{"id":8006,"date":"2021-12-22T18:47:57","date_gmt":"2021-12-22T17:47:57","guid":{"rendered":"https:\/\/eacim-ceramic-implantology.com\/documentheque\/rehabilitation-esthetique-a-laide-dimplants-zircone-dans-les-secteurs-esthetiques-maxillaires-et-mandibulaires\/"},"modified":"2021-12-22T19:11:41","modified_gmt":"2021-12-22T18:11:41","slug":"rehabilitation-esthetique-a-laide-dimplants-zircone-dans-les-secteurs-esthetiques-maxillaires-et-mandibulaires","status":"publish","type":"avada_portfolio","link":"https:\/\/eacim-ceramic-implantology.com\/fr\/documentheque\/rehabilitation-esthetique-a-laide-dimplants-zircone-dans-les-secteurs-esthetiques-maxillaires-et-mandibulaires\/","title":{"rendered":"R\u00e9habilitation esth\u00e9tique \u00e0 l\u2019aide d\u2019implants zircone dans les secteurs esth\u00e9tiques maxillaires et mandibulaires – Par St\u00e9phane Perrin"},"content":{"rendered":"

Cas clinique \u00ab\u00a0R\u00e9habilitation esth\u00e9tique \u00e0 l\u2019aide d\u2019implants zircone dans les secteurs esth\u00e9tiques maxillaires et mandibulaires \u00a0\u00bb\u00a0<\/strong><\/h1>\n

par le Dr. St\u00e9phane Perrin<\/h3>\n

\"\"<\/h3>\n

Cette patiente est venue consulter au CIPE \u00e0 la sortie du confinement en mai 2021.<\/p>\n

Elle avait eu le temps de se documenter\u2026 en effet, il y a quelques ann\u00e9es, elle avait d\u00e9velopp\u00e9e une r\u00e9action allergique retard\u00e9e de type 4 suite \u00e0 l\u2019implantation d\u2019un mat\u00e9riel orthop\u00e9dique dans le pied droit.<\/p>\n

La r\u00e9action s\u2019est manifest\u00e9e par une sensibilit\u00e9 accrue \u00e0 cet endroit puis un \u00e9ryth\u00e8me cutan\u00e9.<\/p>\n

Finalement apr\u00e8s d\u00e9pose des vis et plaques de titane, tout rentre dans l\u2019ordre.
\nUne mobilit\u00e9 importante (mobilit\u00e9 3) des incisives maxillaires et mandibulaires, due \u00e0 un ph\u00e9nom\u00e8ne de r\u00e9sorption externe, n\u00e9cessite une r\u00e9habilitation implantaire.<\/p>\n

Nous l\u2019orientons vers une solution en zircone \u00e9tant donn\u00e9 la probl\u00e9matique du pass\u00e9 et les ant\u00e9c\u00e9dents.<\/p>\n

Etant donn\u00e9 le volume osseux r\u00e9siduel sous-jacent aux racines de 12.11.21.22 et 42.41.31.32, nous proposons un traitement en MCI.<\/p>\n

Au maxillaire, nous choisissons des implants Nobel Pearl en 2 pi\u00e8ces pour un \u00e9ventuel rattrapage des axes proth\u00e9tiques plus ais\u00e9.<\/p>\n

A la mandibule nous optons pour des implants White Sky de chez Bredent dont le diam\u00e9tre (3,5) et la longueur (14mm) en font des implants de choix pour le remplacement des incisives mandibulaires en mise en charge imm\u00e9diate.<\/p>\n

Pour optimiser le positionnement implantaire, un guide chirurgical de forage initial 2 mm est pr\u00e9vu.<\/p>\n

Lors du temps chirurgical apr\u00e8s la mise en place des implants, une ROG x\u00e9nogreffe et allogreffe(50\/50), sous forme de Sticky Bone avec des membranes de PRF, est r\u00e9alis\u00e9e pour pr\u00e9venir la r\u00e9sorption osseuse post-extractionnelle.<\/p>\n

Le soir m\u00eame, les provisoires de premi\u00e8re g\u00e9n\u00e9ration (laboratoire VAGNOL, Marseille) sont mis en place.<\/p>\n

4 mois apr\u00e8s la chirurgie initiale, des bridges de secondes g\u00e9n\u00e9rations permettent de conditionner les tissus mous, et les proth\u00e8ses d\u00e9finitives sont r\u00e9alis\u00e9es par le laboratoire Denis Rizzo \u00e0 Saint-Victoret.<\/p>\n

\"\"

Cbct pre-operatoire<\/p><\/div>\n

\"\"

Photographies de face Situation initiale (1)<\/p><\/div>\n

\"\"

Photographies de face Situation initiale (2)<\/p><\/div>\n

\"\"

Radiographie panoramique Pr\u00e9-op\u00e9ratoire<\/p><\/div>\n

\"\"

Guide chirurgicale – Foret pilote<\/p><\/div>\n

\"\"

Indicateurs de direction en place apr\u00e8s le forage initial<\/p><\/div>\n

\"\"

Implants Nobel Pearl en situation de 11 et 21<\/p><\/div>\n

\"\"

Implants Bredent White Sky<\/p><\/div>\n

\"\"

Implants Nobel Pearl \u00e0 4 mois de cicatrisation<\/p><\/div>\n

\"\"

Implants White Sky \u00e0 4 mois de cicatrisation<\/p><\/div>\n

\"\"

Proth\u00e8se d\u2019usage maxillaires et mandibulaires<\/p><\/div>\n

\"\"

Panoramique proth\u00e8se d\u2019usage en place<\/p><\/div>\n

\"\"

Final result & smile<\/p><\/div><\/p>\n

Dr. <\/strong>St\u00e9phane Perrin<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n<\/div>

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