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Video Details
Manejo de Complicaciones de implantes en la Zona Posterior de la Maxila

Description:
En este video clinico, el Dr Alvaro Ordonez demuestra el manejo de una complicacion clinica consistente en la remocion de dos implantes mal colocados y de dos implantes mas que terminaron sumergidos completamente en los senos maxilares, uno de ellos alojado en el complejo osteomeatal. La membrane Schneiderian fue elevada, luego perforada a conveniencia, los implantes fueron removidos, dos tecnicas diferentes de reparacion de perforaciones fueron demostradas y el seno fue inmediatamente rellenado con material de injerto oseo. El Dr Ordonez discute tambien principios quirurgicos de diseno de colgajos, las opciones de membranas, biomateriales, principios, indicaciones de colocacion y estabilizacion, planeacion, ayudas diagnosticas, manejo del paciente y consideraciones medico legales.

Date Added:
8/17/2011

Author(s):

Alvaro Ordoñez, DDS Alvaro Ordoñez, DDS

Dr. Ordonez first received his dental degree from the Pontificia Universidad Javeriana in Bogota (Colombia) and served as a dental resident before his graduation at San Ant...
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Online Videos / Surgery / Sinus Lift / Manejo de Complicaciones de implantes en la Zona Posterior de la Maxila




Questions & Comments
José Lara Gonzalez - (2/21/2012 11:12 PM)

Primeramente quisiera felicitarlo Dr. Ordoñez por excelente presentación, diagnóstico y ejecución, quisiera cuestionarlo de una duda que me quedó: Al momento de la elevación, posterior a colocar la membrana, que tan favorable es colocar encima de la membrana el hueso retirado del seno y encima de el colocar el injerto óseo?

Alvaro Ordonez - (11/28/2011 7:54 AM)

seria elevar la membrana aun mas, casi que por exceso para tener menos tension y poder agregar mas material de injerto oseo. Tuve miedo de agregar mas pues no queria que la tension fuera a danar la reparacion. Este caso fue exitoso desde el punto de vista de elevacion de senos y de reparacion.

Alvaro Ordonez - (11/28/2011 7:52 AM)

En el lado izquierdo colocamos 4 cc, en el lado derecho que fue donde se suturo la membrana colocamos 2cc y medio para evitar crear tension. Si pudiera hacer ese caso de nuevo lo unico que haria diferente en el lado derecho (que era el lado que tenia el mini implante en el Ostium)

gerardo mendoza - (11/26/2011 4:18 PM)

Doctor Ordoñes cuanto injerto necesito para este levantamiento de seno, cuantos centimetros cubicos . Gracias

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