Kael Cunha

Porto Alegre, Brasilien

Clinical case description:

The 49 year-old patient underwent treatments on three channels tooth 21:22 unsuccessfully. It was subsequently performed apicetomia. However, the inflammatory lesions of periapex did not regress, leading to bone resorption and suppuration in the vestibular of teeth. Treatment consisted of the removal of teeth, grafting with xenogeneic biomaterials Geistlich Bio-Oss® small-grained and free gingival graft (EGL) for the bone graft tamponade. After the initial surgery, it was expected 5 months for the bone remodeling and from this time were installed 2 4x11,5 titanium implants with conical connection. The prosthetic rehabilitation was initiated 4 months post-implantation. The final images show the 4 previous dental elements rehabilitated with follow-up of 18 months

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<p>Preoperative of teeth 11:22 with acute inflammatory injury periapex.</p>

Preoperative of teeth 11:22 with acute inflammatory injury periapex.

<p>Extraction of 11 and 22, graft Geistlich Bio-Oss<sup>®</sup> 0,5gr small, free gingival graft (EGL) and 5 months of control tomography.</p>

Extraction of 11 and 22, graft Geistlich Bio-Oss® 0,5gr small, free gingival graft (EGL) and 5 months of control tomography.

<p>Radiographic and clinical control 4 months after implantation.</p>

Radiographic and clinical control 4 months after implantation.

<p>Pre-clinical aspect rehabilitated and restored after 18 months.</p>

Pre-clinical aspect rehabilitated and restored after 18 months.

Pre-surgery

<p>Preoperative of teeth 11:22 with acute inflammatory injury periapex.</p>

Surgery

<p>Extraction of 11 and 22, graft Geistlich Bio-Oss<sup>®</sup> 0,5gr small, free gingival graft (EGL) and 5 months of control tomography.</p>

Outcome

<p>Radiographic and clinical control 4 months after implantation.</p>

Follow-up after at least 6 months

<p>Pre-clinical aspect rehabilitated and restored after 18 months.</p>