Double-Layer Technique: Reconstruction of an Alveolar Ridge Defect in the Esthetic Zone - Dental Online College
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Double-Layer Technique: Reconstruction of an Alveolar Ridge Defect in the Esthetic Zone

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Duration:

30:35

Surgeon:

Prof. Dr. Hürzeler

In this operation Prof. Hürzeler starts with raising a full flap using a sulcular incision and a micro scalpel blade. After checking the surgical template, a subepithelial connective tissue graft is taken from the palatal region.

Care has to be taken not to hit the palatal artery and to leave a palatal epithelial thickness of approximately one millimetre to avoid healing problems. The palatal wound is closed by a running suture and a splint is placed to support the initial healing period. The periosteum of the buccal flap is then split to mobilise the flap further. The residual bone of the planned implant site is perforated to increase blood supply for the artificial bone and the implant position is marked with a surgical template. The implant is placed and a few coronal threads are exposed. In order to create a stable situation a membrane is fixed firstly with pins followed by augmenting the exposed threads with bone of bovine origin (BioOss) and covering both with the subepithelial graft. The closing of the wound is conducted with mattress and interrupted sutures under the avoidance of any tension.

Content of the expert video

The initial situation with a bony atrophy in the region of the upper right lateral incisor. The surgeon starts to raise a full flap with sulcular incision.
The initial situation with a bony atrophy in the region of the upper right lateral incisor. The surgeon starts to raise a full flap with sulcular incision.
A full flap has been raised and the surgical template is checked.
A full flap has been raised and the surgical template is checked.
The residual bone of the planned implant site is perforated to increase blood supply for the artificial bone.
The residual bone of the planned implant site is perforated to increase blood supply for the artificial bone.
The implant position is marked with a surgical template.
The implant position is marked with a surgical template.
The layers on top of the exposed screw thread are now: BioOss followed by BioGuide and the subepithelial graft.
The layers on top of the exposed screw thread are now: BioOss followed by BioGuide and the subepithelial graft.

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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