Implantation and Augmentation in Region 14 - Dental Online College Implantation and Augmentation in Region 14 - Dental Online College | Dental Online College
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Implantation and Augmentation in Region 14

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Duration:

18:53

Instructor:

Dr. Hinze

In the premolar region of the right maxilla, Dr. Marc Hinze, Gräfelfing/Germany, conducts  bone augmentation and implant insertion in one session. Applying the GBR technique, two membranes - a bone-lamina membrane and an Evolution membrane (collagen membrane) - are placed to create and maintain space for bone in-growth. A bone substitute material is used for the augmentation.

The treatment is performed in the region of the first premolar in the right maxilla, where bone volume is reduced. First, after sulcular and crestal incision, a full thickness flap is carefully prepared and elevated in the buccal as well as the palatal region.

Next, the pilot drilling is exerted to determine the prothetic axis of the implant. The implant bed is gradually extended, always paying attention to and checking the implant position and direction. In the buccal region, the bone volume is especially reduced. As a consequence, bone fenestration is created during drilling. Nonetheless, the implant is inserted.

Applying the GBR technique, two membranes - a bone-lamina membrane and an Evolution membrane (collagen membrane) - are cut into shape and placed to create and maintain space for bone in-growth. Pins are applied to stably fixate both membranes in the buccal region. The inner bone-lamina membrane functions as a barrier; the external Evolution membrane facilitates tissue integration.

In a next step, bone substitute material is filled into the pocket between membranes and bone to cover the buccal fenestration and remodel the area three-dimensionally. Then, the augmented area and the implant are covered with the membranes. Their palatal endings are placed below the palatal flap.

Before wound closure, periosteal incision needs to be made to gain enough mobility of the flaps, so that a tension-free approximation of the flaps is possible. The buccal and palatal flap are sutured in a deeper and a marginal layer. After the wound edges in the augmented area are well apposed to promote primary wound healing, the operator closes the relief incisions with microsurgical sutures.

The expert

Dr. Marc Hinze

Praxis für Rekonstruktive Zahnheilkunde & Implantologie in Gräfelfing bei München

  • 2012 Gründung der Praxis für Rekonstruktive Zahnheilkunde & Implantologie in Gräfelfing bei München
  • 2011 Active Member - Seattle Study Club (SSC Tegernsee)
  • 2011 Ernennung zum zertifizierten Spezialisten für Parodontologie® (EDA).
  • 2010 Ernennung zum zertifizierten Spezialisten für Parodontologie® (DGP).
  • 2009 - 2012 BolzWachtel DentalClinic; Privatinstitut für Parodontologie und Implantologie (IPI), München
  • 2007 - 2009 Praxis Dres. Bolz - Wachtel - Hürzeler - Zuhr; Privatinstitut für Parodontologie und Implantologie (IPI), München. ...more »
  • W&H Deutschland GmbH
  • Sirona
  • DZR
  • Komet/Gebr. Brasseler GmbH &Co KG
  • IDI-PARO
  • Align Technology Inc.
  • CLINICAL HOUSE EUROPE
  • Health AG
  • Dentsply Sirona Implants
  • Henry Schein
  • Zimmer Dental
  • Kuraray
  • IPI München
  • BEGO Implant Systems GmbH & Co. KG
  • botiss dental Gmbh
  • DSI DentaScience Institute®
  • CAMLOG
  • Mectron

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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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