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1/27 - Initial situation after extraction of tooth 21 after 6 months
GBR 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 loss
GBR 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 loss
GBR 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 situ
GBR 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 position
GBR 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 manner
GBR 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 granules
GBR 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 flap
GBR 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 situ
GBR 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 template
GBR 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 step
GBR 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 protection
GBR 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 area
GBR 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 site
GBR 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 tension
GBR 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 visible
GBR 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 restoration
GBR 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 site
GBR 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 abutment
GBR 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 crown
GBR 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 crown
GBR 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 crown
GBR 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 aspect
GBR 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 outcome
GBR 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 placement
GBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva