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@johnfreemanmddds-blog
Trauma night. Sports injury. Mandibular fracture repair with titanium fracture plates above and below the mental nerve. #mandiblefracture #facialtrauma #walterlorenz #fracturerepair #mentalnerve (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/CCaJ8CZpCKB/?igshid=1g1qep0mtgcw0
This patient had a failing bridge. He complained of chronic sinusitis. The bridge was sectioned. A sinus lift as well as guided bone regeneration (GBR)was performed in the extraction site. The sinus was raised 14 mm. When the patient returned, he stated his sinusitis was gone and he could smell his jasmine in his garden. He was so appreciative that he brought some jasmine to the office. Implants will be placed in 6 months. #sinusinfection #sinusitis #sinusrelief #sinuslift #sinuslifting #sinussurgery #sinusliftsurgery #sinĂŒslifting #guidedboneregeneration #dentalimplants #dentalimplantssurgery #dentalimplantsurgery #dentalimplant #dentalimplantology (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/CCH0bEwp4eg/?igshid=1slq87f9c8odi
Sinus Lift Friday. This patient lost her molar several years ago. Very little residual bone. 13 mm elevation with allograft/xenograft combination. Dental implant in 6 months. #sinuslift #sinuslifting #sinusliftsurgery #sinĂŒslifting #dentalbone #dentalimplants #dentalimplantsurgery #dentalimplant #dentalimplantology (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/CB7LzIGpUCn/?igshid=s8iz6fks9kw8
Nice Friday case. Failing bridge attached to a 3rd molar. Resect bridge with removal of 3rd molar. Placed an immediate Straumann implant in the second molar position. #straumannimplants #dentalimplants #dentalimplantsurgery #dentalimplant #dentalimplantology (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/CBscEu0peOn/?igshid=19nqn30z7tzt0
This presented with infection associated with two implants that were supporting a cantilever bridge. Very little space between implants resulting in significant bone loss and loss of implants. The implants were removed as well as tooth #26. A large ramus graft was harvested and fixated into the defect with bone screws. Sticky bone, PRF membranes and a Snoasis membrane. #dentalbone #gbr #dentalimplants #dentalimplant #dentalimplantsurgery #dentalimplantology #dentalimplantssurgery #stemcell #stemcells #growthfactors #growthfactor (at Houston Methodist West Hospital) https://www.instagram.com/p/CAtwTmrJ1yE/?igshid=zdh4hmczx71f
Today is my oldest daughterâs birthday. So proud of you. Check out this birthday cake. All of it is eatable. (at Downtown Houston) https://www.instagram.com/p/CAEz8SAp9B7/?igshid=1khohzno8khn6
Today is my oldest daughterâs birthday. Check out this cake. Every part of the cake is eatable. Look at the detail. So proud of you!!! (at Houston, Texas) https://www.instagram.com/p/CAEvlzYJ1qY/?igshid=1o51993g1ih5t
I performed an iliac crest bone graft for this patient in preparation for dental implants. Often times when doing a bone graft of this magnitude the vestibule is obliterated in order to get passive primary closure of the bone graft. After 4 months healing (10 mm ridge width after grafting), a vestibuloplasty was performed, bone screw removal and soft tissue grafting with alloderm to create an appropriate width of attached tissue for the future implants. (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/B_5bghrJ2f7/?igshid=2bhohialalmw
Large odontogenic abscess. Ludwigâs angina (bilateral submandibular space and submental space involvement). Luckily got to this one in time-no tracheostomy and able to extubate. #odontogenicinfection #toothabcess #dentalabscess #dentalinfection #ludwigs #dentalextraction #dentalextractions #draininginfection (at Westside, Houston, Texas) https://www.instagram.com/p/B_yMZ8dpvAo/?igshid=1ef0hx98vkk3w
This patient desired implants in #3,14,15 position. Did lateral window sinus lifts. On left used sticky bone, PRF membrane covered by a bioxclude membrane. On right there was enough for implant stability with sinus lift. Notice small tear in sinus membrane. Used extended time membrane (Biomend) for repair. Sticky bone, placed 4.8 x 10 Straumann implant. Membrane coverage. Primary closure. Notice post-operative X-ray. Nice sinus lift results. #dentalimplants #dentalimplant #dentalimplantsurgery #dentalimplantology #sinuslift #sinuslifting #sinusliftsurgery #straumann #straumannimplants #gbr #prf (at Westside, Houston, Texas) https://www.instagram.com/p/B_iW6xqpvAO/?igshid=ktz3uowgoc81
