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Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han
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1/16 - Loss of teeth in anterior maxilla caused by periodontitis
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
2/16 - CBCT data shows a horizontal and vertical bone loss in the anterior part of upper jaw
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
3/16 - 3D planning of maxgraft® bonebuilder
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
4/16 - Initial intraoral situation - Horizontal and vertical bone loss in the anterior part of upper jaw
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
5/16 - Customized bone block fixed with three osteosynthesis screws without any manual adjustment
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
6/16 - Fixation of customized bone block maxgraft® bonebuilder
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
7/16 - Layer of cerabone®
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
8/16 - Augmentation area was covered with Jason® membrane
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
9/16 - Suturing with Teflon sutures
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
10/16 - CBCT after 6 months – successful integration, no gaps between block and residual bone
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
11/16 - Vital bone at re-entry, no resorption around screw heads
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
12/16 - During drilling and implant placement the reconstructed bone remained stable
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
13/16 - Insertion of three implants
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
14/16 - Prosthetic work
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
15/16 - 5 years follow up
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han -
16/16 - Stable outcome - 4 years after loading approx. 0.6 mm of bone loss was observed compared to 6 months after augmentation
Reconstruction of Anterior Maxilla with maxgraft® bonebuilder – Dr. B. Han
Loss of teeth in anterior maxilla caused by periodontitis
Preoperative situation – Maxillary defect in area 14-16 (loss of implant 16 due to periimplantitis, tooth 14 extracted recently and area 15 already edentulous for a while)
Situation after teeth extraction due to periodontally damaged teeth
Virtual planning of the block
Initial radiological situation
Initial clinical situation: Free end situation in quadrant three and four
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Treatment overview – implant planning
Initial clinical situation: Bone defect in the upper right maxilla (teeth #14-16)
Pre-operative clinical situation: severe atrophy of the maxillary bone
Clinical situation before augmentation
Initial CBCT scan - Fracture of left maxillary incisor and loss of buccal wall
Clinical situation – Ridge atrophy in area 45-47
Preoperative radiological situation
Initial clinical situation
Pre-operative clinical situation: changed color in the gingiva in the front maxilla
Smile frontal view: the smile is unharmonious due to the missing teeth
Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss
