@dr.takanorisuzuki Vertical bone defect because of intruding implant, craniofacial growth. Hmm, GBR need a good scaffolding, with tent-pole? Ti-mesh? Even with collagen membrane, V-GBR can be achieved with bone tacks. Urban described as Sausage, good stabilization with bone tacks. Otherwise micromovement will be happen and bone particlescwill be apuslated with soft tissue, have to be avoid... According to Pilliar, less than 150 micro m is necessary. But how can we measure it? Im using any instruments to tap on the membrane and checkimg no movement. This case, using probe and pinching on the membrane and check it, ok, good stability!!! 😆😆😆 ⠀ @taka_co.ltd @dr.takanorisuzuki #dental #dentist #doctor #dentistry #esthetic #beauty #passion #surgery #biology #periodontics #implant #dentalimplants #implantology #success #complications #graft #dentalphotography #takasensei #smile #challenge #taka #dentalninja #lifestyle #smilemakeover #歯 #歯科 #インプラント #審美

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