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Complete cyst enucleation with simultaneous grafting and implants placed

3/12/2013

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A 33 year old female came to our hospital with a complaint of prolonged pain for past 6-7 years and mobility of her upper front teeth. Her root canal treatment done elsewhere had failed and she developed an abscess. Digital radiograph was taken that showed two radiolucent (indicating bone loss) areas close to the apices of upper front teeth on both the right & left side.

Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji planned a combined treatment. The upper right & left lateral incisors & canines were root canal treated with apicoectomy. The mobile upper central incisors were extracted. The cyst lesions were thoroughly enucleated. A bone graft was taken from the symphysis (anterior region of the lower jaw) was used to completely fill the bone defect. Simultaneously, two dental implants were placed in the sockets of the extracted teeth itself.

She was given a temporary prosthesis. Following osseointegration of the implants with the jaw bone, permanent ceramic crown prosthesis will be given. Effective treatment of such complex cases requires expert care & skill. This center routinely performs these procedures with success. 
Preoperative X-ray showing cysts in upper front teeth region
Mobile teeth extracted & cyst lesions seen
Cysts enucleated on both sides
Bone grafted from symphysis
Graft used to reconstruct defect
Implants placed in sockets of extracted teeth
Cancellous bone scooped and used to reinforce implants
Immediately after reconstruction with bone graft & implant placement
Postoperative X-ray after successful surgery
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