{"id":3298,"date":"2023-04-24T15:30:22","date_gmt":"2023-04-24T14:30:22","guid":{"rendered":"https:\/\/blog.avinent.com\/?p=3298"},"modified":"2024-11-20T11:35:57","modified_gmt":"2024-11-20T10:35:57","slug":"manejo-defectos-oseos-regeneracion-osea-guiada","status":"publish","type":"post","link":"https:\/\/avinent.com\/ca\/blog\/manejo-defectos-oseos-regeneracion-osea-guiada\/","title":{"rendered":"Manejo de defectos \u00f3seos mediante regeneraci\u00f3n \u00f3sea guiada simult\u00e1nea a la colocaci\u00f3n de implantes en el frente anterior"},"content":{"rendered":"\n\t\t\t\t\n<h2 class=\"wp-block-heading\"><strong>Introducci\u00f3n<\/strong><\/h2>\n\n\n\n<p>Para no poner en riesgo los resultados est\u00e9ticos y funcionales de las rehabilitaciones implantosoportadas, es necesario partir de un adecuado volumen \u00f3seo, que permita colocar los implantes tridimensionalmente guiados por la restauraci\u00f3n y no por el hueso disponible. Pero en la pr\u00e1ctica cl\u00ednica diaria nos encontramos a veces con situaciones de atrofia que van a requerir un aumento del reborde alveolar para poder proseguir con la colocaci\u00f3n de los implantes. O la utilizaci\u00f3n de regeneraci\u00f3n \u00f3sea simult\u00e1nea a la colocaci\u00f3n de los implantes para el tratamiento de fenestraciones y dehiscencias resultado del fresado de estas crestas atr\u00f3ficas.<\/p>\n\n\n\n<p>Como se muestra a continuaci\u00f3n, en este caso cl\u00ednico, las actuales t\u00e9cnicas de regeneraci\u00f3n \u00f3sea guiada (ROG) son una excelente alternativa para la obtenci\u00f3n de resultados est\u00e9ticos satisfactorios en la regeneraci\u00f3n de defectos periimplantarios.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Presentaci\u00f3n del caso<\/strong><strong><\/strong><\/h2>\n\n\n\n<p>Paciente de 58 a\u00f1os, no fumadora, al\u00e9rgica al Enantyum y a medicamentos\nefervescentes como \u00fanico antecedente m\u00e9dico de inter\u00e9s, acudi\u00f3 a la consulta para\nsustituir la pr\u00f3tesis removible inferior que llevaba por varias ausencias dentales\nen el sector anterior, tercer y cuarto cuadrantes, por una rehabilitaci\u00f3n fija.<\/p>\n\n\n\n<p>En el examen intraoral inicial se observ\u00f3\nun reborde alveolar \u00f3ptimo a nivel coronal,\npero con presencia de gran concavidad \u00f3sea en apical a nivel anteroinferior.<strong><\/strong><\/p>\n\n\n\n<p>Se plante\u00f3 la colocaci\u00f3n de dos implantes dentales en la zona anteroinferior, con regeneraci\u00f3n \u00f3sea guiada simult\u00e1nea durante la misma cirug\u00eda y la posterior colocaci\u00f3n diferida de un puente metal-cer\u00e1mica de cuatro piezas de 42 a 32. Adem\u00e1s de la colocaci\u00f3n de tres implantes en las posiciones 46, 34 y 36, para rehabilitar tambi\u00e9n mediante pr\u00f3tesis ceramo-met\u00e1licas.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/3_21-1.jpg\" alt=\"Imagen radiol\u00f3gica inicial de las piezas ausentes.\" class=\"wp-image-3329\" \/><figcaption>Imagen radiol\u00f3gica inicial de las piezas ausentes<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Fase quir\u00fargica<\/strong><\/h2>\n\n\n\n<p>Se anestesi\u00f3 a la paciente y se realiz\u00f3 un colgajo desde la zona distal\nde la pieza 43 hasta la 36. Seguidamente se colocaron dos implantes Biomimetic\nOcean IC de Avinent de 3.5&#215;10 en las posiciones 32 y 42. <\/p>\n\n\n\n<p>Para respetar la posici\u00f3n tridimensionalmente correcta del\nimplante se produjo una fenestraci\u00f3n \u00f3sea, quedando expuesta la parte apical\ndel \u00e1pice del implante casi hasta la mitad de su longitud en 42 y un tercio en 32.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8_11.jpg\" alt=\"\" data-id=\"3317\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3317\" class=\"wp-image-3317\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_3-1.jpg\" alt=\"\" data-id=\"3318\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3318\" class=\"wp-image-3318\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/5_4-1.jpg\" alt=\"\" data-id=\"3319\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3319\" class=\"wp-image-3319\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42  <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-gallery columns-2 is-cropped wp-block-gallery-2 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_5-1.jpg\" alt=\"\" data-id=\"3315\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3315\" class=\"wp-image-3315\" \/><figcaption>Detalles de la fenestracions \u00f3sea tras la colocaci\u00f3n de los implantes en la posici\u00f3n prot\u00e9sica correcta <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"292\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/11_12.jpg\" alt=\"\" data-id=\"3316\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3316\" class=\"wp-image-3316\" \/><figcaption>Detalles de la fenestracions \u00f3sea tras la colocaci\u00f3n de los implantes en la posici\u00f3n prot\u00e9sica correcta <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>Para tratar el defecto se realiz\u00f3 una regeneraci\u00f3n \u00f3sea simult\u00e1nea al proceso quir\u00fargico, con injerto de hueso aut\u00f3logo del propio paciente. En la parte interna del injerto se utiliz\u00f3 hueso cortical aut\u00f3logo obtenido a partir del raspado (Safescraper) y del fresado biol\u00f3gico, a bajas revoluciones y sin irrigaci\u00f3n, de los otros lechos implantarios. En la capa externa de la regeneraci\u00f3n se utiliz\u00f3 xenoinjerto (Genoss, Osteogenos) y se cubri\u00f3 con una membrana de barrera de col\u00e1geno reabsorbible (Evolution STD, Osteogenos). Se sutur\u00f3 la membrana con sutura reabsorbible PGA a periosotio para darle fijaci\u00f3n, evitando as\u00ed una posterior reentrada para extraer elementos de fijaci\u00f3n como las chinchetas. <\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-3 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9_16.jpg\" alt=\"\" data-id=\"3320\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3320\" class=\"wp-image-3320\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera<\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/10_14.jpg\" alt=\"\" data-id=\"3321\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3321\" class=\"wp-image-3321\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/13_8.jpg\" alt=\"\" data-id=\"3322\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3322\" class=\"wp-image-3322\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9_6-1.jpg\" alt=\"\" data-id=\"3323\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3323\" class=\"wp-image-3323\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/11_17.jpg\" alt=\"\" data-id=\"3324\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3324\" class=\"wp-image-3324\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_19.jpg\" alt=\"\" data-id=\"3325\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3325\" class=\"wp-image-3325\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6_10.jpg\" alt=\"\" data-id=\"3326\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3326\" class=\"wp-image-3326\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9_20.jpg\" alt=\"\" data-id=\"3327\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3327\" class=\"wp-image-3327\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8_18.jpg\" alt=\"\" data-id=\"3328\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3328\" class=\"wp-image-3328\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera <\/figcaption><\/figure><\/li><\/ul>\n\n\n\n<p>En el sector posterior se colocaron tres implantes Biomimetic Ocean IC de 4.0&#215;10 en las posiciones 36, 34 y 46 con carga diferida. Se realiz\u00f3 tambi\u00e9n una peque\u00f1a regeneraci\u00f3n con hueso aut\u00f3logo en el implante en la posici\u00f3n 34, donde no hab\u00eda exposici\u00f3n, pero hab\u00eda quedado una cortical vestibular muy fina tras la inserci\u00f3n del implante. <\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_22.jpg\" alt=\"Imagen radiol\u00f3gica tras la colocaci\u00f3n de los implantes\" class=\"wp-image-3330\" \/><figcaption>Imagen radiol\u00f3gica tras la colocaci\u00f3n de los implantes<\/figcaption><\/figure>\n\n\n\n<p>Tras un\npostoperatorio sin complicaciones, se procedi\u00f3 a la colocaci\u00f3n de pilares de\ncicatrizaci\u00f3n en una segunda etapa quir\u00fargica a los 5 meses. Transcurridos seis\nmeses de la colocaci\u00f3n de los implantes, se procedi\u00f3 a cargar la restauraci\u00f3n\nprot\u00e9sica final de metal-cer\u00e1mica.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/5_23.jpg\" alt=\"Control radiol\u00f3gico a 1 a\u00f1o de la colocaci\u00f3n de los implantes y la regeneraci\u00f3n \u00f3sea.\" class=\"wp-image-3331\" \/><figcaption>Control radiol\u00f3gico a 1 a\u00f1o de la colocaci\u00f3n de los implantes y la regeneraci\u00f3n \u00f3sea<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Conclusiones <\/strong><\/h2>\n\n\n\n<p>Actualmente los implantes dentales constituyen una\nalternativa terap\u00e9utica muy aceptada a la hora de sustituir dientes perdidos.\nPero como toda alternativa terap\u00e9utica, no est\u00e1n exentos de riego y se exige el\ncumplimiento de una serie de condiciones para asegurar el \u00e9xito del tratamiento\na largo plazo.