Application of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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1/17 - Initial clinical situation showing tooth 45 not worth preservingApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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2/17 - Occlusal view of initial clinical situationApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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3/17 - X- ray presenting defectApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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4/17 - Atraumatic tooth extractionApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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5/17 - Healing of the extraction socket at 3 monthsApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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6/17 - Control X-rayApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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7/17 - Buccal view: interproximal tissues are stableApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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8/17 - Crestal incision for implant placementApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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9/17 - Implant placementApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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10/17 - Healing at 2 months: insufficient buccal volumeApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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11/17 - Implant surrounded by bone: it´s possible to augment just soft tissueApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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12/17 - Application of mucoderm® and fixation of the matrix to the lingual flapApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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13/17 - Tension free wound closure, note a little area left exposedApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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14/17 - Aesthetically healed soft tissue after 1 monthApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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15/17 - Provisional crown placed to shape the soft tissueApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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16/17 - Follow up at 2 years presenting stable soft tissues with final restorationApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
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17/17 - X-ray at 2 years presenting stable hard tissuesApplication of mucoderm® for soft tissue management around single implants at second stage surgery Dr. C. De Annuntiis
X-ray of initial clinical situation
Initial clinical situation showing severe soft tissue loss
Initial clinical situation
X-ray shows a 3-dimensional periondontal defect
Full-thickness flap preparation bucally and lingually
Initial clinical situation
Initial clinical situation
Initial clinical situation
Drilling template for guided implant placement
recession on tooth 11
Initial clinical situation
Initial clinical situation with narrow ridge
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Probing demonstrates peri-implant pocket depth of 8 mm
















