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1/32 - Initial presentation of failing post retained crown with previous history of failed apicectomies and amalgam tattooing and scar tissue
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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2/32 - Patient is generally fit and well and concerned about the aesthetic failure of the upper left central incisor
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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3/32 - Preoperative X-ray
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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4/32 - Removal of failing tooth at UL1 and socket grafted with Platelet Derived Growth Factor to improve soft tissue quality
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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5/32 - Removal of failing tooth at UL1 and socket grafted with Platelet Derived Growth Factor to improve soft tissue quality
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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6/32 - Removal of failing tooth at UL1 and socket grafted with Platelet Derived Growth Factor to improve soft tissue quality
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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7/32 - Immediate denture fitted
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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8/32 - At 8 weeks later the soft tissue was reviewed and healing well
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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9/32 - CT scan shows vertical and horizontal ridge defect
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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10/32 - Two weeks later the bone ring technique was employed to place a Straumann BLT 12mm fixture and maxgraft® bonering
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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11/32 - Preparation of defect site
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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12/32 - Preparing the ring bed with trephine
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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13/32 - Preparing the ring bed with planator
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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14/32 - Placing the maxgraft® bonering
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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15/32 - Inserting a Straumann BLT 12 mm implant
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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16/32 - Applying cerabone® for resorption protection
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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17/32 - Applying Jason® membrane
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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18/32 - Suturing
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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19/32 - The denture tooth needed to be eased at the neck which demonstrated the increased height of vertical and horizontal bone
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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20/32 - postoperative X-ray
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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21/32 - maxgraft® bonering was left to heal uninterrupted for five months
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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22/32 - Then a small h shaped incision was used to expose the fixture head for a digital scan to be taken
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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23/32 - Then a small h shaped incision was used to expose the fixture head for a digital scan to be taken
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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24/32 - A temporary acrylic screw retained crown was made and fitted to develop a customised emergence profile
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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25/32 - A temporary acrylic screw retained crown was made and fitted to develop a customised emergence profile
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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26/32 - Temporary restoration
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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27/32 - After approximately six weeks to allow stabilisation of the soft tissue profile a new intraoral scan was taken to fabricate the definitive screw retained crown
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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28/32 - Definitive screw retained crown
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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29/32 - The case remains a relative aesthetic failure due to amalgam tattoo scarring but the patient is very happy
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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30/32 - Final smile
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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31/32 - Final situation
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts
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32/32 - Final x-ray
Bone augmentation in the aesthetic zone with maxgraft® bonering – Dr. R. Cutts