{"id":433828,"date":"2023-02-15T16:08:11","date_gmt":"2023-02-15T19:08:11","guid":{"rendered":"https:\/\/fgmdentalgroup.com\/blog\/\/regeneracion-osea-guiada-con-el-uso-de-un-sustituto-oseo-sintetico-y-una-membrana-reabsorbible-para-ganar-volumen-horizontal\/"},"modified":"2024-03-25T10:04:32","modified_gmt":"2024-03-25T13:04:32","slug":"regeneracion-osea-guiada-con-el-uso-de-un-sustituto-oseo-sintetico-y-una-membrana-reabsorbible-para-ganar-volumen-horizontal","status":"publish","type":"post","link":"https:\/\/fgmdentalgroup.com\/latam\/blog\/posts\/regeneracion-osea-guiada-con-el-uso-de-un-sustituto-oseo-sintetico-y-una-membrana-reabsorbible-para-ganar-volumen-horizontal\/","title":{"rendered":"Regeneraci\u00f3n \u00f3sea guiada con el uso de un sustituto \u00f3seo sint\u00e9tico y una membrana reabsorbible para ganar volumen horizontal."},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"433828\" class=\"elementor elementor-433828 elementor-384201\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7f439039 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f439039\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-682835c5\" data-id=\"682835c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-375c3d9 elementor-widget elementor-widget-text-editor\" data-id=\"375c3d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em>Autores: Dr. Bernardo Born Passoni, Dr. Jorge Manoel Cavichioni Junior e Dra. Eduarda Blasi Magini<\/em><\/p>\n<h3>Paciente<\/h3>\n<p>Sexo masculino, 45 a\u00f1os de edad.<\/p>\n<h3>Queja del paciente<\/h3>\n<p>Ausencia del diente 21 y reabsorci\u00f3n \u00f3sea horizontal, lo que hace imposible la instalaci\u00f3n del implante.<\/p>\n<h3>Evaluaci\u00f3n inicial<\/h3>\n<p>Paciente ASA I, rehabilitado con una pr\u00f3tesis parcial fija (adhesiva) insatisfactoria y presencia de reborde alveolar con una marcada p\u00e9rdida de volumen horizontal.<\/p>\n<h3>Tratamiento realizado<\/h3>\n<p>Regeneraci\u00f3n \u00f3sea guiada (ROG) mediante la t\u00e9cnica de la tienda para ganar volumen \u00f3seo horizontal.<\/p>\n<h3>Paso a paso<\/h3>\n<p>Mediante cortes tomogr\u00e1ficos e imagen despu\u00e9s de la apertura del colgajo mucoperi\u00f3stico total, se observa un gran defecto \u00f3seo horizontal en la regi\u00f3n del diente 21 (Fig. 4), lo que hace imposible la instalaci\u00f3n del implante en la posici\u00f3n tridimensional ideal.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-384202\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/1-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/1-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/1-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/> <img decoding=\"async\" class=\"alignnone size-full wp-image-384216\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/2-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/2-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/2-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/> <img decoding=\"async\" class=\"alignnone size-full wp-image-384230\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/3-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/3-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/3-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 1, 2 y 3 &#8211; Condici\u00f3n inicial del paciente, que presentaba un defecto horizontal en el lado vestibular causado por la ausencia del elemento 21.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384244\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/4-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/4-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/4-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<div class=\"group w-full text-token-text-primary border-b border-black\/10 dark:border-gray-900\/50 bg-gray-50 dark:bg-[#444654]\">\n<div class=\"flex p-4 gap-4 text-base md:gap-6 md:max-w-2xl lg:max-w-[38rem] xl:max-w-3xl md:py-6 lg:px-0 m-auto\">\n<div class=\"relative flex w-[calc(100%-50px)] flex-col gap-1 md:gap-3 lg:w-[calc(100%-115px)]\">\n<div class=\"flex flex-grow flex-col gap-3\">\n<div class=\"min-h-[20px] flex flex-col items-start gap-3 overflow-x-auto whitespace-pre-wrap break-words\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<p>Fig. 4 &#8211; Exposici\u00f3n del reborde.<button class=\"flex ml-auto gap-2 rounded-md p-1 hover:bg-gray-100 hover:text-gray-700 dark:text-gray-400 dark:hover:bg-gray-700 dark:hover:text-gray-200 disabled:dark:hover:text-gray-400\"><\/button><\/p>\n<p>Inicialmente se realiz\u00f3 la decorticaci\u00f3n de la tabla \u00f3sea vestibular con una broca helicoidal de 1.0 (del kit de injerto), con el objetivo de promover el sangrado local y, por ende, aumentar la presencia de c\u00e9lulas osteog\u00e9nicas y osteoinductoras en la regi\u00f3n del injerto. Se realizaron perforaciones en toda la extensi\u00f3n del defecto \u00f3seo. Es de vital importancia para el \u00e9xito de la regeneraci\u00f3n \u00f3sea guiada (ROG) que haya alg\u00fan dispositivo para mantener el espacio y la estabilidad del injerto \u00f3seo durante el proceso de cicatrizaci\u00f3n. En este caso, se utilizaron dos tornillos de injerto \u00f3seo para la t\u00e9cnica de &#8220;tenda&#8221; (Figs. 5 y 6).