SOCIÉTÉ EUROPÉENE DE CHIRURGIE ET D'IMPLANTOLOGIE ORALE (SECIO)
PIERRE KELLER FORMATIONS
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⫸ Tips of the day : Boost Bone Density in GBR 🚀
When placing a titanium cage for guided bone regeneration (GBR), make sure to compress the graft material as much as possible inside the cage.
Why ?
✓ It promotes graft densification
✓ Enhances mechanical stability of the reconstructed volume
✓ And most importantly, increases bone density at re-entry, making implant placement easier and improving primary stability
💡 A simple yet powerful step for more predictable and long-lasting regeneration.
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#tipoftheday #pkformations #bonegrafting #gbr #your3dcage #implantsurgery #osseodensification #bonereconstruction #implantology
Understanding the surgical planes through illustration.
Here’s the answer to the previous incision design :
A "poncho-style" or lateral tunnel approach, allowing :
🔹 Less risk of exposure
🔹 Wide access to the reconstruction site
🔹 Maximum preservation of interdental papillae
🔹 Precise control of soft tissue planes
The cross-sectional view created with @dr_francois_vigouroux clearly shows :
✅ Partial- and full-thickness flap management
✅ The positioning of the titanium cage
✅ Tension-free volume control
💡 In this context, illustration becomes a key tool to reveal what the clinical eye doesn’t always see.
Thank you François for this surgically artistic work 🙏
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#pkformations #bonereconstruction #ponchoapproach #lateraltunnel #surgicalillustration #3dcage #implantology #francoisvigouroux #oralsurgery #bonegrafting #digitallearning
📸 How to understand this incision design ? Here’s a case of complex bone reconstruction in the mandible, featuring an unusual incision pattern…
❓Crestal incision ? Or Lateral approach ?
👉 What do you see ? How would you interpret it ?
💬 Drop your answers in the comments… and we’ll break it down in the next post with a detailed visual 👇
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#implantology #incisiondesign #guidedsurgery #pkformations #questionoftheday
⫸Tips of the day
In complex anterior maxillary cases, using a custom-designed titanium cage offers a key advantage :
✓ It allows for easy avoidance of the incisive foramen,
✓ And ensures a perfect palatal fit, critical for graft stability and soft tissue integration.
💡 A smart solution for precise, safe, and predictable bone regeneration—especially where every millimeter counts.
#tipoftheday #bonereconstruction #your3dcage #pkformations
🦷 Clinical Case – Post-scooter accident trauma
📸 This image shows the case of a young female patient following a scooter accident with direct maxillary impact. Findings:
👉 Severely fibrotic scar tissue
👉 Significant vertical bone defect
👉 Major aesthetic and functional challenges
This type of situation presents several key challenges:
- Vertical bone reconstruction
- Management of inelastic, scarred soft tissue
- Complex implant rehabilitation planning
💡 In this case, we performed a Guided Bone Regeneration (GBR) using a 3D-printing individualized titanium mesh, custom-designed to restore the lost vertical dimension with precision.
A fully personalized approach, combining surgical expertise and digital innovation, was essential to guide the reconstruction process and secure long-term results.
🙏 Grateful to the patient for her trust, and to the team for their commitment to this challenging and multidisciplinary case.
#clinicalcase #facialtrauma #verticaldefect #GBR #your3dcage #bonereconstruction #PKFormations
temoignages
Formation extraordinaire, merci à tous les brillants intervenants, merci Pierre pour cette journée très enrichissante.
Henri DELCOURT
Les reconstructions osseuses, on vous dit tout!
Formation exceptionnelle, merci à Pierre et ses collaborateurs.
Cécile LAURENÇON
Gestion tissulaire pré, per et post implantaire
Formation exceptionnelle. Il donne tout et il explique tout.
Jonathan GUCCIARDI
Gestion tissulaire pré, per et post implantaire
Dr Pierre Keller
Chirurgien-dentiste qualifié en chirurgie orale
Strasbourg
Parcours professionnel
- Activité libérale de chirurgie orale et implantologie, Strasbourg-Kehl
- Praticien attaché de l’hôpital de Strasbourg, service de chirurgie buccale
- Master of Oral Medicine in Implantology, Université de Münster, Allemagne
- Ancien assistant en chirurgie orale, clinique Schloss Schellenstein, Allemagne (Prof. Dr. F. Khoury)
- Maîtrise en Science Biologique et Médicale, Strasbourg, France
- Membre du Board PEERS, France
Articles scientifiques
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