Editorial Type:
Article Category: Other
 | 
Online Publication Date: 01 Feb 2015

Effects of Peri-Implant Plastic Surgery and Hyperbaric Oxygen Therapy on Mandibular Avascular Necrosis After Implant Surgery

PhD, DDS,
PhD, DDS,
MD,
PhD, DDS,
PhD, DDS,
DDS,
DDS, and
PhD, DDS
Page Range: 101 – 106
DOI: 10.1563/AAID-JOI-D-12-00258
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  <sc>Figure 1</sc>
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Figure 1 .

Radiographic evaluation of the case. (a) Dental computerized tomography (severe bone loss in the basal bone in the anterior and posterior regions). (b) Panoramic radiography after implant surgery.


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  <sc>Figure 2</sc>
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Figure 2 .

Intraoral clinical images. (a) Before implant surgery. (b) During the surgery. (c) After the surgery.


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  <sc>Figure 3</sc>
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Figure 3 .

Avascular necrosis (AVN) findings and surgical treatment steps. (a) One week after the operation, AVN formation was observed due to bone exposition after the lack of attachment of a labial flap during implant surgery. (b) Bleeding points formed to treat AVN in the bones in the surgical area. (c) Free gingival graft procedure to maintain the coverage of bone in the area of AVN.


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  <sc>Figure 4</sc>
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Figure 4 .

Improvement after free gingival graft (FGG) and hyperbaric oxygen treatment (HBOT). (a) Five days after FGG (HBOT was started). (b) Ten days after FGG. (c) Three weeks after FGG. (d) Four weeks after FGG (end of HBOT). (e) Six weeks after FGG and application of gingivoplasty with laser. (f) Two months after FGG.


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  <sc>Figure 5</sc>
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Figure 5 .

Prosthetic rehabilitation after completion of hyperbaric oxygen treatment 2 months after free gingival graft.


Contributor Notes

Corresponding author, e-mail: bbagis@yahoo.com
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