-
01/33 - Initial situation - A young female 34 years old lost her front teeth in an surfing accident and she had a 5 unit bridge supported by her upper left lateral and right canine. The restoration failed and both supporting crowns have exposed and leaking margins.
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
02/33 - Initial situation - A young female 34 years old lost her front teeth in an surfing accident and she had a 5 unit bridge supported by her upper left lateral and right canine. The restoration failed and both supporting crowns have exposed and leaking margins.
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
03/33 - Elevating the surgical flap and cleaning the surgical area from the granulation tissue
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
04/33 - Cortectomy was performed with high speed round burr
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
05/33 - Shaping and preparing of permamem®.
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
06/33 - Membrane adaptation with fixation screws on the buccal side
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
07/33 - Horizontal bone regeneration using layering technique with initial layer of maxgraft® particles mixed with cerabone® (0.5- 1.0 mm)
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
08/33 - Horizontal bone regeneration using layering technique with initial layer of maxgraft® particles mixed with cerabone® (0.5- 1.0 mm)
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
09/33 - Second layer of cerabone® (0.5- 1.0) of 0.5 cc to create convexity
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
10/33 - Second layer of cerabone® (0.5- 1.0) of 0.5 cc to create convexity
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
11/33 - Stabilizing the membrane palatal with 4/0 proline sutures.
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
12/33 - Stabilizing the membrane palatal with 4/0 proline sutures
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
13/33 - Final sutures closed under no tension and fixing and adjusting the temporary bridge
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
14/33 - Final sutures closed under no tension and fixing and adjusting the temporary bridge
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
15/33 - Initial situation - 24 w after initial horizontal GBR. permamem® is intact and kept the graft in stabile position. Acceptable ridge countering has been achieved and membrane has been removed
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
16/33 - Initial situation - 24 w after initial horizontal GBR. permamem® is intact and kept the graft in stabile position. Acceptable ridge countering has been achieved and membrane has been removed
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
17/33 - Stability and density of the bone graft particles after membrane removal
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
18/33 - Stability and density of the bone graft particles after membrane removal
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
19/33 - Implant placement in the correct 4D position following the prosthetically driven placement. For central incisions in the cingulum region
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
20/33 - Implant placement in the correct 4D position following the prosthetically driven placement. For central incisions in the cingulum region
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
21/33 - Guided bone regeneration after implant placement using cerabone® (0.5- 1.0 mm) shaped to create convexity and covered by two mucoderm® (15x20 mm) used as a soft tissue graft as well as a membrane over the cerabone®. mucoderm® was stabilised with stabilising sutures on each side
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
22/33 - Guided bone regeneration after implant placement using cerabone® (0.5- 1.0 mm) shaped to create convexity and covered by two mucoderm® (15x20 mm) used as a soft tissue graft as well as a membrane over the cerabone®. mucoderm® was stabilised with stabilising sutures on each side
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
23/33 - Closure sutures and fit of the temporary bridge - cemented on the adjacent peeped teeth
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
24/33 - Closure sutures and fit of the temporary bridge - cemented on the adjacent peeped teeth
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
25/33 - Preparation and fit of fixed screw retained temporary bridge and temporary crowns of the adjacent teeth for soft tissue contouring 18 weeks after implant placement
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
26/33 - Impression and customising the impression pick ups and taking an implant impression for UR1 and UL1 implants with open tray technique 22 weeks after implant placement
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
27/33 - Impression and customising the impression pick ups and taking an implant impression for UR1 and UL1 implants with open tray technique 22 weeks after implant placement
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
28/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
29/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
30/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
31/33 - Final result 3 months after implant placement surgery and 2 weeks after final prosthetic integration , showing sufficient ridge contouring around the UR1 and UL1 dental implants and satisfactory peri-implant soft tissue thickness
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
32/33 - Final result 3 months after implant placement surgery and 2 weeks after final prosthetic integration , showing sufficient ridge contouring around the UR1 and UL1 dental implants and satisfactory peri-implant soft tissue thickness
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
-
33/33 - Smile line and harmonisation of white and pink aesthetic.
Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva