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Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back
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01/17 - 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)
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
02/17 - 3D model of the defect
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
03/17 - 3D Reconstruction of the maxilla with maxgraft® bonebuilder
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
04/17 - 3D Reconstruction of the maxilla with maxgraft® bonebuilder – area 15
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
05/17 - 3D Reconstruction of the maxilla with maxgraft® bonebuilder – interproximal area 15/16
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
06/17 - 3D Reconstruction of the maxilla with maxgraft® bonebuilder – area 16
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
07/17 - Optimal fit of rehydrated maxgraft® bonebuilder
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
08/17 - Pillar Incision and Fixation of maxgraft® bonebuilder with two osteosynthesis screws (1.5 x 9 mm)
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
09/17 - Covering the allogenic bone block with Jason® membrane
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
10/17 - Covering with PRF matrices
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
11/17 - Tension-free wound closure with a modified vertical mattress suture according to Laurrell with resorbable suture material (Vicryl 4.0)
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
12/17 - Reentry after 6 months with crestal incision - vital bone tissue growing on top of one screw
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
13/17 - Implantation of three Straumann implants
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
14/17 - Uncovering of implants three months later: Vestibuloplasty with mucoderm®, crestal incision and split flap preparation. Rehydration and preparation of mucoderm® to fit around gingiva formers
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
15/17 - Vestibuloplasty with mucoderm®: Fixation of vestibular wound edge with single sutures in the vestibulum
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
16/17 - Early soft tissue healing - Situation nine days after vestibuloplasty at time point of suture removal
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back -
17/17 - X-ray after uncovering the implants nine months after bone augmentation
Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back
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
