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The Treatment of Dehiscence with Bond Apatite® 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.
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