Cas clinique / Clinical case

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1 Cas clinique / Clinical case Utilisation de MATRI TM BONE et COVA TM MAX: EXTRACTION ET IMPLANTATION IMMEDIATE AVEC RECONSTRUCTION PERI-IMPLANTAIRE Use of MATRI TM BONE and COVA TM MAX : EXTRACTION AND IMMEDIATE IMPLANTATION WITH PERI-IMPLANT RECONSTRUCTION Dr Y GALLERAS, Pau, France 1

2 Extraction/implantation et comblement péri-implantaire Extraction/implantation Elévation de sinus / Sinus with lift peri-implant filling Analyse préopératoire mettant en évidence une importante lésion apicale au niveau de la dent 14 avec destruction de la table vestibulaire ainsi qu une fracture radiculaire au niveau de la dent Preoperative analysis showing an important apical lesion at the level of tooth 14 with a destruction of the vestibular plate and a root fracture in 25. 2

3 Elévation de sinus / Sinus lift Extraction/implantation et comblement péri-implantaire Extraction/implantation with peri-implant filling Vue préopératoire. Les dents 14 et 15 doivent être extraites Preoperative view. Teeth 14 and 15 need to be removed. 3

4 Elévation de sinus / Sinus lift Extraction/implantation et comblement péri-implantaire Extraction/implantation with peri-implant filling Prélèvement du sang à l aide d une seringue après extraction et curetage du tissu inflammatoire et avant la vasoconstriction Blood is collected using a syringe during flap detaching before vasoconstriction. 4

5 Extraction/implantation et comblement péri-implantaire Extraction/implantation Elévation de sinus / Sinus with lift peri-implant filling MATRI BONE est imbibé de sang du patient préalablement récolté puis découpé MATRI BONE is soaked in patient s blood and cut. 5

6 Elévation de sinus / Sinus lift Extraction/implantation et comblement péri-implantaire Extraction/implantation with peri-implant filling Mise en place des implants (bonne stabilité primaire). Noter la présence d une fenestration vestibulaire en regard de la dent Implants are placed (good primary stability). Observation of a vestibular window at the level of tooth 15. Comblement aisé du site avec MATRI BONE 24*12*12mm, granulométrie: µm Easy filling with MATRI BONE 24*12*12mm, granulometry: µm. 6

7 Elévation de sinus / Sinus lift Extraction/implantation et comblement péri-implantaire Extraction/implantation with peri-implant filling La membrane COVA MAX est hydratée dans du sérum physiologique (quelques minutes) puis découpée COVA MAX membrane is hydrated in physiological serum (a few minutes) and cut. 7

8 Extraction/implantation et comblement péri-implantaire Extraction/implantation Elévation de sinus / Sinus with lift peri-implant filling Mise en place aisée de la membrane COVA MAX hydratée. Parfaite adaptation au site Hydrated COVA MAX membrane is placed easily. Perfect adaptation to the site. Dans ce cas clinique, compte tenu de l importance de la perte en 14 et de la présence d une fenestration en 15, deux membranes sont apposées In this clinical case, two COVA MAX membranes are placed to coat bone loss in 14 and bone window in 15. 8

9 Extraction/implantation et comblement péri-implantaire Extraction/implantation Elévation de sinus / Sinus with lift peri-implant filling Réalisation de sutures hermétiques sans tension Performing of free tension hermetic sutures. 9

10 Elévation de sinus / Sinus lift Extraction/implantation et comblement péri-implantaire Extraction/implantation with peri-implant filling Radiographie panoramique postopératoire immédiate. La zone comblée par MATRI BONE semble présenter une bonne homogénéité et une bonne densité Postoperative panoramic X-Ray. The area filled with MATRI BONE seems to show good homogeneity and density. 10

11 MERCI / THANK YOU 11

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