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Dr ahmed hamdy 
dental studio
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dental studio

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Case Presentations

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Case 1

flipped Autograft (Soft tissue enhancement technique to treat Wound dehiscence Complication )

  • this case was administered to the clinic with badly broken down tooth no 36# which needed to be extracted 
  • decision was taken to replace the tooth with immediate implant placement 
  • during extraction part of the buccal bone was fractured which required flap reflection and GBR procedures 
  • After two weeks wound dehiscence appeared which we take the decision to utilize flipped autograft technique to treat the condition.

flipped autograft illustration 

amalgam restoration

preoperative view showing massive amalgam restoration that needed to be replaced 

during tooth extraction part of the buccal plate of bone was fractured 

augmentation of the site with xenograft to fill the socket and restore the normal architecture of the buccal bone 

fixation of collagen membrane with bone tacks 

after 2 weeks wound dehiscence occurred and some biomaterial had exposed 

flipped autograft technique was utilized to reach primary wound closure 

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Case 2

soft tissue management around dental implant

  • this case was administered to the clinic with previously placed dental implant replacing tooth no, 25 # . the implant abutment was connected showing excessive buccally positioned placement which lead to loss of all keratinized mucosa around and subsequent marginl recession around the abutment finish line.
  • decision was taken to enhance the surrounding soft tissue with FGG then continuing with prothetic work with a hybrid screw-cemented zirconium crown .
  • during the waiting time tooth 26# got involved with distal caries  lead to pulpitis and the need for RCT which was done and tooth prepared to receive a full coverage zirconium crown as well . 
  • any question are most welcome through messaging ...

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Case 3

perio - ortho interrelationship

  • this case was administered to the clinic with spacing at both arches and recession at the lower anterior zone due to labioversion position of the teeth 
  • decision was taken to stabilize the case periodontally then start with orthodontic treatment
  • after proper SRP case was lift to heal for 4 weeks then FGG surgery was done to improve the tissue at the lower incisor area 
  • After 3 months of healing orthodontic treatment was started to complete the case  

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Case 4

All on 4 COAXIS full arch implantation

  • this case was administered to the clinic with fully edentoulus mandible that needs to be rehabilitated .
  • decision was taken to restore the patient teeth using FP3 prosthesis supported by dental implants  
  • as the bone availability was inadequate posteriorly we took the decision with the patient to go for tilted implants implementing the concept of all on 4 
  • 4 co Axis implants were used here , following surgical healing period , another intervention was done to enhance the soft tissue around implants by using FGG technique . 
  • finally FP3 peek restoration was made to rehabilitate the mandible successfully /

Full surgical protocol

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Case 5

implants in the esthetic zone

  • this case was administered to the clinic with a compromised periodontium that lead to grade III mobility in teeth 11 and 12 
  • non surgical periodontal treatment was done to reach a healthy condition before extraction 
  • decision was taken to extract the loose teeth and to restore the patient teeth using FP3 prosthesis supported by dental implants  
  • implant placed and after healing period of 3 months a modified palatal roll flap was done during the uncovery phase to augment the soft tissue around implant 
  • impression was recorded for the fabrication of 2 separate zirconium crowns 


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Case 6

treating peri implant soft tissue dehiscence

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Case 7

Simultaneous posterior implant placement with GBR

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Case 8

surgical crown lengthening of severely attrition molars

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