Augmentation of an Extensive Defect with Simultaneous Implantation in the Aesthetic Zone - Dental Online College
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Augmentation of an Extensive Defect with Simultaneous Implantation in the Aesthetic Zone

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Duration:

14:47

Surgeon:

Prof. Dr. Hürzeler

In this highly difficult surgery Prof. Marc Hürzeler, Munich/Germany, inserts an implant in the anterior region with simultaneously placing a mandibula bone graft and a subepithelial soft tissue graft obtained from the palatinal area.

Prof. Hürzeler starts with raising a full flap using a sulcular incision and a micro scalpel blade. After opening up the defect an incision is performed to split the periosteum to increase flap mobility.

An additional incision is made apically of the flap margin to produce a soft tissue graft still connected to the outer flap. The incisal canal is cleaned from tissue and a soft tissue subepithelial graft is taken from the palate in a routine fashion. The soft tissue is then immediately fixed to the outside flap and a linea obliqua transplant taken from the lower right jaw. The bone block is split into two separate pieces and fixed on the labial and palatal residual bone. The implant is then placed into the shielded area and the gaps filled with a BioOss/autologous bone mixture. A membrane of porcine origin (BioGuide) covers the augmented area and the wound is closed meticulously under the avoidance of any tension.

Content of the expert video

The area of the upper left central incisor is opened up raising a full flap.
The area of the upper left central incisor is opened up raising a full flap.
After opening up the defect a periostal incision is performed to increase the flap mobility
After opening up the defect a periostal incision is performed to increase the flap mobility
The flap mobility is increased by a soft tissue graft still connected to the outer flap
The flap mobility is increased by a soft tissue graft still connected to the outer flap
The linea obliqua transplant is fixed onto the residual bone.
The linea obliqua transplant is fixed onto the residual bone.
The implant is placed into the shielded area.
The implant is placed into the shielded area.

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

Dental Online College: professional training + continuing education
in dental medicine, dentistry and oral surgery.

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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