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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. Atrophic maxillary ridge.
Initial x-ray showing bone loss around implants placed 5 years ago in another dental clinic
Initial view of the case. Discoloration of 1.1 and mild class I gingival recession
Situation after tooth removal.
Initial clinical situation with gum recession and labial bone loss eight weeks following tooth extraction
Three implants placed in a narrow posterior mandible
Pre-operative clinical situation.
Clinical situation with narrow alveolar ridge in the lower jaw
Initial clinical situation showing bone wall defect.
Initial clinical situation.
Pre-surgical situation.
Initial situation: missing teeth #11 & 12 and badly broken #21 root
Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.
Instable bridge situation with abscess formation at tooth #15 after apicoectomy
Initial clinical situation.
Implant insertion in atrophic alveolar ridge
Preoperative clinical situation
Pre-operative OPG
Pre-operative X-ray. Hopless tooth 21.
Pre-surgical situation. Teeth 26 and 27 missing.
Extraction of tooth 21 after endodontic treatment
Pre-surgical probing reveals a deep intrabony defect on the distal aspect of the upper canine.
Initial clinical situation with single tooth gap in regio 21
Pre-operative radiographic view. Intrabony defect on the distal aspect of the lateral incisor.
Clinical situation before extraction and implantation
Pre-operative radiographic view.