Verticalone reconstruction in posterior maxilla

DL Cirugía Oral En Clinical Cases, Maxilla. 12 septiembre, 2017

Hello everyone, today we present this case referred to us by a colleague, he is a 43 year old patient that due to a localized periodontal disease his upper left molar are moving and hopeless.

The extraction is perform and after 2 months a 10 mm vertical bone defect is left.

We performed a tunnel approach to avoid dehiscence combined with a Khoury box technique using bone autogenous blocks with particulate bone in inside the box frame.

After 4 months that is how the bone looks like, two implants are placed and wait 4 months for the implants osseointegration.

Finally we can see the look of the bone in the gingival former surgery.

In the X-ray we can see the all the steps.

Hope you like it.

Reconstructive Surgery Course Details 2017

DL Cirugía Oral En Courses, Education, Eventos, Reconstructive surgery training with human cadaver. 18 septiembre, 2016

Dear Colleagues,

As we announced before Summer, we are pleased to present the Reconstructive Surgery Course with practicals on animal models and human cadavers as well as a live surgery.

It consists of 3 modules with theory and practical work in each module. In these, you will learn jaw blocks, divided according to Mr Khoury’s module, and the use of osteosynthesis mesh and screws as well as the fitting of implants according to various approaches, these being open, two layered closure, or tunnel.

All the information can be found at this link: Reconstructive Surgery Course 2017

Do not hesitate to contact us if you are interested, as availability is running out!

Diptico modular 3.001

Course: Reconstructive Surgery 2016-2017

Juan En Courses, Education. 25 mayo, 2016

IMG_6378

Dear Colleagues,

We are pleased to present the third edition of the Reconstructive Surgery course for 2016-2017.

It is a theory and practical course that will be of particular interest to odontologists and stomatologists with knowledge of and skills in implantology, who are interested in learning and developing advanced techniques in Reconstructive Surgery and Implants.

It consists of 4 modulestwo of these are theory-practical and two are exclusively practical. In these modules, each student will be able to carry out said techniques on two of their patients.

On this course, you will learn to diagnose and treat these types of Clinical Cases. This year, we have the honour of the collaboration of Daniel Robles Cantero, specialist in osseous expansion.

Aimed at: Odontologists and stomatologists with surgical skill, who want to incorporate advanced techniques in reconstructive surgery and bone tissue implants into their daily practice. Skill and previous experience in oral surgery and implantology is a must.

More information at this link: Reconstructive Surgery Course 2016-2017

Location: Madrid.

Dates:  Places limited to 4 students

Information and reservations: info@dlcirugiaoral.com

Implant placement in augmented area

Juan En Clinical Cases, Mandible. 4 mayo, 2016
Aspecto hueso

Bone appearance

Continuing with this case, with which we saw a reconstruction in a horizontal defect on the anterior mandible of a 53-year-old patient.

We also fitted implants to the canines and left the fitting of the rest of the implants for a later date due to insufficient osseous availability.

After 4 months, we opened again and the placement of implants was carried out. We also obtained samples for biopsy to see the number of live osteocytes in the graft.

As you can see, the bone appearance is excellent, which allowed us to place the implants as if we were dealing with native bone. The photos are below.

Implantology Full Day 2016

Juan En Conferences, Education. 4 marzo, 2016

Captura de pantalla 2016-03-04 a las 17.50.04

Dear Colleagues,

This year, we once again heartily recommend the Implantology Full Day (Jornada Total de Implantología), taking place in Madrid on the 23rd April. There will be talks from the following colleagues: Jorge Campos, Salah Huwais, Juan Arias, Juan Alberto Fernández, Antonio Murillo and Howie Gluckman – all incredible professionals from great clinics!

https://jornadatotaldeimplantologia.com/

We hope to see you there!

Anterior mandible atrophy

Juan En Clinical Cases, Mandible. 4 diciembre, 2015

Today we are presenting a somewhat different case, from a 53-year-old non-smoking patient with no relevant pathology in their medical history apart from high cholesterol.

