Delayed Implant Placement in the Esthetic Zone - Dental Online College
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Delayed Implant Placement in the Esthetic Zone

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Duration:

19:43

Surgeon:

Prof. Dr. Hürzeler

Three month after the extraction of a lateral incisor Professor Dr. Marc Hürzeler, Munich/Germany, demonstrates the delayed insertion of an implant. In the esthetic zone the procedure has to be performed with special care.

Three month after the extraction of a lateral incisor and the coverage of the wound with a gingiva patch the delayed insertion of an implant is demonstrated. Clinically, thick scar tissue is present in the apical region of the lateral incisor indicating several attempts of an apicoectomy. As a consequence, an extended bone defect in the buccal area is expected, also based on the preoperative diagnosis including a three dimensional CT image. Therefore, along with the delayed implantation the hard tissue augmentation in this area is carried out and demonstrated within the surgery.
The implantation is conducted using a navigation template which allows for optimal drilling conditions with respect to the prior determined implant position, alignment and depth. Despite the broad expanse of the bone defect sufficient implant stability can be reached. The autologous bone chips harvested from the spina nasalis area are inserted into the defect onto the implant and covered with a layer of bone substitute. The defect shape with bone structures left like “embracing arms“ is positive for a successful regeneration. Finally, a membrane is placed on top and the wound closed with a special suturing technique.

Content of the expert video

Three months after extraction of tooth 22 a delayed implantation is performed together with a simultaneous augmentation.
Three months after extraction of tooth 22 a delayed implantation is performed together with a simultaneous augmentation.
Uncovering of the bone defect after preparation and mobilisation of a mucoperiostal flap.
Uncovering of the bone defect after preparation and mobilisation of a mucoperiostal flap.
Splint-guided navigated implantation, based on a three-dimensional implant planning and a prior volume-topographic imaging.
Splint-guided navigated implantation, based on a three-dimensional implant planning and a prior volume-topographic imaging.
After the tension-free dense wound closure a prepared temporary crown is inserted by enamel-etch-technique.
After the tension-free dense wound closure a prepared temporary crown is inserted by enamel-etch-technique.

The expert

Prof. Dr. Markus Hürzeler

Private practice Hürzeler/Zuhr in Munich

  • Practising dentist in the joint practice Hürzeler/Zuhr in Munich
  • 2003 Conferment of degree; adjunct professor by the Albert-Ludwigs University in Freiburg
  • Specialist for periodontology (medical specialist equivalent) according to the Swiss (SSP) and German Association of Periodontology (DGP)
  • Specialist for prosthetics (medical specialist equivalent) according to the German Association for Dental Prosthetics and Materials Science (DGZPW)
  • Professorship at the Albert-Ludwigs University in Freiburg and at the University of Texas in Houston / Texas / USA
  • more »
  • botiss dental Gmbh
  • Henry Schein
  • DZR
  • CAMLOG
  • CLINICAL HOUSE EUROPE
  • Komet/Gebr. Brasseler GmbH &Co KG
  • DSI DentaScience Institute®
  • Kuraray
  • BEGO Implant Systems GmbH & Co. KG
  • Zimmer Dental
  • IDI-PARO
  • IPI München
  • Sirona
  • Align Technology Inc.
  • Mectron
  • Health AG
  • Dentsply Sirona Implants
  • W&H Deutschland GmbH

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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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