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Family -
A propos
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Written by Michel Jazzar
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Monday, 16 June 2008 |
Articles written by Michel P. Jazzar and published in Newspapers, Magazines or on Websites and Blogs can be viewed and read in Arabic, English and French by clicking on:
http://micheljazzar.hautetfort.com |
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Dental Implants -
New cases
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Written by Michel Jazzar
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Sunday, 14 September 2008 |
Patient Female aged 51 y.o. already implanted on lower maxillary 34-37, 44-46 and 43-33 without 42.
Treatment plan:
To do multiple extractions, immediate implantation and immediate loading on upper full mouth rehabilitation.
To put implants on 47 after extraction and on 42.
This case was implemented at the hospital of St Louis in Jounieh Lebanon on the 10 September 2008 and under general anesthesia.
The Team
Dr. Michel P. JAZZAR – Surgeon
Chadi MAROUN – Aide Surgeon
Elie KHOUEIRY – Assistant
Pietro MOURAD – Head Dental Laboratory Technician.
Charbel BAZ3OUNI – Assistant HDLT
Jean BOUNASSIF – Photographer
Amer – Video DVD
Dr Ghada ABI FARAH – General anesthesia & reanimation.
Surgical operations done :
I- Multiple extractions of 11-12, 21-22-24-25-26, 47 [17 and 27 still remained on the upper maxillary.
II- Implants Straumann – ITI [SP] on:
11-12-13-14 [MDI mini], 15 and 16
21, 22, 24, 25 and 26
42 and 47
III- Cover screws and 1 abutment on 25 [7mm high].
IV- Bone grafts:
Autogenous bone and Bio Oss was used with the PRF technique on many sites. “Platelet-rich fibrin (PRF) belongs to a new generation of platelet concentrates, with simplified processing and without biochemical blood handling. The use of platelet gel to improve bone regeneration is a recent technique in implantology.” [Biblio: http://www.ncbi.nlm.nih.gov/pubmed/16504861]
To know more [in French language]:
on Plaquettes Riches en Fibrine - PRF ® (Choukroun, Schleicher 2000) very well designed at the PRF Consensus at the International dental journeys of Nice – France 7 June 2007
Please go to : http://www.implantologiebasale.com/PRF01.html or on
To know more [in English language]:
Please go to: http://lib.bioinfo.pl/pmid:16504850 or on http://www.ncbi.nlm.nih.gov/pubmed/16504861
V- Internal Sinus Lift – ISL – on 16, 25 and 26 with osteotomes.
VI- Prosthetic works:
1- Full mouth temporary acrylic bridge from 17 to 27 with support on remained teeth 17 and 27, MDI mini-implant on 15 and abutment on 25.
2- Temporary acrylic bridge 33-43.
VII- Sutures.
VIII- Alimentation – Dietetic:
Soft
IX- Medicamentation:
1-Medicamentation for hospital:
-Augmentin: 1.2: by I.V direct x3/24 hours
-Profenid: 100: Ampoule by I.V x3/24 hours [ Soludecadron was used the first day]
-Zantac: Ampoule I.V direct x3/24 hours
-Perfalgan: 1gr.: by I.V direct – every 6 hours.
2-Medicamentation per os:
Augmentin 625 mg : 3cp/j 5 jours
Maxillase 3000 : 3cp/jour – 6 jours
Algophene: 1cp/ en cas de douleurs 4/j maxi
Chlorexidine : solution b de b 4/j > 24 heurs pour 14 jours.
X- Hospitalisation :
One day.
OPG before the surgery
OPG after the surgery
Implants used [All implants are Straumann - SP]:
Tooth--> @ [diameter] i- Lg implant in mm- [REF- LOT]- Cover Screws
11 --> @3.3 RN- 12 mm - [043.1535- K7632] 048.371
12--> @3.3 RN -12 mm - [043.1535 -K7632] 048.371
13--> @3.3 RN- 12 mm - [043.1535 -K7632] 048.371
14--> IMTEC MDI mini MSH-13 3511041-5 MDI surgical drill Ref: S1011 LOT 3512071-12 Mini implant support for full acrylic bridge
15 --> @3.3 NN- 10 mm [042.9315 -L4902] 048039
16--> @4.8 RN -10 mm [043.6525- E7581] WN 1mm [ISL]
17--> tooth will be remained on the maxillary
21--> @4.1 RN- 12 mm - [043.0535- K9812] 048.371
22--> @3.3 RN- 12 mm - [043.1535 -K7632] 048.373
24--> @4.8 RN- 12 mm - [043.2535- L2563] 048.373
25--> @4.8 RN -10 mm - [043.2525 -K8343] ----------[Abutment h:7mm bleu]
26--> @4.8 RN- 10mm - [043.2525 -K8343] 048.371 [ISL +BioOss+ Os Autogène & PRF]
27--> tooth will be remained on the maxillary
Immediate temporary acrylic bridge on 17 – 27 abutment on 25 and MSM placement 14
43-->33 Bridge on implants – without 42 which was implanted on 10 september
42--> @3.3 RN -12mm - [043.1535- H9854] SCS
Immediate temporary acrylic bridge 43 --> 33
44-->46 Previous bridge on implants
47--> @4.8 RN -8mm - [043.2551 -K3181] 048.373 Pas de cr sur i
34-->37 Previous bridge on implants
Full upper temporary Acrylic bridge 17--> 27 and lower temporary bridge on 33--> 43
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Last Updated ( Thursday, 18 September 2008 )
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[crop]
[full image]
Heads of the implants: The 3 sockets contour are very well designed.
ITI Abutment screwed on implants' heads: Yellow on 21, Angled 15 degrees on 22, grey on 25. Abutments tied with 35 N/cm.
Cementation