The patient presents absences from canine to canine in the mandible with a notable horizontal atrophy. The anterior jaw is one of the most difficult areas to graft due to both the poor medular vascularisation owing to high bone density and the nature of the soft tissue, principally lingual, which tends to be very fine.

Grafts were done according to the technique of Mr Khoury, implants were placed in the position of the canines and 5/0 polypropylene sutures were used. You can view the implant surgery below, as well as the state of the tissue after one month – the absence of any separation of the tissue after suturing is noticeable.

 

Reconstructive Surgery Course 2016

Juan En Courses. 24 noviembre, 2015

Dear Colleagues,

We are pleased to present the second edition of the Reconstructive Surgery Course for 2016.
Reconstructive Surgery Course 2016

It is a theory-practical course that will be of particular interest to odontologists and stomatologists with knowledge of and skills in implantology, who are interested in learning and developing advanced techniques in Reconstructive Surgery and grafts. It consists of 5 modules: two of which are theory and three of which are practical, in which the student will be able to carry out said techniques on patients.

In this course, you will learn how to diagnose and treat these types of cases: Clinical Cases

Aimed at: Odontologists and stomatologists with surgical skill, who are looking to incorporate advanced techniques in reconstructive surgery and bone tissue grafts into their daily practice. Skill and previous experience in oral surgery and implantology is a must.

More information on the course in pdf format at: Reconstructive Surgery Course 2016

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Theory Programme

This consists of two modules of theory training and practicals on animal models, orientated towards clinical practice. The following topics will be covered: obtaining intraoral grafts, sinus lifts, double-layered closure, alveolar preservation, gaining bone in height/width, and tunnelling techniques.

Theory Venue: Madrid. Run by DL Oral Surgery: info@dlcirugiaoral.com

Dates:  Places limited to 4 students

Course content: The practical programme is designed as follows:

Practical training in Reconstructive Surgery with tunnel access and advanced techniques in Implantology. In this case, it is a prerequisite to have taken the theory modules. Teacher/student ratio is 1:2 in practicals. The faculty specialises in this type of reconstructive surgery and belongs to DL Oral Surgery.
Theory and practice run by DL Oral Surgery: www.dloralsurgery.com

Objectives: Practical courses on patients, where the student can perform advanced implantology surgery, grafts, sinus lifts and advanced bone reconstructions with tunnel access or double-layered closure.

Information and reservations:
Contact email: info@dlcirugiaoral.com

Two new publications in JOMI and IJOMS

Juan En Education, Scientific publications. 12 octubre, 2015
International Journal of Oral & Maxillofacial Implants

International Journal of Oral & Maxillofacial Implants

 

Dear Colleagues,

We are proud to announce two new publications on reconstructive surgery directed by Professor Andrés Restoymastercirugia.com, in prominent specialist magazines International Journal of Oral & Maxillofacial Implants and International Journal of Oral and Maxillofacial Surgery.

“Reconstruction of mandibular vertical defects for dental implants with autogenous bone block grafts using a tunnel approach: clinical study of 50 cases”.  Restoy-Lozano A, Dominguez-Mompell JL, Infante-Cossio P, Lara-Chao J, Espin-Galvez F, Lopez-Pizarro V.
Int J Oral Maxillofac Surg. 2015 Jun 23. pii: S0901-5027(15)00213-1. doi: 10.1016/j.ijom.2015.05.019. PMID: 26116063International Journal of Oral and Maxillofacial Surgery

“Calvarial Bone Grafting for Three-Dimensional
Reconstruction of Severe Maxillary Defects: A Case Series”. 
Restoy-Lozano A, Dominguez-Mompell JL, Infante-Cossio P, Lara-Chao J, Lopez-Pizarro V. Int J Oral Maxillofac Implants. 2015 Jul-Aug;30(4):880-90. doi: 10.11607/jomi.3627. PMID: 26252040

Vertical bone augmentation with the Khoury Technique and tunnel approach

Juan En Clinical Cases, Mandible. 22 julio, 2015

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We present the case of a patient who came to her consultation requesting a fixed prosthesis in the posterior mandible section.

