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1/18 - Initial situation pre-op: Central incisors with mobility 3
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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2/18 - Extraction of all incisors
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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3/18 - Situation after extraction. Alveolar with severe bone loss
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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4/18 - Trephine 6 mm to prepare a ring bed for maxgraft® bonering 6 mm
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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5/18 - Planator 6 mm to create a flat ring bed and press-fit for the maxgraft® bonering
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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6/18 - Implantation of maxgraft® bonering and implant bed preparation 2.8 mm drill through the ring
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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7/18 - Implantation of Straumann BLT Implant Ø3.3 mm
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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8/18 - Implantation of two maxgraft® bonering and two Straumann BLT Implants Ø3.3 mm 10 mm
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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9/18 - Preparation of platelet-rich fibrin from patients blood
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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10/18 - Contouring the defect with cerabone® and use of Jason® membrane as resorption protection
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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11/18 - PRF-membrane to support wound healing
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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12/18 - Explantation of a bone gingiva graft for socket preservation
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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12/18 - Bone-gingiva graft
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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13/18 - Tension-free sutures and horizontal mattress sutures to remove tension from the muscles of the oral cavity
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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14/18 - Crestal view after suturing the graft for optimal vascularization
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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15/18 - Final outcome after surgery
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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16/18 - 6 months after surgery: healthy soft tissue
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen
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17/18 - 6 months after surgery temporary prosthetics in place
Restoration of all four incisors with two maxgraft® bonering - Dr. B Giesenhagen