<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384258\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/5-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/5-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/5-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384272\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/6-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/6-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/6-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 5 y 6 &#8211; Vista frontal y oclusal de los tornillos en la tabla vestibular.<\/p>\n<p>Se utiliz\u00f3 el sustituto \u00f3seo Nanosynt de FGM. De origen sint\u00e9tico, a base de fosfato de calcio bif\u00e1sico, compuesto por un 60% de hidroxiapatita y un 40% de beta fosfato tric\u00e1lcico. En el mismo momento de la cirug\u00eda, se recolect\u00f3 sangre del paciente con el objetivo de procesar el material en una centr\u00edfuga (400 g durante 12 minutos) y obtener membranas de fibrina ricas en plaquetas y leucocitos (L-PRF). El PRF-Block o stick bone se produjo mediante la combinaci\u00f3n de Nanosynt de granulaci\u00f3n gruesa (1000 a 2000 um), membranas de L-PRF picadas y aglutinadas con fibrina en fase l\u00edquida (400 g durante 3 minutos).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384289\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/7-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/7-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/7-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig 7 &#8211; PRF Block 8 e 9.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384303\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/8-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/8-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/8-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384317\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/9-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/9-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/9-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 8 y 9 &#8211; PRF Block posicionado sobre el \u00e1rea de reparaci\u00f3n y cubierto por membranas de L-PRF.<\/p>\n<p>Siguiendo los conceptos clave de la regeneraci\u00f3n tisular guiada, se opt\u00f3 por utilizar la membrana reabsorbible Duosynt de FGM, de origen sint\u00e9tico, con el objetivo de excluir las c\u00e9lulas y evitar as\u00ed la proliferaci\u00f3n de tejido epitelial en la regi\u00f3n del injerto \u00f3seo (Fig. 10). La membrana Duosynt est\u00e1 formada por pol\u00edmeros biodegradables en forma de \u00e1cido polil\u00e1ctico, \u00e1cido poliglic\u00f3lico y politrimetileno carbonato, con la caracter\u00edstica de degradarse entre 8 y 12 semanas, tener una buena estabilidad y ser f\u00e1cil de usar (resistente y no requiere hidrataci\u00f3n previa).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384331\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/10-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/10-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/10-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 10 &#8211; Membrana Duosynt estabilizando y protegiendo el biomaterial.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384345\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/11-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/11-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/11-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 11 &#8211; Membranas de L-PRF cubriendo la membrana sint\u00e9tica.<\/p>\n<p>En las figuras del 8 al 11, se puede observar la secuencia de acomodaci\u00f3n de los biomateriales en el lecho quir\u00fargico. Primero se coloc\u00f3 el PRF-Block, luego se colocaron membranas de L-PRF encima para estimular la diferenciaci\u00f3n de c\u00e9lulas mesenquimales no diferenciadas en osteoblastos, luego la membrana Duosynt, fijada con grapas para separaci\u00f3n celular, y finalmente una nueva capa de membrana de L-PRF que cubre toda el \u00e1rea de la ROG para estimular la diferenciaci\u00f3n celular en fibroblastos. El colgajo fue manipulado de manera que hubiera una cobertura total del injerto \u00f3seo sin tensi\u00f3n en el lugar.<\/p>\n<p>Para la sutura, se utilizaron suturas de polipropileno (Techsuture) no reabsorbibles (Figura 12). Se fabric\u00f3 una nueva pr\u00f3tesis provisional adhesiva despu\u00e9s de la cirug\u00eda, teniendo cuidado de no ejercer compresi\u00f3n local y dejando un espacio adecuado para la formaci\u00f3n de tejido blando en la regi\u00f3n proximal (Figura 13).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384359\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/12-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/12-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/12-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<div class=\"group w-full text-token-text-primary border-b border-black\/10 dark:border-gray-900\/50 bg-gray-50 dark:bg-[#444654]\">\n<div class=\"flex p-4 gap-4 text-base md:gap-6 md:max-w-2xl lg:max-w-[38rem] xl:max-w-3xl md:py-6 lg:px-0 m-auto\">\n<div class=\"relative flex w-[calc(100%-50px)] flex-col gap-1 md:gap-3 lg:w-[calc(100%-115px)]\">\n<div class=\"flex flex-grow flex-col gap-3\">\n<div class=\"min-h-[20px] flex flex-col items-start gap-3 overflow-x-auto whitespace-pre-wrap break-words\">\n<div class=\"markdown prose w-full break-words dark:prose-invert light\">\n<p>Fig. 12 &#8211; Sutura.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384373\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/14-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/14-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/14-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-384387\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/15-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1707\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/15-scaled.jpg 2560w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/15-300x200.jpg 300w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>Fig. 13 y 14 &#8211; Corona provisional.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-384401 size-full\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00015-e1676484757543.jpeg\" alt=\"\" width=\"1024\" height=\"683\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00015-e1676484757543.jpeg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00015-e1676484757543-300x200.jpeg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00015-e1676484757543-768x512.jpeg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-384415 size-full\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00016-e1676484787947.jpeg\" alt=\"\" width=\"1024\" height=\"683\" title=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00016-e1676484787947.jpeg 1024w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00016-e1676484787947-300x200.jpeg 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/image00016-e1676484787947-768x512.jpeg 768w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>En las im\u00e1genes, se puede ver el postoperatorio a los 10 d\u00edas despu\u00e9s de retirar las suturas. En los cortes tomogr\u00e1ficos, se puede observar la excelente adaptaci\u00f3n del injerto \u00f3seo al lecho receptor a los 150 d\u00edas despu\u00e9s de la cirug\u00eda (figuras 15). Despu\u00e9s de 6 meses, el paciente regres\u00f3 para la instalaci\u00f3n de un implante en la regi\u00f3n del elemento 21 (figura 16). En la imagen se puede apreciar la estabilidad volum\u00e9trica del injerto \u00f3seo y la excelente incorporaci\u00f3n de las part\u00edculas de Nanosynt en el lecho receptor.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-03b0c9e e-flex e-con-boxed e-con e-parent\" data-id=\"03b0c9e\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4af9e6f elementor-widget elementor-widget-spacer\" data-id=\"4af9e6f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69fce6d e-flex e-con-boxed e-con e-parent\" data-id=\"69fce6d\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9694085 elementor-widget elementor-widget-heading\" data-id=\"9694085\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">  Productos utilizados:<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-888d820 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"888d820\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/fgmdentalgroup.com\/latam\/nanosynt\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"266\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/Caixa_Nanosynt-CE.png\" class=\"elementor-animation-grow attachment-large size-large wp-image-384497\" alt=\"\" title=\"\">\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-010e05f elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"010e05f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/fgmdentalgroup.com\/latam\/duosynt\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"313\" src=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/caixa-duosynt.png\" class=\"elementor-animation-grow attachment-large size-large wp-image-384483\" alt=\"\" srcset=\"https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/caixa-duosynt.png 300w, https:\/\/fgmdentalgroup.com\/wp-content\/uploads\/2023\/02\/caixa-duosynt-288x300.png 288w\" sizes=\"(max-width: 300px) 100vw, 300px\" title=\"\">\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Autores: Dr. Bernardo Born Passoni, Dr. Jorge Manoel Cavichioni Junior e Dra. Eduarda Blasi Magini Paciente Sexo masculino, 45 a\u00f1os de edad. Queja del paciente Ausencia del diente 21 y reabsorci\u00f3n \u00f3sea horizontal, lo que hace imposible la instalaci\u00f3n del implante. Evaluaci\u00f3n inicial Paciente ASA I, rehabilitado con una pr\u00f3tesis parcial fija (adhesiva) insatisfactoria y [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":384468,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1497],"tags":[1488],"produto-relacionado":[],"categoria-post":[26],"linha-de-atuacao":[489],"class_list":["post-433828","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-posts-latam","tag-cga-latam","categoria-post-casos-clinicos","linha-de-atuacao-produto-biomateriais-latam"],"_links":{"self":[{"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/posts\/433828"}],"collection":[{"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/comments?post=433828"}],"version-history":[{"count":0,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/posts\/433828\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/media\/384468"}],"wp:attachment":[{"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/media?parent=433828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/categories?post=433828"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/tags?post=433828"},{"taxonomy":"produto-relacionado","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/produto-relacionado?post=433828"},{"taxonomy":"categoria-post","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/categoria-post?post=433828"},{"taxonomy":"linha-de-atuacao","embeddable":true,"href":"https:\/\/fgmdentalgroup.com\/latam\/wp-json\/wp\/v2\/linha-de-atuacao?post=433828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}