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66 years old female endpoint (follow-up 4years)
Colocación de implante en sector anterior con mesiodens
Extracción de Mesiodens, previa frenillectomia labial con laser de diodo
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Pyogenic granuloma in the lip.
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About a case - Osteonecrosis due to drugs -prolia-
La paciente tiene actualmente 82 años. Fue operada hace 7 años con una evolución bien favorable, hasta que hace 4 años empiezan a administrarle prolia(r). Pasa un periodo de 2 años sin acudir a revisiones y cuando lo hace nos encontramos ante una pérdida ósea peri-implantaría y decidimos retirar la prótesis. Se procede a retirar un implante acompañado de un secuestro óseo. A los dos meses realizamos cbct y la situación se antoja más que complicada.
Patient is woman 82 years old. She was operated 7 years ago with a very favorable evolution, until 4 years ago national health system began to administer her prolia (r). It passes a period of 2 years without coming the clinic for periodic rev and when she does we are faced with a peri-implant bone loss and we decided to remove the prosthesis. We proceed to remove also an implant accompanied by a bone abduction. After two months we performed cbct and the situation seems more than complicated.
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Male, 21 y No relevant medical history or health condition. Oral cavity without anything relevant to describe. Patient was refered with recurrent fistulas associated to 1.1. Observed the fistula and 1.1, 1.2 and 1.3 have been treated endodontically. The treatment plan was: Endodontic surgery.
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No relevant medical history or health condition. Oral cavity in poor state. Patient comes to visit us, because when observed by another collegues the treatment plan was extract all tooth and then make a full mouth rehabilitation. She wants to save the tooth, if possible. Presented various lesions associated to a chronic tooth inflammation. Multiple failed endodontic treatments and infiltrated restorations. The treatment plan was: Endodontic surgery. To after that perform a parcial mouth rehabilitation.
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We are testing the digital flow and for this we are doing different guided surgeries with different software and implant systems. In this case we have to thank David Matute for his planning, which provided us with the design of the guided splint. The surgery was performed with the Euroteknika system. Six superior implants were placed with immediate loading prosthesis. The radiology seemed to indicate abundance of bone but it was too soft in some places, especially in back sectors, so an additional implant was added to distribute the loads. The design of the definitive prosthesis will be made taking as a basis the denture that the patient brought.
