Augmentation in the Esthetic Zone with Cerasorb and PRF

Case presented by: Prof. Dr. Fernando Luiz Almeida (Rio de Janeiro, Brasil)

A young male patient visited the clinic with previous endodontic treatment and advanced gingival recession [Fig. 1]. After x-ray scan, it was clear that the buccal lamina is missing and the tooth has a hopeless prognosis [Fig. 2]. First, a full thickness flap was elevated. The massive bucal defect was extending up to the apical third of the extracted tooth. CERASORB M Granules were mixed with plated rich fibrin (PRF). Additionally, two PRF membranes were created to cover the defect. The flap was advanced coronally and the margins of the defect were adapted by interrupted sutures. After 4 months (120 days) an implant with temporary crown was placed. A Comparative x-ray scan between the intitial situation and 120 days after the augmentation procedure is below, as is a one-year postoperative periapical x-ray scan.

Fully resorbable, biomimetic pure-phase bone graft materials, such as CERASORB® M, can offer appropriate solutions in the dental esthetic area.
Osseointegration of dental implants takes place in bone-tissue, not in bone substitute material. Therefore bone regeneration materials such as CERASORB® M are a promising treatment for long-term results in the esthetic region.
The quality of the regenerated bone tissue is the same as natural bone, and the results are always reproducible.

5 Comments on Augmentation in the Esthetic Zone with Cerasorb and PRF

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Gregori M Kurtzman DDS

11/20/2018

Very nice management of this difficult case. Too often practitioners want to rush in and do it all in one surgery when cases like this require multiple surgeries and patience

Dennis Flanagan DDS MSc

11/20/2018

Nice work. Please post an image of #8 and 9 together.

Ed Dergosits

11/21/2018

Fantastic result!! B TCP seems to be the best particulate graft material we have today. Here is a link to a video by Dr. Robert Miller. https://www.ddsgadget.com/ddsgadgetwp/educational-video/principles-of-bone-biology/

Paul

11/28/2018

It would be nice to see a post op scan to visualize what happened to the buccal plate after GBR and implant placement. The X-ray as shown looks great but without the presence of the appropriate bone conditions it will not have a great long term prognosis.

DrK

12/30/2018

This is an excellent case documentation. Thank you for showing all how it's done the right way. Cheers.