The Treatment of Dehiscence with Bond ApatiteŽ in Infected Areas in Aesthetic Zone

Dr. David Baranes (DMD, Israel)

The Treatment of Dehiscence with Bond Apatite in Infected Areas in Aesthetic Zone Case Description | The patient is a 40 year old female who came to the clinic with crowns on teeth #21 (9) & #11 (8) that are failing and show signs of infection. CBCT shows missing buccal bone. The treatment plan included extraction and immediate implants with Bond Apatite to fix the dehiscence. Initial Aspect | Signs of infection. Pre-Op CBCT | 2 buccal walls appear to be missing. Pre-Op Surgery | Minimal flap to see the grafting zone. Implants in Place | 2 buccal walls are partially missing. Opening the flap is necessary to see the defect. Bond Apatite in Place | Grafting with Bond Apatite above the implants. Sutures | The flap is replaced to it's original place and then sutured. Augma Shield | The Augma Shield covers the residual Bond Apatite, accelerates healing and decreases the patient's pain. Temporary Prosthetic | The temporary bridge holds the Augma Shield in place. 3 Months Post-Op | Temporary prosthetic. 1 Year Post-Op | Final results show preservation of papillae and gingival contour. 1 Year Post-Op | Conclusion | Bond Apatite is the material of choice to  treat dehiscence in aesthetic zone for two reasons: No need for any membrane resulting in minimal surgery; Bacteriostatic properties and good osteo regenerative properties.