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“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius
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01/13 - Pre-operative situation.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
02/13 - Intra-operative view.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
03/13 - Situation following implant placement.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
04/13 - Application of Straumann® Emdogain® prior soft tissue grafting.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
05/13 - mucoderm® rehydrated and cut into shape.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
06/13 - Soft tissue grafting with mucoderm®. The collagen matrix is pulled over the healing cap.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
07/13 - Additional Straumann® Emdogain® applied on top of mucoderm® before flap closure.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
08/13 - Suturing to achieve primary wound closure.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
09/13 - Radiographic control.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
10/13 - Situation two weeks post-operative.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
11/13 - Final prosthetic restoration at one year post-operative.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
12/13 - Final prosthetic restoration at one year post-operative.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius -
13/13 - Radiographic control one year post-operative.
“Poncho technique” with mucoderm® and Straumann® Emdogain® for peri-implant soft tissue augmentation - Dr. A. Puišys, Dr. E. Vindašiūtė-Narbutė, Dr. T. Linkevičius
Initial view of the case. Discoloration of 1.1 and mild class I gingival recession
Initial clinical situation with Miller class 1 recession
Initial clinical situation
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
Full-thickness flap preparation bucally and lingually
Initial situation: missing teeth #11 & 12 and badly broken #21 root
Drilling template for guided implant placement
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
X-ray of initial clinical situation
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