Clinical and radiological examination showed bone atrophy with a height on the dental nerve of approximately 7.5mm and a horizontal atrophy that precludes the placement of dental implants.

In terms of treatment options, we assessed on one hand the option of a horizontal augmentation and placement of short 6.5-7mm implants, and on the other carrying out a vertical augmentation either through an interposition graft (Sandwich Technique) or through a tunnelled cortical graft according to Professor Khoury’s description. We settled on this latter option.

Our objective was to regain the lost height for the posterior placing of implants 3.8-4.5mm in diameter and 9.5-11mm in length.

Below are the case photos. We hope you find them interesting.

 

Reconstructive surgery: Partial maxillary atrophy following loss of implants

Juan En Conferences, Education, Eventos. 8 abril, 2015

Dear Colleagues,

Next Friday 10th of April in Madrid, we will be delivering a seminar and performing a live surgery consisting of a partial maxillary reconstruction with tunnel access and auto-graft of the mandibular ramus, which will be broadcast to attendees via a closed circuit.

The event is free of charge and will take place in Madrid’s Dental Hospital, C/Arturo Soria, 147 – 28043 Madrid, from 9:00 to 13:30.

Those who are interested can sign up by sending an email to info@dlcirugiaoral.com or at http://www.euroteknika.es/. More information at: Reconstructive Surgery Programme 2015

We hope to see you there!

PROGRAMA_CONGRESO

Impacted canine: extraction + implant + graft

DL Cirugía Oral En Clinical Cases, Maxilla. 27 enero, 2015
Radiografía

X-ray

We were referred the following 40-year-old patient, with no important medical history, presenting an impacted upper left canine and her deciduous canine still in the mouth with mobility and causing a nuisance to the patient.

The orthodontist eschewed orthodontic treatment due to the patient’s age and the position of the impacted canine situated in a horizontal position above the rest of the tips of the adjacent teeth.

The classic protocol to follow would have been the extraction of the impacted canine followed by a wait of 4-5 months before placing the deferred implant and, possibly, grafting due to the defect left by the canine’s extraction – again, after waiting 4-5 months.

We are going to use a combined, one-step process during which we will carry out the canine extraction approach, extraction of deciduous canine, placing of the implant and graft for the defect left by the permanent canine. This way, we will reduce treatment time by half and prevent the collapse of soft tissue.

We hope you find it interesting.

Talk on Reconstructive Surgery at ICIRO

DL Cirugía Oral En Conferences, Education, Eventos. 25 enero, 2015

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Having spent the weekend with our colleagues Dr Jose Manuel Cruz Valiño and Dr Vicente Seoane Mato delivering the Reconstructive Surgery module in the V Experto Universitario en Periodoncia, Cirurxía e Implantoloxía Oral” (5th University Expert on Periodontics, Surgery and Oral Implantology) through ICIRO in La Coruña, we present photos of the event

We are very grateful to José Manuel and Vicente, as well as to the students and to GT-Medical, for their help and collaboration in running this event and the practicals on animal models, which consisted of epithelial free grafts, vestibuloplasties and placement of implants.

Oral Surgery Course

DL Cirugía Oral En Courses, Education. 16 enero, 2015

Dear Colleagues,

We are pleased to present the first in a series of four theory-practical courses on oral surgery, implantology and soft tissue, which we will begin to deliver in 2015. The courses are theory based, very practical orientated, with clinical cases and practicals on animal models, and a foundation of in-hospital practicals with oral surgery specialists where it is the student who directs and performs the surgery.
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The course we are presenting today is the Oral Surgery course, which consists of theory and practicals in surgeries such as: tooth extraction, removal of impacted teeth, flap design, apicoectomy, torus excision, frenectomy, and so on…

 

You can find out more about this course at: Oral Surgery Course

All the information is also available in this pdf: Oral Surgery Course

Queries: info@dlcirugiaoral.com