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Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger
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1/15 - Clinical situation
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
2/15 - Preoperative OPG displaying the vertical bone defect
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
3/15 - Preoperative OPG - planning of the implant placement
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
4/15 - Intraoperative view after fixation of maxgraft® cortico with a micro screw system. Placement in parallel technique to obtain a horizontal and vertical augmentation
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
5/15 - Filling of the container with maxgraft® cortico-cancellous granules
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
6/15 - Augmented site covered with Jason® membrane
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
7/15 - X-ray control after augmentation
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
8/15 - Clinical situation five months after augmentation, time of re-entry
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
9/15 - Occlusal view of the remodeled augmented site at re-entry
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
10/15 - Insertion of two Straumann Bone Level Tapered implants 4.8, 10 mm, lateral view
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
11/15 - Occlusal view
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
12/15 - Placement of gingiva abutment
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
13/15 - Clinical situation 14 days after implant uncovering
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
14/15 - Final prosthetic restoration- proper implant-crown ratio compared to the neighboring teeth
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger -
15/15 - X-ray control after final prosthetic restoration six months after augmentation
Treatment of a combined horizontal and vertical bone defect in the maxilla with maxgraft® cortico in the allogenic shell technique - Dr. R. Würdinger
Baseline clinical situation.
Situation before extraction of the teeth
Initial clinical situation
Initial situation after extraction of tooth 21 after 6 months
Preparation of a single tooth defect with severely resorbed vestibular wall
Initial clinical situation.
Initial clinical situation
Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling
Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss
Extraction socket with bone wall defect
Situation before tooth extraction
Initial clinical situation
Initial X-ray presenting a very deep intrabony defect of tooth 21
Implant placed in the deficient site. permamem® in place for covering.
Initial situation – Treatment plan: Replace the adhesive upper left central incisor bridge with a dental implant
Occlusal view of attached maxgraft® cortico at the buccal site
Initial x-ray, tooth 25 compromised and to be extracted
Clinical situation at baseline: Situation after tooth extraction UR1 due to a failed endodontic treatment 3 months previously
Alveolar socket before soft and hard tissue augmentation
Pre-operative situation; tooth 21 proved not to be worth preserving
Initial clinical situation: 9 mm pocket depth associated with root fracture
Initial situation - A young female 34 years old lost her front teeth in an surfing accident and she had a 5 unit bridge supported by her upper left lateral and right canine. The restoration failed and both supporting crowns have exposed and leaking margins.
Initial situation - endodontically failing tooth 22, very thin biotype, high lip line and esthetic expectations
Preoperative x-ray, severe bone atrophy
Initial situation - broken and missing upper right central incisor (UR1). This tooth was removed long time ago and there were signs of bone loss and resorption due to the bone remodelling. Patient was also undergoing orthodontic treatment due to the loss of mesio-distal space.
