Upper Anterior Implants

A lady patient wants Implant supported bridge in Upper anterior edentulous region.
The Teeth in that region have been lost about 20 years ago. She has already under gone plenty of other treatments so is reluctant for Onlay grafts. I have taken CT Scan to see Axial sections as well as done ridge mapping with special tool. It seems the crest is about 3 mm and then on apically gradually increases to about 10 mm apically (labio lingualy). My query is whether I can attempt Bone plate expansion with D expanders and then put implants or this case needs an onlay Graft (which she isn’t interested in). I have seen Dr Salama’s video where he puts Bio-oss over the labial plate like a garnishing and covering with a membrane. Could that approach be a viable alternative. Does that way work? Is there any other easier way to handle this situation? 4 months later cortico Cancellous grafts were taken from the mandible and grafted on to the maxilla

 
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Recent Comments

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Dr.Amayev comments: Looks like this is Biomed 3i external hex NT implant. .
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01 A Volume Rendering
Doc comments: This software is great. We spend a lot less time on planning and more on providing care to the pati .
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03 Bone Density
Michael Ajayi comments: How can I purchase invivodental and how much does it cost .
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DRMA comments: external hex nobel replace .
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Panorex
dr.lucio della toffola comments: Make a provisional prostesis from 33 to 43 leaving41. Extract 32,31,42,44. 6 fixture in position 3 .
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Simplant
Tiago Marques comments: Thanks alot, but would you advise to place a 10mm inside the sinus with the summers technique or a 8 .
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