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Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn
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01/39 - The patient presented with pathologic mobility of upper left central incisor. Radiographic examination revealed significant circumferential attachment loss with an unfavorable crown to root ratio.
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
02/39 - Atraumatic extraction of the tooth
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
03/39 - Extracted tooth
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
04/39 - Preparation of a full thickness flap and careful debridement
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
05/39 - Occlusal view of the extraction site
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
06/39 - Root planning of the adjacent teeth
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
07/39 - Application of PrefGel® (EDTA) on the adjacent teeth
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
08/39 - Application of PrefGel® (EDTA) on the adjacent teeth
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
09/39 - Determination of the implant position using a needle drill
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
10/39 - Pilot drilling with a 2.2 mm twist drill
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
11/39 - Positioning of a direction indicator
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
12/39 - Positioning of a direction indicator
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
13/39 - Preparation of the rind bed using a 6.0 mm trephine drill
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
14/39 - Retrieval of autologous bone chips
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
15/39 - Marking the height of the bone ring
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
16/39 - Trimming of the bone ring
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
17/39 - Trimming of the bone ring
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
18/39 - Preparation of the implant bed using a 2.8 mm twist drill
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
19/39 - Immediate implant insertion through the bone ring
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
20/39 - Removal of sharp edges using a diamond tulip
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
21/39 - Treatment of the recession and bone loss around the adjacent teeth with Emdogain®
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
22/39 - Application of a small amount of Emdogain® on the bone ring
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
23/39 - Trimmed Jason® membrane
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
24/39 - Application of cerabone®
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
25/39 - Application of cerabone®
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
26/39 - Covering of the augmented area with a Jason® membrane sutured to the palatal flap
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
27/39 - Application of Emdogain® on the sutures
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
28/39 - Healing and bonded provisional 6 months after implantation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
29/39 - Occlusal view 6 months after implantation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
30/39 - Placed healing abutment
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
31/39 - Prosthetics
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
32/39 - Preoperative clinical situation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
33/39 - Preoperative clinical situation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
34/39 - Preoperative radiograph
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
35/39 - Immediate post surgery radiograph
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
36/39 - Radiograph 6 months after implantation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
37/39 - Final radiograph revealing both horizontal and vertical augmentation of the osseous defects (8 months after implantation)
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
38/39 - Preoperative CT scan
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn -
39/39 - CT scan 8 months after implantation
Immediate implant placement and correction of horizontal and vertical bone loss using an allograft bone ring, cerabone® and Jason® membrane - Drs. Miller and Korn
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.