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ePaper created 2016-06-01, 09:58:05 | version 1.38.0
implants 1_2016 C.E. article_bone-expansion technique I I 05 undisturbed and uninterrupted healing. •Completionofthebestpossibleangiogenesisto providetherequiredvascularisationandundifferen- tiated mesenchymal cells. • Creation and maintenance of a space to facili- tate bone formation inside this space. • Stabilization of the surgical site to induce blood clot formation and facilitate healing. Thanks to the careful choice of the healing screw or the implant abutment/temporary crown pair, these two entities with different regeneration po- tentials can be hermetically sealed, thereby avoiding cell competition, which we know contributes to the growth of epithelial cells that develop more rapidly. _Case 1 The patient presented with a fracture of #16 (Fig. 3) and periapical cysts. With the patient’s con- sent,thedecisionwasmadetoperformanextraction, debridement, socket decontamination and immedi- ateplacementofanon-submergedimplant(implant and healing screw) using Summers’ method (crestal sinus lift). The patient was on standard premedica- tion with amoxicillin and corticosteroids. The #16 was carefully extracted by radicular separation to avoid bone fracture especially in the vestibule where Fig. 3_Preoperative clinical view of #16 fractured and infected. Fig. 4_Use of Osteo Safe. Fig. 5_Complete Osteo Safe Kit. Fig.6_Bone expansion (6a), positioning of the implant (6b) and choice of the healing screw (6c). Fig. 3 Fig. 4 Fig. 5 Fig. 6a Fig. 6b Fig. 6c