Case Summary 🔎

Patient Information

• Chief Complaint(C.C): The patient reported discomfort in the lower right area.

• Diagnosis: Fixture removal and re-implantation in sites #45, #46, and #47 due to peri-implantitis

Treatment Plan

• Guided Bone Regeneration(GBR) using the CTi-mem

• Delayed implant placement

• Final prosthetic restoration

Results

• The GBR procedure at sites #45, #46, and #47 was successful, enabling implant placement and final prosthetic restoration.

• Before & After

Before

After

Before

After

Products Used

• Neo GBR Kit & CTi-mem

  

Case Presentation

1️⃣ Pre-Op

The patient presented with peri-implantitis at sites #45, #46, and #47, necessitating the removal of the existing fixtures.

• #45, #46, #47 Peri-implantitis

  

• #45, #46, #47 Fixture removal

  

  

  

2️⃣ 1st Surgery - Guided Bone Regeneration(GBR)

• After opening the flap, it was observed that the bone width is narrow, and there is considerable vertical bone loss.

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  To increase the vertical height, Ez-fixing screws were inserted.

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  A bone graft was performed by combining autograft collected with the ACM (Autobone Chip Maker) and bovine bone (Regenoss).

  

• Layering with DM bone (allograft)

  

• Contoured the titanium membrane(CTi-mem) to cover

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  A collagen membrane used for coverage

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  Interrupted suture

  

3️⃣ 2nd Surgery - Implant Placement

• Returned after 1 year and 3 months due to patient's personal reasons

  

• Performed flap opening

  

• Membrane removal

  

  

• Ez-fixing screw removal

  

  

• Bone collected for biopsy

  

  

• IT wide neck 5.0X10 implant placement, bone quality D111 and ITV 60→40N

  

  

• Alloplast added at the collection site and suture

  

  

• Biopsy examination shows satisfactory bone formation

  

4️⃣ Post-Op

• Post-Op Panorama

  

5️⃣ Final Prosthetics

• 5-month follow-up after final restoration

  

  

  

6️⃣ Clinical Video

💡 Explore the comprehensive surgical procedure in the video below to gain a deeper understanding.