Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva

01/33 - 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.

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
02/33 - 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.

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
03/33 - Elevating the surgical flap and cleaning the surgical area from the granulation tissue

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
04/33 - Cortectomy was performed with high speed round burr

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
05/33 - Shaping and preparing of permamem®.

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
06/33 - Membrane adaptation with fixation screws on the buccal side

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
07/33 - Horizontal bone regeneration using layering technique with initial layer of maxgraft® particles mixed with cerabone® (0.5- 1.0 mm)

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
08/33 - Horizontal bone regeneration using layering technique with initial layer of maxgraft® particles mixed with cerabone® (0.5- 1.0 mm)

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
09/33 - Second layer of cerabone® (0.5- 1.0) of 0.5 cc to create convexity

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
10/33 - Second layer of cerabone® (0.5- 1.0) of 0.5 cc to create convexity

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
11/33 - Stabilizing the membrane palatal with 4/0 proline sutures.

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
12/33 - Stabilizing the membrane palatal with 4/0 proline sutures

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
13/33 - Final sutures closed under no tension and fixing and adjusting the temporary bridge

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
14/33 - Final sutures closed under no tension and fixing and adjusting the temporary bridge

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
15/33 - Initial situation - 24 w after initial horizontal GBR. permamem® is intact and kept the graft in stabile position. Acceptable ridge countering has been achieved and membrane has been removed

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
16/33 - Initial situation - 24 w after initial horizontal GBR. permamem® is intact and kept the graft in stabile position. Acceptable ridge countering has been achieved and membrane has been removed

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
17/33 - Stability and density of the bone graft particles after membrane removal

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
18/33 - Stability and density of the bone graft particles after membrane removal

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
19/33 - Implant placement in the correct 4D position following the prosthetically driven placement. For central incisions in the cingulum region

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
20/33 - Implant placement in the correct 4D position following the prosthetically driven placement. For central incisions in the cingulum region

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
21/33 - Guided bone regeneration after implant placement using cerabone® (0.5- 1.0 mm) shaped to create convexity and covered by two mucoderm® (15x20 mm) used as a soft tissue graft as well as a membrane over the cerabone®. mucoderm® was stabilised with stabilising sutures on each side

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
22/33 - Guided bone regeneration after implant placement using cerabone® (0.5- 1.0 mm) shaped to create convexity and covered by two mucoderm® (15x20 mm) used as a soft tissue graft as well as a membrane over the cerabone®. mucoderm® was stabilised with stabilising sutures on each side

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
23/33 - Closure sutures and fit of the temporary bridge - cemented on the adjacent peeped teeth

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
24/33 - Closure sutures and fit of the temporary bridge - cemented on the adjacent peeped teeth

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
25/33 - Preparation and fit of fixed screw retained temporary bridge and temporary crowns of the adjacent teeth for soft tissue contouring 18 weeks after implant placement

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
26/33 - Impression and customising the impression pick ups and taking an implant impression for UR1 and UL1 implants with open tray technique 22 weeks after implant placement

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
27/33 - Impression and customising the impression pick ups and taking an implant impression for UR1 and UL1 implants with open tray technique 22 weeks after implant placement

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
28/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
29/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
30/33 - Final cement retained porcelain implant crowns on CAD/CAM Ti abutments

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
31/33 - Final result 3 months after implant placement surgery and 2 weeks after final prosthetic integration , showing sufficient ridge contouring around the UR1 and UL1 dental implants and satisfactory peri-implant soft tissue thickness

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
32/33 - Final result 3 months after implant placement surgery and 2 weeks after final prosthetic integration , showing sufficient ridge contouring around the UR1 and UL1 dental implants and satisfactory peri-implant soft tissue thickness

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva
33/33 - Smile line and harmonisation of white and pink aesthetic.

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva

Ridge preservation with permamem®, maxgraft® granules and autologous bone - Dr. E. Valdimarsson

Baseline clinical situation.

Ridge preservation with maxgraft®, mucoderm® & Jason® membrane - Dr. F. Rojas-Vizcaya

Ridge preservation with maxgraft®, mucoderm® and Jason® membrane - Dr. Fernando Rojas-Vizcaya

Situation before extraction of the teeth

Soft tissue thickening at immediate implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys

Soft tissue thickening at immediate implant placement with GBR - Dr. A. Puisys

Initial clinical situation

GBR using layering technique in aesthetic zone with maxgraft® and cerabone® -Dr. H. Maghaireh and Dr. V. Ivancheva

Initial situation after extraction of tooth 21 after 6 months

Single tooth restoration with maxgraft® cortico - Dr. K. Chmielewski

Augmentation with maxgraft® cortico - Dr. K. Chmielewski

Preparation of a single tooth defect with severely resorbed vestibular wall

Treatment of a fenestration defect using maxgraft® and permamem® - Dr. Y. Kassem

Initial clinical situation.