2 pack a day smoker. Biopsy showed squamous cell carcinoma. Notice dysplasia down the lateral tongue. #oralpathology #oralpath #oralsquamouscellcarcinoma #squamouscellcarcinoma #cancerawareness #cancerawarness #cancerawarnessmonth #oralbiopsy (at Westside, Houston, Texas) https://www.instagram.com/p/B_OmcIQp2H_/?igshid=12xn3n3bcy7nh
This is a ramus graft I did several months ago on a young lady with congenitally missing maxillary lateral incisors. The graft was performed at the time of third molar extractions. Nice result. Ready for implant placement. #dentalimplants #dentalimplantology #dentalimplant #dentalimplantsurgery #stemcelltherapy #gbr #ramusgraft (at Westside, Houston, Texas) https://www.instagram.com/p/B-5LBMIpkoL/?igshid=67au9g57ub1s
Placed this Astra Tech implant approximately one year ago. Extraction of fractured tooth #10 and immediate implant placement. Restoring doctor placed a custom abutment and cemented a crown with margins approximately .5 mm subgingival. The patient presented to my office a couple of days ago with pain and draining infection. A flap was performed showing a large piece of cement. Notice the amount of bone loss. As shown in the text âzero bone loss conceptâ, completely removal of cement can never be accomplished if margins are subgingivally placed. It gets worse the deeper you go. #dentalimplants #dentalimplant #dentalimplantology #dentalimplantsurgery #astratech #astratechimplantsystem (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/B-yLShQpVWy/?igshid=l25oc8takjux
Had this emergency patient that was having significant pain in teeth #10 & 11 due to root decay. The teeth were non-restorable and #11 had a very thin buccal plate. Following the concepts of zero bone loss and immediate dentoalveolar restoration, a root shield graft was performed to maintain the buccal plate. Xenograft was also placed for osseo-protection. An anatotemp was placed on implant #11 to create an emergence profile. #dentalimplants #dentalimplant #dentalimplantsurgery #dentalimplantology #straumannimplants #straumann #zerobonelossconcepts #biooss (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/B-munHXJ9R6/?igshid=1wm9i8tkyrr38
My oldest daughter, Chandler, just got accepted to the university of Southern California (USC) for the performing arts/pre-Med program. Hard work does pay off. Couldnât be prouder. (at Houston, Texas) https://www.instagram.com/p/B-ONOv5JEPY/?igshid=1n27a7x6ukj59
This was a case referred to me for a perviously failed implant #8. She had been wearing a removable appliance for 2 yrs because it was such a bad experience. She great keratinized tissue but had a buccal bone defect. By utilizing the Versah bur a ridge expansion was performed. Placed a 4.1 diameter Straumann implant. Placed sticky bone with collagen and PRF membranes to reconstruct the defect and maintain at least 2 mm of buccal bone. Utilized a customized anatomical heal abutment for emergence profile development (zero bone loss concept) #dentalbone #dentalimplants #dentalimplantsurgery #dentalimplant #dentalimplantology #gbr #prf #stemcelltherapy #zerobonelossconcepts #zeroboneloss (at John P. Freeman MD, DDS, FACS) https://www.instagram.com/p/B975xzQJZ0O/?igshid=1fxjradqucaey
4 months ago this patient had a failing right mandibular ridge. A sliding ramus block grafting was performed in tooth position 30, 31 utilizing PRF and bioxclude membrane. After 4 months of healing, over 6 mm of bone was added to the ridge width. Utilizing a prefabricated surgical guide, two 4.1 x 10 mm Straumann implants were placed. The zero bone loss concept was followed in bone and soft tissue thickness. Two anatotemps were placed to develop emergence profile. #dentalbone #dentalimplants #dentalimplant #dentalimplantsurgery #dentalimplantssurgery #dentalimplantology #straumann #bioxclude #anatotemp #gbr #stickybones #zerobonelossconcepts #zeroboneloss (at Houston Methodist West Hospital) https://www.instagram.com/p/B9Tc4NWJcS0/?igshid=kbf638o605lf