Soft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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1/17 - Initial clinical situationSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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2/17 - X-ray shows root fracture of tooth 21Soft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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3/17 - Situation after atraumatic tooth extraction and suturing of wound marginsSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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4/17 - Obvious bone and soft tissue lossSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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5/17 - Extensive vestibular wall defectSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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6/17 - Early placed implantSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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7/17 - Rehydration of mucoderm® in sterile saline solutionSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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8/17 - Placement of mucoderm® into the defectSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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9/17 - Bone augmentation with maxgraft® granulesSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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10/17 - Tension-free wound closure, occlusal viewSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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11/17 - Tension-free wound closureSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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12/17 - Post-operative healing at 2 weeksSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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13/17 - Post-operative healing at 24 weeksSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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14/17 - Provisional restoration with a crown on tooth 21Soft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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15/17 - Well-shaped emergence profile, occlusal viewSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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16/17 - Well-shaped emergence profile for final prosthetic toothSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys
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17/17 - Final prosthetic restorationSoft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys

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

Initial clinical situation with Miller class 1 recession

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

Full-thickness flap preparation bucally and lingually

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

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