Implantation after Augmentation of an Extensive Defect in the Posterior Area - Dental Online College
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Implantation after Augmentation of an Extensive Defect in the Posterior Area

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Prof. Dr. Hürzeler, Dr. Bolz

In this surgery Prof. Dr. Marc Hürzeler and Dr. Bolz, both Munich/Germany, are placing implants in the posterior area after a previous augmentation with a bone block.

They start with raising a full flap using a sulcular and crestal incision. With a papilla elevator, a mucoperiosteal flap is lifted in the buccal and lingual areas in order to be able to estimate the bone thickness in the bucco-lingual direction.

Based on the radiological diagnostics that have been carried out, and given that sufficient bone mass is provided in the vertical direction, the surgeon decides not to expose the exit point of the nervus alveolaris inferior from the mental foramen.

Following preparation of initial surface graining, pre-drilling, as well as the use of pilot and twist drills, the implant can be inserted using a machine and later on a surgical ratchet. Primary wound closure is performed using horizontal double-sling suturing. In order to ensure permanent integration into the bone tissue, the implant is then allowed to heal over a period of approximately three months.

Content of the expert video

After raising the full flap an implant cavity is prepared.
After raising the full flap an implant cavity is prepared.
Insertion of the implants
Insertion of the implants

The experts

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 »
Prof. Dr. Markus Hürzeler

Dr. Wolfgang Bolz

Specialist for Periodontology in the Bolz/Wachtel Dental Clinic in Munich

Dr. Wolfgang Bolz studied dental medicine at the University of Munich and opened up his own practice in 1977. Several educational programs led him to Switzerland, Sweden and the USA. He was Secretary General of the German Society of Periodontology (DGP) from 1989 to 1998, founding member of the European Association for Osseointegration (EAO) and its Secretary General from 1991 to 2000. He was founder and editorial board member of the journal „Parodontologie“. In 1999 the DGP elected him Specialist for Periodontology. In 2006 the “Specialist in Perio” was prolonged until 2012. After org ...more »
  • DZR
  • Health AG
  • Mectron
  • W&H Deutschland GmbH
  • Komet/Gebr. Brasseler GmbH &Co KG
  • Sirona
  • BEGO Implant Systems GmbH & Co. KG
  • DSI DentaScience Institute®
  • Zimmer Dental
  • Henry Schein
  • Kuraray
  • IPI München
  • Align Technology Inc.
  • Dentsply Sirona Implants
  • botiss dental 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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