Rodrigo Cunha

Porto Alegre, Brazil

Clinical case description:

The 65 year-old patient suffered trauma from a car accident in tooth 21:22 root fracture, which caused periapical inflammatory lesion and bone resorption of apical and vestibular. The treatment consisted in removing teeth of 24X13 titanium implants with conical connection installation, grafting with xenogeneic biomaterial Geistlich Bio-Oss® large grain and Geistlich Bio-Gide® of 25x25mm. After surgery, it was waited for eight months before the beginning of prosthetic rehabilitation. The final images show the dental elements rehabilitated with follow-up of 3 years.

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<p>Preoperative: trauma in dental elements 21 and 22 with acute inflammatory injury periapex and extensive resorption of alveolar bone.</p>

Preoperative: trauma in dental elements 21 and 22 with acute inflammatory injury periapex and extensive resorption of alveolar bone.

<p>Tooth extraction 21:22 with chronic abscess removal treated by installation of 2 Implants + Geistlich Bio-Oss<sup>®</sup> large+ Geistlich Bio-Gide<sup>®</sup> of 25x25mm.</p>

Tooth extraction 21:22 with chronic abscess removal treated by installation of 2 Implants + Geistlich Bio-Oss® large+ Geistlich Bio-Gide® of 25x25mm.

<p>Immediate postoperative 15 days and eight months control tomography .</p>

Immediate postoperative 15 days and eight months control tomography .

<p>Preoperative and postoperative rehabilitation in the follow-up of 3 years.</p>

Preoperative and postoperative rehabilitation in the follow-up of 3 years.

Pre-surgery

<p>Preoperative: trauma in dental elements 21 and 22 with acute inflammatory injury periapex and extensive resorption of alveolar bone.</p>

Surgery

<p>Tooth extraction 21:22 with chronic abscess removal treated by installation of 2 Implants + Geistlich Bio-Oss<sup>®</sup> large+ Geistlich Bio-Gide<sup>®</sup> of 25x25mm.</p>

Outcome

<p>Immediate postoperative 15 days and eight months control tomography .</p>

Follow-up after at least 6 months

<p>Preoperative and postoperative rehabilitation in the follow-up of 3 years.</p>