Digitally customized bone graft скачать в хорошем качестве

Digitally customized bone graft

Digitally customized bone graft Vertical Bone Defect is one of the most challenging cases that needs meticuleous planning & execution with multidisciplinary team approach patient clinical preoperative evaluation showed previous trauma & extracted upper central which was later one faulty restored radiographycally revealing vertical bone loss easily demarcated from adjacent bone level Digital Planning with prosthetic down reverse engineering protocol was done on Real Guide software Tooth supported fully implant insertion Surgical guide was designed & 3d printed Digital Customized Graft was digitally designed oriented by existing bone defect Milling of maxxeous allogenic bone block was done followed by Gama ray sterilization Preoperative planning of screw retained Suprastructre was done on exocad by importing implant planning virtual with attached virtual scan body PMMA screw retained Temp was cad milled after surgical guide , customised bone graft and PMMA Temp are ready Clinical steps : Surgical Guide Fit Check Palatale Incision & Flap was done to expose Bone Defect reSeating the surgical guide to start guided implant drilling and Fully Guided Implant Insertion Customized Bone Graft seated and fixation was done by screw on the labial side Particulate Bone Graft graft (cerabone xenogenic bone graft botiss company with corticocancellous allogenic maxgraft botiss) . Then covered by bilayer collagen membrane tension free Flap Closure by porline 3/0 suture immediate temporization free of occlusion was done Post Operative xray showed implant , bone graft proper seating restoring adjacent bone level