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16 published cases · 119 figures, in the order the authors published them.
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McCrea 2017
Aberrations Causing Neurovascular Damage in the Anterior Maxilla during Dental Implant PlacementCase Reports in Dentistry 2017doi:10.1155/2017/5969643
McCrea et al. 2017. Reproduced under CC BY.
Figure 2Periapical radiographs taken at initial consultation, showing a restored dental implant in position 21 (FDI-Notation) with no obvious signs of peri-implantitis. That restored implant carried a two-crown distal cantilever bridgeFigure 3Standard occlusal radiograph taken at initial consultation. The orifices of bilateral nasopalatine canals can be seen clearly apical to the central incisor teeth—the incisive canals: one at the apex of the implant and the other at the apex of natural tooth 11Figure 4Clinical presentation at initial consultation displaying the erythematous buccal mucosa at implant position 21 (FDI-Notation)Figure 7Classical labial “glove” reflection of buccal mucosa displaying the lack of osteogenesis of the xenograft at the buccodistal surface of the implant in position 21 with the lack of coverage of the implant surfaceFigure 8The implant has been simply “unscrewed” with minimal removal torque applied via Adams Orthodontic PliersFigure 9Probing of the implantotomy site to demonstrate that the apical portion was in the nonresistant nasopalatine canalFigure 10The xenograft was easily debrided from the osteotomy site to display the very patent aberrant canal present between the nasopalatine duct and the aberrant vascular canalFigure 11The membrane Bio-Gide has been secured under the palatal tissue at the operative site. Bio-Gide has also been placed at the perforation of the NPD and the distal opening of the conduit inferior to the multiple foramina. The xenograft Bio-Oss has been packed into the “conduit” and then used to augment the deficient buccal bony surfaceFigure 12Bio-Gide has been folded over the Bio-Oss granulesFigure 13The “labial glove” has been replaced and secured with interrupted 5.0 PROLENE suturesFigure 14Temporary adhesive bridge has been placed, replacing teeth 21 and 22 and protecting the surgical siteFigure 15Surgical site 8 months postoperatively. 8 Case Reports in Dentistry.