Mucosal thickening around bone level implants - Dr. A. Puisys
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1/10 - Full-thickness flap preparation bucally and linguallyMucosal thickening around bone level implants - Dr. A. Puisys
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2/10 - Bone preparation for Straumann® bone level implantMucosal thickening around bone level implants - Dr. A. Puisys
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3/10 - Implant insertion and contouring crestal bone with straight handpieceMucosal thickening around bone level implants - Dr. A. Puisys
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4/10 - Rehydrated mucoderm® perforated and pulled over the healing capMucosal thickening around bone level implants - Dr. A. Puisys
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5/10 - The margins of the flap are adapted and sutured leaving the abutment openMucosal thickening around bone level implants - Dr. A. Puisys
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6/10 - Situation 1 week postoperative and after suture removalMucosal thickening around bone level implants - Dr. A. Puisys
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7/10 - Wider healing abutment after 4 monthsMucosal thickening around bone level implants - Dr. A. Puisys
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8/10 - Smooth emergence profile visible after removal of the healing abutmentMucosal thickening around bone level implants - Dr. A. Puisys
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9/10 - Final restoration 5 months post-operativeMucosal thickening around bone level implants - Dr. A. Puisys
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10/10 - Stable clinical situation after 5 yearsMucosal thickening around bone level implants - Dr. A. Puisys

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Initial situation: missing teeth #11 & 12 and badly broken #21 root

Drilling template for guided implant placement

Initial clinical situation showing strongly compromised tooth 21

Pre-surgical clinical situation. Deep gingival recessions at both upper canine.

Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.

Multiple adjacent gingival recessions.

X-ray shows a 3-dimensional periondontal defect

Initial clinical situation with lack of keratinized tissue

Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function

Intact socket following atraumatic tooth extraction

X-ray of initial clinical situation

Initial clinical situation

Alveolar socket before soft and hard tissue augmentation

Clinical situation before surgery

Initial clinical situation

Initial clinical situation with traumatic loss of tooth 21

Longitudinal fracture on the root resected tooth 21 with visible buccal fistula

X-ray showing endodontic failure of the molar

Initial clinical situation with Miller class 1 recession

Initial clinical situation

Initial clinical situation

Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.

Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.

recession on tooth 11

Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla

Initial clinical situation

Tooth extraction due to root fracture