Buccal augmentation: what would you do?


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Case Posted by: Surgical Master
Case By: Dr. Ziv Simon In this one-stage surgery case, the implant is in good position, and integrated. However, it needs some buccal augmentation. We have options and different timing or we can simply leave it as is. It’s a matter of preference and also depends on what the patient allows you to do. What would you do in this situation?



8 Comments on Buccal augmentation: what would you do?

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Daniel Sweet
3/1/2016
Looks fine to me.. As long as you have attached gingivae and some buccal bone, call it a day. It is not an esthetic consideration.
ziv
3/2/2016
Agree. That's what I did.
RAHDDS
3/1/2016
Amen to that Dr. Sweet. This view looks very acceptable. If you felt your buccal plate was fully intact, why put the patient through an additional procedure? Apply KISS
ziv
3/2/2016
More than agree. Just brought up to discuss options in case we wanted to do something
CRS
3/1/2016
Ziv can you post a photo from the side to see the height of the connective tissue?
yiannis vlahos
3/2/2016
augmentation only for aesthetic reasons...better to have addressed it during implant placement...Go Warriors
PeterFairbairn
3/2/2016
It is a lower second premolar ..... has attached keratinised gingival tissue .... leave it .......
Dr Bob
3/2/2016
Only if really needed suggest connective tissue graft to bulk up the facial, provided the facial bone is OK and a bone graft is not needed.

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