Vorschau beendet

Dieses Expertenvideo können Sie in voller Länge sehen, wenn Sie es einzeln kaufen

oder ein Abonnement abschließen.

The Anterior Implant - Augmentation - Surgical Procedure

Implant: a dental implant is an object that is generally made of titanium and that is inserted into the jawbone. Implants act as artificial tooth roots. In this procedure, implants are screwed into the jawbone (endosseous implants), in the same way as a screw. After three to six months, the implants are integrated into the surrounding bone (osseointegration). After three to six months, the implants are integrated into the surrounding bone (osseointegration).

Exposure of the alveolar ridge:
first, an incision is made in the ridge. This is followed by elevation of a mucoperiosteal flap. In this case, a significant bone defect makes simultaneous implant insertion impossible. The goal of this surgical procedure is to augment the bone in order to restore a bony contour that will allow for implant insertion at a later date.

Bone build-up/augmentation:
once the mucoperiosteal flap has been created and the bony area exposed, the compact bone is perforated. Using a vestibular approach, two resorbable membranes are securely attached for bone augmentation using titanium pins. Xenogenic bone substitute is then inserted to augment the bone defect. The bone substitute is covered using the securely attached membranes, and adapted to the palatal area with the aid of suturing in order to ensure stable positioning of the augmented area. As part of the double-layer technique, a securely-positioned barrier membrane and a cell-occlusive collagen membrane are used.

Due to the pronounced bone defect in this case, simultaneous implantation is avoided so that the augmented bone can heal first. The dental implant will be inserted as part of a subsequent surgical procedure.

The Anterior Implant - Augmentation - Surgical Procedure

Implant: a dental implant is an object that is generally made of titanium and that is inserted into the jawbone. Implants act as artificial tooth roots. In this procedure, implants are screwed into the jawbone (endosseous implants), in the same way as a screw. After three to six months, the implants are integrated into the surrounding bone (osseointegration). After three to six months, the implants are integrated into the surrounding bone (osseointegration).

Exposure of the alveolar ridge:
first, an incision is made in the ridge. This is followed by elevation of a mucoperiosteal flap. In this case, a significant bone defect makes simultaneous implant insertion impossible. The goal of this surgical procedure is to augment the bone in order to restore a bony contour that will allow for implant insertion at a later date.

Bone build-up/augmentation:
once the mucoperiosteal flap has been created and the bony area exposed, the compact bone is perforated. Using a vestibular approach, two resorbable membranes are securely attached for bone augmentation using titanium pins. Xenogenic bone substitute is then inserted to augment the bone defect. The bone substitute is covered using the securely attached membranes, and adapted to the palatal area with the aid of suturing in order to ensure stable positioning of the augmented area. As part of the double-layer technique, a securely-positioned barrier membrane and a cell-occlusive collagen membrane are used.

Due to the pronounced bone defect in this case, simultaneous implantation is avoided so that the augmented bone can heal first. The dental implant will be inserted as part of a subsequent surgical procedure.

About the expert

Hannes Wachtel

Prof. Dr. Hannes Wachtel

Specialist for periodontology at the Bolz/Wachtel Dental Clinic

To the expert's profile Ask the the expert a question