November  2000

Case Review No. 3 

The Anterior Mandibular Defect


Another case submitted for the forum for discussion.  The illustrated case demonstrates the bone loss after extractions in the anterior mandible. The THREE-D  Views are helpful to understand the anatomy.   The cross-sectional slices show the extent of the bone defect and the limitations for implant placement.

There are Many NEW  FIGURES.

Please scroll down or click here for FIGURES 4 and 5.

                     

 Figure 1.  3D - Left Side

  Figure 2.  3D - Right Side

Figure 3.  3D - Anterior View

     

 Figure 4.  Cross sectional views 47- 49 and 53 - 55.

     

 Figure 5.  Three cross sectional views 55-57.  Note the thin crestal bone and genial tubercles.

Click here for FIGURES 6 and 7.

FIGURE 6.  Three more cross-sectionals 58 - 60.  Note the very thin buccal-lingual width.  

 Figure 7a. Cross-Sectional 61-62.  Note angle of tooth-to-bone.  Figure 7b.  Panoramic view

CLICK Here For FIGURES 8a and 8b.

 Figure 8a and b.  Here is a simulation of two implants placed in these cross-sectional images.

 

COMMENTARY for Discussion:

This is an actual SIM/Plant™ study which was submitted for the review of the group.  Let's discuss the ramifications of the appearance of the bone and the ultimate tooth position in relationship to the defect.   Also, please review these images and comment on the simulated placement of the two implants.   What would you do in this case to treatment plan for the missing anterior segment of bone and teeth??


To Review CASE One ----------------------------->>> Click HERE!
To Review CASE Two ----------------------------------------------------- Click Here!


© 2000 SIM_Plant Users Group / SIM_Plant Forum - Scott D. Ganz, DMD