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Alloderm #19 Implant Final Before and After Photos: advice?

Last Updated: Jul 19, 2018

A new patient came to my office with previously placed #19 and needed uncovering and restoration. On examination lack of keratinized tissue was noted. I received some great advice here on how to proceed in using Alloderm (human acellular dermis). It was not difficult to work with and I was pleased with the results. I would never have any interest in using it for traditional periodontal surgery for recession, but I will incorporate it when needed in implant cases with deficient soft tissue.

The Alloderm was sutured in place in the traditional manner by suturing to patients tissue and I also used a tissue punch to place a hole so I could place the healing abutment over it. Please feel free to critique and offer any advice on how I can improve future cases and outcomes for my patients. Thanks.








> Note: Alloderm is a type of human acellular dermis, used for soft tissue applications. It supports tissue regeneration by allowing rapid revascularization, white cell migration and cell population. Matrix IQ another aceullar dermis, has an additional benefit of having No “Basement Membrane”, allowing it to be placed on either side.

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4 Comments on Alloderm #19 Implant Final Before and After Photos: advice?

Don Callan

07/19/2018

The implant was placed too sub gingival. The micro gap between the abutment and the implant is trapping anaerobic bacteria.

smile

07/19/2018

Thank, I agree. Looks like when previous dentist placed the implant he placed the implant too far below the lingual plate and probably did flapless placement with large tissue punch to cause or make defect worse. I did discuss this with patient and did not consider explantation but was happy with the quality of tissue that formed after the Alloderm augmentation and with Atlantis abutment and screw retained crown it should be able to be kept clean and no worry about cement.

Marcus

07/19/2018

Wow! What a buccal concavity! I can’t believe there isn’t a massive buccal bone dehiscence.

smile

07/24/2018

If you look at the uncovering image surprisingly there was not a buccal bone dehiscence which was what I was expecting.

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