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Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan
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01/11 - Initial X-ray presenting a very deep intrabony defect of tooth 21
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
02/11 - Initial probing depth of 12 mm before non-surgical therapy
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
03/11 - Probing depth of 10 mm after non-surgical therapy with a 13 mm clinical attachment level (CAL)
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
04/11 - Access to the defect using EPP technique by avoiding an incision over the defect-associated papilla. Note: the osseous defect involving the apex
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
05/11 - Application of maxgraft® granules to fill the defect
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
06/11 - Trimming of collprotect® membrane according to the osseous defect morphology
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
07/11 - Application of the membrane to cover the defect, stabilised with sutures
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
08/11 - Primary wound closure with microsurgical suturing technique
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
09/11 - Early wound healing at 7 days post-operative
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
10/11 - Resolution of the defect at 1-year with 3 mm probing depth and 7 mm CAL gain
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
11/11 - Control x-ray at 1-year follow-up
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan
Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.
Pre-surgical probing reveals a deep intrabony defect on the distal aspect of the upper canine.
Pre-operative radiograph. Intrabony defect on the mesial aspect of tooth 14.
Surgical presentation of the alveolar ridge with reduced amount of horizontal bone available
OPG of the initial situation – provision of missing denture in regio 44 to 47 by a resin-retained bridge
Baseline clinical situation.
Situation before extraction of the teeth
Initial clinical situation
Initial situation after extraction of tooth 21 after 6 months
Preparation of a single tooth defect with severely resorbed vestibular wall
Surgical presentation of the alveolar ridge with reduced amount of horizontal bone available
DVT control after sinusitis surgery, residual bone height 1 mm
DVT image showing the reduced amount of bone available in the area of the mental foramen
Extraction socket with bone wall defect
Situation before tooth extraction
Initial clinical situation
Clinical situation with narrow alveolar ridge in the lower jaw
Extended horizontal and vertical defect of the maxilla following tumor resection and reconstruction with a scapula graft
Clinical situation of the edentulous distal maxilla before the surgery
Pre-operative x-ray control
The patient presented with a terminal fracture of the crown tooth number 12
Alveolar socket before soft and hard tissue augmentation
Pre-operative situation; tooth 21 proved not to be worth preserving
