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Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Smile frontal view: the smile is unharmonious due to the missing teeth

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

CBCT sagittal view of the defect. A bone augmentation must be performed in order to correct the defect to allow implant placement.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

CBCT occlusal view of the defect. A bone augmentation must be performed in order to correct the defect to allow allow implant placement.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Pre-operative anterior lateral view

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Treatment planning: Horizontal augmentation with maxgraft® bonebuilder

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Recipient site after a full thickness flap elevation: cortical perforations

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

maxgraft® bonebuilder block stabilized with two screws

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Tension free sutures allowing a primary intention healing

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Site after six months of healing

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

CBCT sagittal view at 6 months follow-up. Observe the volume enhancement. Implants can be favorably placed.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

CBCT occlusal view at 6 months follow-up. Observe the volume enhancement. Implants can be favorably placed.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Surgical screw removal before the implant surgery. A large flap was therefore avoided during the implant placement.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Re-entry after 2 weeks soft tissue healing. Pilot drills have been used in the implant’s posterior site.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Straumann BLT Implants placed after drilling protocol (12: 3.3x10mm, 14: 4.1x10 mm, 15:4.1x10mm). Their position allows a screw-retained restoration.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Orthopantomogram after implant placement

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Soft tissue healing four weeks after implant placement

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Occlusal view of the implants with SRA abutments positioned: A provisional bridge allowed harmonious emergence profiles.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Zirconia Framework try-in. After clinical control of the passivity, the proper adaptation on the SRA abutment is checked through an orthopantomogram.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Occlusal view of the final bridge after placement.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Intra-oral view of the final bridge with an adequate esthetic integration.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Patient smile after rehabilitation.

, Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. Dagba and Mourlaas

Orthopantomogram at 2-years follow-up. Note the favorable adaptation of the prosthesis and the bone stability.