GBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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1/27 - Initial situation after extraction of tooth 21 after 6 monthsGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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2/27 - Initial situation occlusal view: visible buccal bone lossGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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3/27 - Initial situation occlusal view: visible buccal bone lossGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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4/27 - Buccal bone loss in situGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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5/27 - Osteotomy for implant positionGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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6/27 - Placing the Straumann BLT implant 4.1 x 14 mm in an aesthetic mannerGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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7/27 - maxgraft® cancellous granulesGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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8/27 - Hydrated cerabone®GBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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9/27 - Periosteal incision to release the mucogingival flapGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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10/27 - Template for membrane in situGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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11/27 - Membrane to cut according to templateGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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12/27 - GBR using layering technique: maxgraft® granules to cover the implant and cerabone® as following stepGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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13/27 - Layer of cerabone® applied as resorption protectionGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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14/27 - Occlusal view on augmented areaGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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15/27 - Jason® membrane to cover the augmentation site and prevent soft tissue cells to proliferate into the siteGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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16/27 - Sutured free of tensionGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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17/27 - Healing after 12 weeks after placement RC healing abutment 5x4 was visibleGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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18/27 - Prep for prosthetic restorationGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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19/27 - A temporary crown was built chair siteGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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20/27 - Protemp shade A3 was used and the surgical guide to build it with an RC metal temporary abutmentGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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21/27 - Shaping and polishing of the temporary crownGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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22/27 - After shaping gingiva with temporary crown site was ready for the integration of the final crownGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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23/27 - Screwn-retainable crownGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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24/27 - Occusal view after integration of the crown shows regenerated hard tissue on the buccal aspectGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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25/27 - CBCT scan was taken 20 weeks after placement showing 2.5 mm labial bone (with the temporary crown in place)GBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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26/27 - CT shows 2.4 mm bone gain on the shoulder of implant for a long-term aesthetic outcomeGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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27/27 - Final aesthetic result 24 weeks after implant placementGBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva
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
Initial clinical situation.
Initial clinical situation
Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling
Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss
Extraction socket with bone wall defect
Situation before tooth extraction
Initial clinical situation
Initial X-ray presenting a very deep intrabony defect of tooth 21
Implant placed in the deficient site. permamem® in place for covering.
Initial situation – Treatment plan: Replace the adhesive upper left central incisor bridge with a dental implant
Occlusal view of attached maxgraft® cortico at the buccal site
Initial x-ray, tooth 25 compromised and to be extracted
Clinical situation at baseline: Situation after tooth extraction UR1 due to a failed endodontic treatment 3 months previously
Alveolar socket before soft and hard tissue augmentation
Pre-operative situation; tooth 21 proved not to be worth preserving
Initial clinical situation: 9 mm pocket depth associated with root fracture
Initial situation - A young female 34 years old lost her front teeth in an surfing accident and she had a 5 unit bridge supported by her upper left lateral and right canine. The restoration failed and both supporting crowns have exposed and leaking margins.
Initial situation - endodontically failing tooth 22, very thin biotype, high lip line and esthetic expectations
Preoperative x-ray, severe bone atrophy
Initial situation - broken and missing upper right central incisor (UR1). This tooth was removed long time ago and there were signs of bone loss and resorption due to the bone remodelling. Patient was also undergoing orthodontic treatment due to the loss of mesio-distal space.


