Full arch GBR using cerabone®, maxgraft® and Jason® membrane with simultaneous implantation of 6 Straumann® implants - Dres. A. Signorio and G. Molina

Full arch GBR using botiss cerabone®, maxgraft® and Jason® membrane with simultaneous implantation of 6 Straumann® implants - Dres. A. Signorio and G. Molina

Initial clinical situation

Reconstruction of a single tooth defect with the shell technique - Dr. Andoni Jones

Initial clinical situation

Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys

Initial situation

Posterior socket preservation using maxgraft® and permamem® - Dr. C. Landsberg & Prof. N. Bichacho

Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling

Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher

Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss

Ridge preservation using permamem® and maxgraft® granules - Dr. A. Wöst

Extraction socket with bone wall defect

Socket preservation with permamem® and maxgraft® granules - Dr. P. Di Capua

Situation before tooth extraction

Soft tissue thickening at early implant placement and GBR with mucoderm® and maxgraft® - Dr. A. Puisys

Soft tissue thickening at early implant placement-Puisys

Initial clinical situation

Type II socket defect grafted and repaired in a flapless way using Jason® membrane and maxgraft® cortico-cancellous - Dr. A. Jones

Baseline

Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan

EPP for the treatment of a deep intrabony defect

Initial X-ray presenting a very deep intrabony defect of tooth 21

Implant placement and bone augmentation in the aesthetic zone using maxgraft® and permamem® - Dr. A. Puišys

Implant placed in the deficient site. permamem® in place for covering.

Block grafting in the aesthetic zone with maxgraft®, Jason® membrane and cerabone® - Dres. H. Maghaireh and V. Ivancheva

Initial situation – Treatment plan: Replace the adhesive upper left central incisor bridge with a dental implant

Simultaneous implantation and ridge augmentation using maxgraft® cortico, maxgraft® granules and mucoderm® - Dr. A. Puišys

Occlusal view of attached maxgraft® cortico at the buccal site

Maxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi

Maxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift with cerabone®, maxgraft® and Jason® membrane - Dres. C. Scognamiglio and A. Perucchi

Initial x-ray, tooth 25 compromised and to be extracted

GBR in aesthetic zone with maxgraft® and Jason® membrane - 5 year follow up - Dr. A. Jones

Clinical situation at baseline: Situation after tooth extraction UR1 due to a failed endodontic treatment 3 months previously

Socket augmentation using mucoderm®, maxgraft® and Straumann® Emdogain® - Dr. A. Puišys

Alveolar socket before soft and hard tissue augmentation

Socket preservation with mucoderm® & maxgraft® - Dr. A. Puisys

Pre-operative situation; tooth 21 proved not to be worth preserving

Horizontal/vertical GBR using cerabone®/maxgraft®, Jason® membrane/collprotect® membrane and Ti-mesh - Dr. A. Aziz

Initial clinical situation

Immediate implants in teeth number 12 and 11, with dual zone grafting using maxgraft® granules - Dr. A. Jones

Initial situation

Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger

Clinical situation

Full bone regeneration in extraction socket augmented with maxgraft® and Jason® membrane – Dr. C. Landsberg

Initial clinical situation: 9 mm pocket depth associated with root fracture

Horizontal GBR using permamem®, cerabone® and maxgraft® granules and soft tissue augmentation with mucoderm® - Dres. H. Maghaireh and V. Ivancheva

botiss-cerabone-permamem-maxgraft-mucoderm-horizontal-gbr-maghaireh

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.

Simultaneous GBR and implantation using maxgraft® granules and autologous bone - Dr. A. Jones

Initial situation - endodontically failing tooth 22, very thin biotype, high lip line and esthetic expectations

Sinus lift and lateral bone augmentation with cerabone® and maxgraft® - Dr. D. Chavarri Prado

Sinus lift and lateral bone augmentation with botiss cerabone® and maxgraft® - Dr. D. Chavarri Prado

Preoperative x-ray, severe bone atrophy

Delayed implant placement with GBR and soft tissue augmentation at the aesthetic area - 2 years follow up – Dr. H. Maghaireh & Dr. V. Ivancheva

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.