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Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli
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01/29 - Initial clinical situation with pronounced vertical and horizontal bone defect
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
02/29 - Based on the intraoral x-ray a vertical bone defect of about 4 mm extending from 4.6 to 4.4 was determined
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
03/29 - Preparation of a full-thickness flap
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
04/29 - Clinical view after exposure of the defect, to promote healing the local bone was perforated
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
05/29 - Fixation of an osteosynthesis screw at the lowest point of the defect, lingual positioning of permamem®
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
06/29 - Augmentation with cerabone® and autologous bone (ratio of 1:1)
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
07/29 - Covering of the augmented area and buccal fixation of permamem® with titanium pins
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
08/29 - Defect closure with non-absorbable PTFE sutures
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
09/29 - Post-operative x-ray control
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
10/29 - Dehiscence of permamem® 3 months post-operatively. No signs of infection, the patient did not report pain
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
11/29 - Flap opening for removal of permamem®
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
12/29 - Augmented area in maturation phase exposed under permamem®
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
13/29 - Jason® membrane before hydration
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
14/29 - Jason® membrane covering the augmented area
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
15/29 - Flap closure
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
16/29 - Clinical view at re-entry, 8 months post-op
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
17/29 - Slight loss of the graft in regio 4.6, but still favorable for the insertion of the implants
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
18/29 - Insertion of 2 Straumann BLT implants (regio 4.4: 3.3 x 10 mm, regio 4.6: 4.1x 8 mm), excellent primary stability
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
19/29 - Flap closure
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
20/29 - X-ray control
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
21/29 - Clinical situation 3 months after implantation
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
22/29 - Clinical view after insertion of the healing abutment
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
23/29 - Hydration of mucoderm®
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
24/29 - Preparation of vestibular partial thickness flap (highlighting and isolation of mental nerve)
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
25/29 - Fixation of mucoderm® to periosteum and flap
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
26/29 - Clinical view with broadened attached gingiva after 3 weeks, impression taking
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
27/29 - Clinical view before installation of the fixed prosthetics, good amount of keratinized tissue around the implants
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
28/29 - Final prosthetic restoration
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli -
29/29 - Clinical view at control 3 month after final restoration
Vertical bone augmentation and broadening of attached gingiva using cerabone®, permamem® and mucoderm® - Dr. R. Naimoli
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.
