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16 published cases · 119 figures, in the order the authors published them. Click any figure to open it full size. Back to the deck in the other tab.

McCrea 2017

Aberrations Causing Neurovascular Damage in the Anterior Maxilla during Dental Implant Placement Case Reports in Dentistry 2017 doi:10.1155/2017/5969643

McCrea et al. 2017. Reproduced under CC BY.

periapical radiographs taken initial consultation re
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 bridge
standard occlusal radiograph taken initial consultat
Figure 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 11
clinical presentation initial consultation displayin
Figure 4Clinical presentation at initial consultation displaying the erythematous buccal mucosa at implant position 21 (FDI-Notation)
classical labial glove reflection buccal mucosa
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 surface
implant has been simply unscrewed minimal
Figure 8The implant has been simply “unscrewed” with minimal removal torque applied via Adams Orthodontic Pliers
probing implantotomy site demonstrate apical portion
Figure 9Probing of the implantotomy site to demonstrate that the apical portion was in the nonresistant nasopalatine canal
xenograft easily debrided osteotomy site display
Figure 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 canal
membrane bio gide has been secured under
Figure 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 surface
bio gide has been folded over bio oss
Figure 12Bio-Gide has been folded over the Bio-Oss granules
labial glove has been replaced secured
Figure 13The “labial glove” has been replaced and secured with interrupted 5.0 PROLENE sutures
temporary adhesive bridge has been placed
Figure 14Temporary adhesive bridge has been placed, replacing teeth 21 and 22 and protecting the surgical site
surgicalsite8monthspostoperatively
Figure 15Surgical site 8 months postoperatively. 8 Case Reports in Dentistry.