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Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho
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1/24 - Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
2/24 - Curved probe indicates deep furcation involvement
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
3/24 - Probe indicates class 2 furcation involvement. Removal of inadequate class 5 restoration reveals deep crown and roots abrasion
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
4/24 - Deep extremely narrow furcation and deep root abrasion indicates poor prognosis
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
5/24 - Tooth removal reveals advanced socket buccal walls resorption
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
6/24 - Radiograph reveals apparent low sinus floor
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
7/24 - Socket preservation using maxgraft® cortico-cancellous granules as bone grafting material
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
8/24 - permamem® is placed to seal the socket and sutured under the flaps
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
9/24 - Radiograph demonstrating bone graft just slightly coronal to socket bony walls
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
10/24 - At 1 week checkup the membrane evidently exfoliated due to mistakenly not extending its margins deep enough under the flaps
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
11/24 - At 2 weeks there seem to be no loss of grafted bone particles
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
12/24 - At 1 month there is almost complete epithelial closure of the socket with only few bone particles partly protruding on the surface
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
13/24 - At 2 months: complete soft tissue healing
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
14/24 - At 6 months post socket preservation there is complete soft tissue maturation
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
15/24 - At 6 months a typical dome shaped radiopacity denotes sinus floor elevation using the “closed” vertical approach
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
16/24 - An implant (MIS V3) is placed slightly subcrestally
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
17/24 - Implant placement is followed by complete flap coverage
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
18/24 - 4 months post implant placement the implant is evidently well embedded in the surrounding regenerated bone
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
19/24 - Connection of the healing cap
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
20/24 - Final Zirconia Crown, lateral view
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
21/24 - Final Zirconia Crown, occlusal view
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
22/24 - Final Zirconia Crown, radiographic control
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
23/24 - Final Zirconia Crown at 2-year follow up, lateral view
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho -
24/24 - Final Zirconia Crown at 2-year follow up, radiographic control
Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho
Initial clinical situation.
Initial clinical situation.
Initial clinical situation.
Baseline clinical situation.
Grafting of the extraction socket with small cerabone® granules.
Situation before tooth extraction
Situation after tooth extraction.
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.
Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling
Pre-surgical situation.
Initial clinical situation.
Initial clinical situation showing bone wall defect.
Pre-operative situation. Lateral view.
Situation before tooth extraction.
Situation after tooth extraction.
Initial clinical situation with pronounced vertical and horizontal bone defect
Initial panoramic x-ray with failing tooth 16
Implant placed in the deficient site. permamem® in place for covering.
Initial clinical situation. Atrophic maxillary ridge.
Intra-operative view.
Extraction socket with bone wall defect
Immediately placed implant covered with permamem®. permamem® passively immobilized by sutures and intentionally left exposed to the oral cavity.
Baseline clinical situation.