<\/p>\n\n\n\n<p>Es primordial disponer de suficiente tejido \u00f3seo para poder\ncolocar los implantes en la posici\u00f3n del espacio adecuada en funci\u00f3n de la\nrestauraci\u00f3n prot\u00e9sica planificada. Para ello muchas veces se requiere de\ntratamientos de regeneraci\u00f3n \u00f3sea simult\u00e1neos a la colocaci\u00f3n de los implantes,\nconsider\u00e1ndolas t\u00e9cnicas predecibles en defectos menores como dehiscencias y\nfenestraciones.<\/p>\n\n\n\n<ul class=\"wp-block-gallery columns-3 is-cropped wp-block-gallery-4 is-layout-flex wp-block-gallery-is-layout-flex\"><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/4_3-2.jpg\" alt=\"\" data-id=\"3333\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3333\" class=\"wp-image-3333\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42   <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6_4-2.jpg\" alt=\"\" data-id=\"3334\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3334\" class=\"wp-image-3334\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42   <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/10_11-1.jpg\" alt=\"\" data-id=\"3335\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3335\" class=\"wp-image-3335\" \/><figcaption>Imagen post-colocaci\u00f3n de los implantes Biomimetic Ocean IC en posici\u00f3n 32 y 42   <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8_5-2.jpg\" alt=\"\" data-id=\"3336\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3336\" class=\"wp-image-3336\" \/><figcaption>Detalles de la fenestracions \u00f3sea tras la colocaci\u00f3n de los implantes en la posici\u00f3n prot\u00e9sica correcta  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_6-2.jpg\" alt=\"\" data-id=\"3337\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3337\" class=\"wp-image-3337\" \/><figcaption>Detalles de la fenestracions \u00f3sea tras la colocaci\u00f3n de los implantes en la posici\u00f3n prot\u00e9sica correcta  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6_12-1.jpg\" alt=\"\" data-id=\"3338\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3338\" class=\"wp-image-3338\" \/><figcaption>Detalles de la fenestracions \u00f3sea tras la colocaci\u00f3n de los implantes en la posici\u00f3n prot\u00e9sica correcta  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/3_16-1.jpg\" alt=\"\" data-id=\"3339\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3339\" class=\"wp-image-3339\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9_8-1.jpg\" alt=\"\" data-id=\"3340\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3340\" class=\"wp-image-3340\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/8_14-1.jpg\" alt=\"\" data-id=\"3342\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3342\" class=\"wp-image-3342\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/4_7.jpg\" alt=\"\" data-id=\"3344\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3344\" class=\"wp-image-3344\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img decoding=\"async\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/6_6-3.jpg\" alt=\"\" data-id=\"3345\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3345\" class=\"wp-image-3345\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/3_19-1.jpg\" alt=\"\" data-id=\"3346\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3346\" class=\"wp-image-3346\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/2_20-1.jpg\" alt=\"\" data-id=\"3347\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3347\" class=\"wp-image-3347\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/9_15.jpg\" alt=\"\" data-id=\"3348\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3348\" class=\"wp-image-3348\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/7_18-1.jpg\" alt=\"\" data-id=\"3349\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3349\" class=\"wp-image-3349\" \/><figcaption>Secuencia de im\u00e1genes del cubrimiento de la exposici\u00f3n con injerto \u00f3seo particulado y membrana de barrera  <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/2_22-1.jpg\" alt=\"\" data-id=\"3350\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3350\" class=\"wp-image-3350\" \/><figcaption>Imagen radiol\u00f3gica tras la colocaci\u00f3n de los implantes <\/figcaption><\/figure><\/li><li class=\"blocks-gallery-item\"><figure><img loading=\"lazy\" decoding=\"async\" width=\"858\" height=\"600\" src=\"https:\/\/avinent.com\/wp-content\/uploads\/2024\/11\/2_23-1.jpg\" alt=\"\" data-id=\"3351\" data-link=\"https:\/\/blog.avinent.com\/?attachment_id=3351\" class=\"wp-image-3351\" \/><figcaption>Control radiol\u00f3gico a 1 a\u00f1o de la colocaci\u00f3n de los implantes y la regeneraci\u00f3n \u00f3sea 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