[Health Column] 8 Steps to a Real Clinical Case of Recovery with Maxillary and Mandibular Implants and Alveolar Bone Graft

 

 

Hello, I am the Chief Director of Seoul Barun Implant Dental Clinic. Moon Hong-yeol is. 🦷

 

The case I will introduce this time is Loss of upper incisors and lower molars This is a treatment case of a patient who visited our clinic. Since the front teeth pose a significant aesthetic burden and the molars are responsible for chewing force, A detailed treatment plan must be established for both areas. It was a case where that happened.

 

In the initial examination Implant placement in areas #14 and #44 This was necessary, and some areas lacked sufficient alveolar bone Consider bone grafting together I had to. I proceeded with treatment aiming for both functional recovery and aesthetic stability.

 

Today, I will explain the actual process step-by-step with photos. 👀

 

---

 

🦷 Treatment process in photos

 

 

📸 Photo 1 — Initial Panoramic

Initial panoramic X-ray · Confirmation of problem areas throughout the upper and lower jaws

 

In the initial panoramic X-ray Check the problem areas of the upper and lower jaws comprehensively. Areas #14 and #44 became the focus of the treatment plan, and the condition of the surrounding teeth and prosthetics was also evaluated.

 

In implant treatment It is not just about looking at the implant site, but also what role that area plays within the overall occlusion. You must make a judgment.

 

 

📸 Photo 2 — Oral photo before treatment

Pre-treatment oral photographs · Confirmation of areas requiring implant placement

 

This is a photo of the oral cavity before treatment. Areas requiring implant placement in both the upper and lower jaws It was confirmed, and I was able to directly see the space for the prosthesis and the shape of the gums. Through this photo, I Whether the final prosthesis will fit naturally after surgery We made a decision together.

 

 

📸 Photo 3 — Condition of alveolar bone during surgery

Condition of the alveolar bone confirmed during surgery

 

This is the condition of the alveolar bone confirmed during surgery. As shown in the photo. In cases where the bone is sunken in areas where teeth have been missing or inflammation has persisted for a long time There are many. After checking this condition, I do not just implant the implant, Directions to supplement insufficient bone We proceeded with it.

 

 

📸 Photo 4 — Implant Placement + Alveolar Bone Graft

Scene of implant placement and alveolar bone grafting

 

This is a scene showing the implant placement and alveolar bone grafting. This is because the upper and lower jaws differ in bone density and structure. The implantation direction and bone graft area must be determined for each case. In this treatment, both sites Reinforce the support base considering long-term stability I did.

 

 

📸 Photo 5 — Panoramic view immediately after surgery

Panoramic view and implant position check immediately after surgery

 

In the panoramic X-ray immediately after surgery Check the location of the implant We evaluated whether #14 and #44 were implanted in the planned positions and whether their relationship with surrounding teeth was appropriate. This photo Reference point for tracking the healing process thereafter This becomes

 

 

📸 Photo 6 — Healing process localized radiation

Local radiographs during the healing process

 

This is a local radiograph taken during the healing process. Whether the bone around each implant is recovering stably This is the verification step. Before connecting the final prosthesis, I use these detailed photos. After thoroughly verifying stability, proceed to the next step. Moving on.

 

 

📸 Photo 7 — Panoramic view after treatment completion

Panoramic view after completion of treatment

 

This is a panoramic view after the completion of treatment. The condition where the lost areas of the upper and lower jaws have been restored with implant prosthetics. You can check this. After treatment, ensure that chewing force is not concentrated on one side. Check occlusion and provide guidance on hygiene management around the prosthesis. I gave it to you.

 

 

📸 Photo 8 — Oral photo after treatment

Oral photograph after treatment

 

This is a photo of the oral cavity after treatment. As the previously empty space is restored with a prosthesis, both chewing function and appearance are improved. It has been done. Especially in cases where multiple areas have been treated, it is designed to allow the patient to use it comfortably. Regular inspection and adjustment This is important.

 

 

---

 

🪥 About post-treatment care

 

Implants do not have cavities, but gum inflammation requires essential management.

 

Implants do not develop cavities like natural teeth, but, If plaque and food particles accumulate around the prosthesis, it can lead to gum inflammation or peri-implantitis. This may occur.

 

Therefore, after treatment Interdental brushes, dental floss, water flosser You must carefully manage the boundary between the prosthesis and the gums using auxiliary devices.

 

also Check if chewing force is concentrated on one side, and if there is any loosening of screws or wear on the prosthesis. It is important to check through regular checkups.

 

 

 

 

---

 

🗣️ Frequently Asked Questions (FAQ)

 

Q1. Is it okay to have implants placed in both the upper and lower jaws at the same time?

 

A. Yes, it is possible. However, the upper and lower jaws The density, structure, and difficulty of hygiene management of bones differ. Each requires a separate plan. In cases like this where both areas are needed, evaluate the bone condition and occlusion together. Carefully determine the steps and order do.

 

Q2. If alveolar bone grafting is also required, how long does recovery take?

 

A. It varies depending on the extent of the bone graft and individual recovery ability, but usually Healing period of about 3 to 6 months This is necessary. Once the transplanted bone has stably settled during this period, the process moves on to the final prosthetic connection stage.

 

Q3. How long does an implant last?

 

A. If regular maintenance is well carried out More than 10 years, or as long as 20 years or more It can also be used. However, since gum care, occlusal condition, and overall health (diabetes, osteoporosis, etc.) affect lifespan, Regular checkups and home care is essential.

 

Q4. What foods should I be careful about after dental implants?

 

A. During the initial recovery period Hard or chewy foods (ice, dried squid, nuts, etc.) It is best to avoid doing that. Even after recovery, we recommend chewing evenly on both sides so that strong force is not concentrated on one side.

 

---

 

To summarize this case

 

This treatment is Not stopping at simply filling the empty space , after checking the condition of the remaining teeth and gum bone Proceeding in stages to ensure long-term stable prosthetics It is a treatment.

 

Even implants in the same area Depending on residual bone volume, extent of inflammation, occlusal status, and overall health Treatment methods and duration may vary, so before treatment Precise diagnosis and sufficient consultation are necessary. ...does. 🦷

 

---

 

 

This column is based on actual clinical cases and references the clinical guidelines of the Korean Academy of Dental Implantology and the Korean Association of Oral and Maxillofacial Surgeons.