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Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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01/30 - Initial situation
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
02/30 - Initial situation, 36 year old lady
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
03/30 - Old crown
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
04/30 - Occlusal view
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
05/30 - Separation with turbine drill
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
06/30 - Atraumatic extraction
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
07/30 - Atraumatic extraction
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
08/30 - Atraumatic extraction
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
09/30 - Flapless implant placement
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
10/30 - Occlusal view – 4 mm placement depth
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
11/30 - Bone profiler was used to remove supracrestal bone
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
12/30 - Plastic temporary crown and 2.5 mm temporary abutment
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
13/30 - Temporary in place
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
14/30 - Temporary crown fixated with flow composite
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
15/30 - Finishing in hands
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
16/30 - Finishing in hands
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
17/30 - Temporary out of occlusion
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
18/30 - Rehydration of maxgraft cancellous granules
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
19/30 - Filling the gap with maxgraft
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
20/30 - Hydration of the acellular dermal matrix mucoderm
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
21/30 - Gap filled with maxgraft
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
22/30 - Soft tissue thickening with mucoderm
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
23/30 - Soft tissue thickening with mucoderm
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
24/30 - Insertion of the immediate temporary
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
25/30 - Immediate temporary in place
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
26/30 - Clinical view after 3 months
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
27/30 - 3 years after prosthetic delivery
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
28/30 - Radiological control after surgery
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
29/30 - After 1 year
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys -
30/30 - After 3 years
Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
Initial view of the case. Discoloration of 1.1 and mild class I gingival recession
Initial clinical situation with Miller class 1 recession
Initial clinical situation
Initial clinical situation
Pre-operative clinical situation. Gingival recessions at teeth 11 and 21.
Gingival recession at tooth 13. Free gingival graft (FGG) of a previous surgery for root coverage visible.
recession on tooth 11
Insufficient keratinized mucosa and extremely shallow vestibule on the maxilla
Initial clinical situation
Tooth extraction due to root fracture
Full-thickness flap preparation bucally and lingually
Initial situation: missing teeth #11 & 12 and badly broken #21 root
Drilling template for guided implant placement
Initial clinical situation showing strongly compromised tooth 21
Pre-surgical clinical situation. Deep gingival recessions at both upper canine.
Pre-surgical situation. Multiple adjacent gingival recessions at teeth 12, 13 and 14.
Multiple adjacent gingival recessions.
X-ray shows a 3-dimensional periondontal defect
Initial clinical situation with lack of keratinized tissue
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Intact socket following atraumatic tooth extraction
X-ray of initial clinical situation
Initial clinical situation
Alveolar socket before soft and hard tissue augmentation
Clinical situation before surgery
Initial clinical situation
Initial clinical situation with traumatic loss of tooth 21
Longitudinal fracture on the root resected tooth 21 with visible buccal fistula
