, teeth with genetically determined periodontal disease, non-smoker, good hygiene. Vertical and horizontal bone regeneration.
A patient aged 72, for decades with type I diabetes, has been using an insulin pump for the last 10 years. The patient’s niece, a Professor of medicine, monitors her diabetic condition. The patient is aware of the risks during bone regeneration and implantation in her condition. As the first step, the bone and soft tissue reconstruction was made. The third picture presents the spatial relationships and two implants placed in regenerated bone are visible. A correct histological structure of the bone and a satisfying size of the newly formed bone. Two implants with a diameter of 5.0 mm were placed.
A patient aged 55, for many years has been using a removable prosthesis. Before implantation, alveolar bone augmentation was made. The patient was satisfied with the aesthetic and functional results of the treatment.
A patient after the extraction of several teeth, an immediate and delayed implantation. The photo was taken five years after the implantation. A stable situation may be observed in the case of the alveolar bone.