Das DVT zeigt, wie es wirklich ist…

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Interessanter Fall von heute, mit Freiendsituation im 1. Quadranten. Die Amamnese ergab, dass vor 5 Jahren!!! ein Sinuslift rein mit Knochenersatzmaterial alio loco durchgeführt wurde. Auch wir haben selten die medizinische Indikation ein DVT von Augmentationen nach so langer Zeit anzufertigen. Es bestätigt unsere Meinung, dass bovines alloplastisches Materiel im Sinus eine gute Osseointegration bei minimaler Resorption gewährleistet.

Sagittal scheint das Knochenangebot jetzt ausreichend zu sein. Die transversale Ansicht zeigt hingegen ein unzureichendes Knochenangebot nach palatinal, sodass hier die Gefahr einer Perforation entsteht. Eigentlich soll ja genau das durch den Sinuslift vermieden werden. Eine dreidimensionale Bildgebung nach Augmentation schadet also sicher nicht.

Lars Ossenkop – Kiel

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Zahnarzt, Implantologe

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