Bone resorption never stops

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20 YEAR FOLLOW-UP OF A PATIENT TREATED WITH DENTAL IMPLANTS

DR LUC VRIELINCK LUC@VRIELINCK.BE


1993: Intake


1993: Intake


1993: Intake


1993: Intake


INITIAL TREATMENT: LEFORT I OSTEOTOMY AND

BONE INTERPOSITION (ILIAC CREST) + IMPLANT PLACEMENT IN 1994


26/05/1994: Bone reconstruction + implant placement


26/05/1994: Bone reconstruction + implant placement


05/2004: Postoperative orthopantomogram: starting with 10 implants


X

X X

2007: 2 year follow-up with loss of 3 implants in upper jaw & Placement of 6 implants in lower jaw


09/09/2008: Caldwel Luc for bilateral sinusitis and loss of an additional implant


Right maxillary sinus

Left maxillary sinus

09/09/2008: Caldwel Luc for bilateral sinusitis and loss of an additional implant


X

31/07/2014: loss of an additional implant


Whats next after loss of this implant ?

X

10/2014: Clinical mobility of an additional implant


RESCUE TREATMENT WITH

2 ZYGOMA IMPLANTS 31/10/2014


31/10/2014: 3D planning for 2 zygoma implants


X X

31/10/2014: Placement of 2 zygoma implants


31/10/2014: Placement of 2 zygoma implants


31/10/2014: Placement of 2 zygoma implants


31/10/2014: Placement of 2 zygoma implants


31/10/2014: Immediate postoperative orthopantomogram showing the two placed zygoma implants (not yet connected to the bridge).


31/10/2014: Placement of 2 zygoma implants


31/10/2014: Placement of 2 zygoma implants


Compare bone volume in the maxilla on the orthopantomograms from 1993 2008 and 2014


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