Conceitos e produtos - indication matrix

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

Curved probe indicates deep furcation involvement

Probe indicates class 2 furcation involvement. Removal of inadequate class 5 restoration reveals deep crown and roots abrasion

Deep extremely narrow furcation and deep root abrasion indicates poor prognosis

Tooth removal reveals advanced socket buccal walls resorption

Radiograph reveals apparent low sinus floor

Socket preservation using maxgraft® cortico-cancellous granules as bone grafting material

permamem® is placed to seal the socket and sutured under the flaps

Radiograph demonstrating bone graft just slightly coronal to socket bony walls

At 1 week checkup the membrane evidently exfoliated due to mistakenly not extending its margins deep enough under the flaps

At 2 weeks there seem to be no loss of grafted bone particles

At 1 month there is almost complete epithelial closure of the socket with only few bone particles partly protruding on the surface

At 2 months: complete soft tissue healing

At 6 months post socket preservation there is complete soft tissue maturation

At 6 months a typical dome shaped radiopacity denotes sinus floor elevation using the “closed” vertical approach

An implant (MIS V3) is placed slightly subcrestally

Implant placement is followed by complete flap coverage

4 months post implant placement the implant is evidently well embedded in the surrounding regenerated bone

Connection of the healing cap

Final Zirconia Crown, lateral view

Final Zirconia Crown, occlusal view

Final Zirconia Crown, radiographic control

Final Zirconia Crown at 2-year follow up, lateral view

Final Zirconia Crown at 2-year follow up, radiographic control