Implantation after Implant Fracture in the Upper Jaw - Dental Online College
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Implantation after Implant Fracture in the Upper Jaw

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Duration:

09:24

Surgeon:

Dr. Bolz

Due to an implant fracture in region 14, an implant had been removed followed by a three month healing period. In this surgical video, Dr. Bolz performs the insertion of a new implant in the affected area, so that the gap can subsequently be closed with a single-tooth crown.

Following a ridge incision within the keratinized tissue, a raspatory is used to lift a mucoperiosteal   flap in the buccal direction. The preparation should be exerted as gently as possible to not traumatize the flap. In this case, the mobilization, however, is hindered as a result of existing scar tissue.
Once the flap has been prepared up to the mucogingval junction, the defect is exposed and granulation tissue has to be thoroughly removed to provide the best possible overview of the bony substructure for the implant. Initial pilot drilling is performed using a round burr, during the course of which the area is more cleaned and the exact position of the maxillary implant is determined. This is followed by the use of increasingly larger conical implant drills, the depth and orientation being checked with a depth probe.  First, the conical implant is inserted mechanically. The final implant position is achieved using a manual ratchet placing the implant shoulder in an epicrestal position with regard to the buccal bone A healing cap is attached to the implant to which both flaps are precisely adapted through suturing. Two interrupted sutures are placed from palatal to buccal to enable a precise adaptation of the buccal flap.

Content of the expert video

Dr. Bolz inserts an implant in the upper posterior jaw. Prior to this, an implant was removed in the same region due to an implant fracture.
Dr. Bolz inserts an implant in the upper posterior jaw. Prior to this, an implant was removed in the same region due to an implant fracture.
Initial drilling is performed using a round burr.
Initial drilling is performed using a round burr.
Further preparation of the implant bed is carried out using increasingly large tapered drills.
Further preparation of the implant bed is carried out using increasingly large tapered drills.
A healing cap is placed on the implant.
A healing cap is placed on the implant.
During wound closure, the flaps are adapted exactly in accordance with the healing cap.
During wound closure, the flaps are adapted exactly in accordance with the healing cap.

The expert

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 »
  • Zimmer Dental
  • CAMLOG
  • Henry Schein
  • Mectron
  • Kuraray
  • Dentsply Sirona Implants
  • IPI München
  • botiss dental Gmbh
  • IDI-PARO
  • DSI DentaScience Institute®
  • Health AG
  • Sirona
  • W&H Deutschland GmbH
  • DZR
  • BEGO Implant Systems GmbH & Co. KG
  • Align Technology Inc.
  • CLINICAL HOUSE EUROPE
  • Komet/Gebr. Brasseler GmbH &Co KG

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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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