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Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas
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1/22 - Smile frontal view: the smile is unharmonious due to the missing teeth
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
2/22 - CBCT sagittal view of the defect. A bone augmentation must be performed in order to correct the defect to allow implant placement.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
3/22 - CBCT occlusal view of the defect. A bone augmentation must be performed in order to correct the defect to allow allow implant placement.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
4/22 - Pre-operative anterior lateral view
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
5/22 - Treatment planning: Horizontal augmentation with maxgraft® bonebuilder
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
6/22 - Recipient site after a full thickness flap elevation: cortical perforations
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
7/22 - maxgraft® bonebuilder block stabilized with two screws
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
8/22 - Tension free sutures allowing a primary intention healing
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
9/22 - Site after six months of healing
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
10/22 - CBCT sagittal view at 6 months follow-up. Observe the volume enhancement. Implants can be favorably placed.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
11/22 - CBCT occlusal view at 6 months follow-up. Observe the volume enhancement. Implants can be favorably placed.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
12/22 - Surgical screw removal before the implant surgery. A large flap was therefore avoided during the implant placement.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
13/22 - Re-entry after 2 weeks soft tissue healing. Pilot drills have been used in the implant’s posterior site.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
14/22 - Straumann BLT Implants placed after drilling protocol (12: 3.3x10mm, 14: 4.1x10 mm, 15:4.1x10mm). Their position allows a screw-retained restoration.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
15/22 - Orthopantomogram after implant placement
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
16/22 - Soft tissue healing four weeks after implant placement
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
17/22 - Occlusal view of the implants with SRA abutments positioned: A provisional bridge allowed harmonious emergence profiles.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
18/22 - Zirconia Framework try-in. After clinical control of the passivity, the proper adaptation on the SRA abutment is checked through an orthopantomogram.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
19/22 - Occlusal view of the final bridge after placement.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
20/22 - Intra-oral view of the final bridge with an adequate esthetic integration.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
21/22 - Patient smile after rehabilitation.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas -
22/22 - Orthopantomogram at 2-years follow-up. Note the favorable adaptation of the prosthesis and the bone stability.
Smile rehabilitation in the anterior maxilla with maxgraft® bonebuilder - Dres. A. Dagba and J. Mourlaas
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
