Pk-formations SECIO

🤔 What would you do?
Anterior mandibular sector: severe bone loss (see CBCT), teeth condemned and must be extracted, thin ridge.

Patient wants fixed rehabilitation with immediate esthetics.
Your options :
A) Extraction + immediate implant + immediate loading + provisional bridge
Digital workflow (surgical guide + provisional) + immediate esthetics�→ Single surgery, instant smile, digital precision

B) Extraction + immediate implant + delayed loading
Extraction + implant placement + bone graft + wait 3-4 months → provisional → More conservative, better osseointegration

C) Extraction + socket preservation → delayed implants
Extraction + socket grafting + wait 3-4 months → implants → provisional → Safer for thin ridge, predictable volume

D) Extraction + GBR → delayed implants
Extraction + bone reconstruction + wait 4-6 months → implants → provisional → Maximum volume control, longer timeline

👇 Tell me your pick and why
What drives your decision ?
- Patient demand for immediate esthetics ?
- Bone volume after extraction ?
- Risk management ?
- Digital workflow integration ?
I'll share my treatment plan in the next post.

🎯 In this case : Exposure at 4 months but no complication. NO bone loss

Why ?
✅ Power of 100% autogenous bone = real integration
✅ Your3Dcage® = mechanical protection

The protocol :
1️⃣ Cage removal → volume preserved ✅
2️⃣ Biotech Kontact implants + relining GBR (Cerabone + Jason)
3️⃣ Flap repositioning (Screwpins Kit)

The message ?
Exposure ≠ complication.
Stable volume = proceed to implants.