zygoma implants+bone graft
DESCRIPTION
Upper jaw zygoma implants+ant graft Lower jaw implants circumventing nerveTRANSCRIPT
Case report Dr. Dov Kischinovsky
Prosthetics:Dr.Biler,Jerusalem
Case report
Female patient,68 years old
Severe bone loss after failed implants
Complaint:Unstable dentures,Esthetics,Self-
esteem
2006:
68 Year Old Female, Lost All Implants At 60 - Severe Bony
Atrophy
Initial Examination- 2006
DrDov
Kischinovsky
Anterior Maxillary Bone-graft Combined With Long Posterior Fixtures Positioned In Zygomatic Bone And Pterygoid Region.
Lingually Placed Lower Implants Circumventing Mandibular Canal
Initial Examination
Maxillary Complete Edentulism
Extreme bone loss
Class 3-max-mand relationship
Mandibular Posterior Edentulism
Advanced Periodontitis
Significant Verticular Bone loss
DrDov
Kischinovsky
Maxillary retroposition
DrDov
Kischinovsky
Radiopaque ScannoGuide
DrDov
Kischinovsky
From scan
DrDov
Kischinovsky
From scan
DrDov
Kischinovsky
Initial Examination
Conclusion: Resorbed small jaws
Little Bone volume
Low Bone density
Unsatisfactory Jaw Relations
Unsatisfactory intermaxillary
Distance
DrDov
Kischinovsky
SimPlant SimPlant
From Scan
Tooth
DrDov
Kischinovsky
3D-scan
3D-Scan
From scan
Mandibular Posterior Edentulism
Advanced periodontitis
Significant Verticular bone loss
DrDov
Kischinovsky
Treatment Plan: Stage I
Treatment plan: Prepare Accurate Maxillary and Mandibular
ScannoGuide
Surgery stages:
1: Loweer posterior implants with BS SurgiGuide
2:4 Upper Jaw:4 Transinoidal Implants(2 zyg+ 2 pterygoid)
Autogenous Block augmentation of Premaxilla.
3:Navigator Set for Ant.Upper Implants
and Lower Implants
s
Upper jaw: 2 zygoma and 2 pterygoid implants
Premaxillary Bone Augmentation
Lower Jaw :6 posterior implants
DrDov
Kischinovsky
Treatment Plan: Stage II
Treatment plan: Prepare Accurate Maxillary and Mandibular
ScannoGuide
Surgery stages:
1: Loweer posterior implants with BS SurgiGuide
2:4 Upper Jaw:4 Transinoidal Implants(2 zyg+ 2 pterygoid)
Autogenous Block augmentation of Premaxilla.
3:Navigator Set for Ant.Upper Implants
and Lower Implants
s
Upper jaw: 6 anterior implants
Lower Jaw Extractions and anterior implants
DrDov
Kischinovsky
To plan Cross-section of implant
Tooth 46 Tooth 45
DrDov
Kischinovsky
3 implants left side
SimPlant SimPlant
From scan
DrDov
Kischinovsky
To plan: Mandible posterior
Conversion of the CT data to 3D file:
Surgery planning with SimPlant®
SurgiGuide® type
SurgiGuide® solution
Immediate loading
Temporary prosthesis
Final prosthesis
Bone Supported
UniversalGuide Lower Jaw One Piece Implants
Acrylic Prosthesis
PFM
DrDov
Kischinovsky
Lower Jaw Posterior implants
To plan
Surgery:Lower Posterior Jaw
Surgery:Lower Posterior Jaw
Surgery:Lower Posterior Jaw
Surgery Lower Jaw
Surgery Lower Jaw
Post-Op Lower Jaw
Anterior Lower Jaw-Stage II
DrDov
Kischinovsky
Anterior Lower Jaw-Stage II
DrDov
Kischinovsky
To guide Post-operative x-ray
DrDov
Kischinovsky
Anterior Lower Jaw-Stage II
DrDov
Kischinovsky
DrDov
Kischinovsky
DrDov
Kischinovsky
Try in of Metallic Framework
DrDov
Kischinovsky
Final Lower Bridge
DrDov
Kischinovsky
Final Lower Bridge
Final Lower Bridge
DrDov
Kischinovsky
Uppper Jaw-Stage I
68 Year Old Female, Lost All Implants At 60 - Severe Bony Atrophy
DrDov
Kischinovsky
To plan:Maxilla
Scan Prosthesis Showing Bone Restoration
To plan:Maxilla
Conversion of the CT data to 3D file:
Surgery planning with SimPlant®
SurgiGuide® type
SurgiGuide® solution
Immediate loading
Temporary prosthesis
Final prosthesis
Bone Supported
Zygoma-Guide
Augmentation Premaxilla
No
Acrylic Prosthesis
Ceramic Bridge Work
DrDov
Kischinovsky
Scan-prosthesis In Ct-cross Cut
Surgical Drill Guide For Trans-sinusal Implants With Steel Cylinders
DrDov
Kischinovsky
DrDov
Kischinovsky
SurgiGuide For Preparing Pterygoid And Zygomatic Implants In Upper Jaw
DrDov
Kischinovsky
DrDov
Kischinovsky
Simulation Of Bone-grafting On Knife-edge Premaxilla On Stereolithographic Model Before Intra-oral Fixation
Anterior Maxillary Bone-graft Combined With Long Posterior Fixtures Positioned In Zygomatic Bone And
Pterygoid Region.
Lingually Placed Lower Implants Circumventing Mandibular Canal
3D Models before and after bone augmentation
DrDov
Kischinovsky
To Surgiguide x-supported Navigator SurgiGuide®.
To guide Post-operative x-ray
DrDov
Kischinovsky
Pre-operative
Pre Treatment Ant.Autogenous Bone Graft Positioning Implants
DrDov Kischinovsky
SurgiGuide (Navigator ( System
Second Stage: Premaxillary Implant Placement
Upper Jaw-Navigator Kit
DrDov
Kischinovsky
DrDov
Kischinovsky
To guide Clinical photograph of surgery – Post 0p
To guide Clinical photograph of surgery
DrDov
Kischinovsky
DrDov
Kischinovsky
DrDov
Kischinovsky