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Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume
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1/17 - Pre-operative clinical situation: changed color in the gingiva in the front maxilla
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
2/17 - Pre-operative x-ray scan: severe bone loss around three failing implants
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
3/17 - Complex bone defect with partial loss of the buccal wall after implant extraction
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
4/17 - X-ray scan after extraction of failing implants
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
5/17 - Virtual three-dimensional reconstruction of the defect and bone block design
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
6/17 - Customized CAD/CAM designed allogenic bone block: maxgraft® bonebuilder
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
7/17 - Special “pillar incision” design used in bone augmentation procedure
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
8/17 - Tissue situation before re-entry
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
9/17 - Re-entry six months after GBR procedure: grafted area shows sufficient bone volume and vital tissue for implant placement
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
10/17 - During implant placement, biopsies were taken for histological analysis
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
11/17 - Four implants were inserted (Straumann Bone Level Roxolid®)
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
12/17 - Vestibuloplasty was performed after implant placement using mucoderm®
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
13/17 - X-ray scan after implant insertion
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
14/17 - Re-entry: vital bone tissue around implants
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
15/17 - Implants were uncovered three months after placement
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
16/17 - X-ray scan after uncovering the implants
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume -
17/17 - Temporary provision
Restoration of all four incisors with maxgraft® bonebuilder - Dr. Dr. Dr. O. Blume
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
