Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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01/11 - Pre-operative radiographic view. Intrabony defect on the distal aspect of the lateral incisor.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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02/11 - Pre-clinical situation.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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03/11 - Incisions according to the modified papilla preservation flap (MPPF) technique (Cortellini et al. J Periodontol. 1995).Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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04/11 - Flap elevation according to the MPPF technique (Cortellini et al. J Periodontol. 1995). The defect presented as mixed 1-, 2- and 3-wall defect.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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05/11 - Application of Straumann® PrefGel® to the root surface.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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06/11 - Application of Straumann® Emdogain® to the root surface.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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07/11 - Application of cerabone® granules.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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08/11 - Application of Straumann® Emdogain® on the bone graft directly before flap closure.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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09/11 - Flap closure.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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10/11 - Clinical situation 8 months post-operative.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel
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11/11 - Radiographic view 8 months post-operative.Non-contained intrabony defect treated with the modified papilla preservation flap in conjunction with cerabone® and Straumann® Emdogain® - Dr. J. Tunkel

Initial clinical situation. Atrophic maxillary ridge.

Initial x-ray showing bone loss around implants placed 5 years ago in another dental clinic

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Situation after tooth removal.

Initial clinical situation with gum recession and labial bone loss eight weeks following tooth extraction

Three implants placed in a narrow posterior mandible

Pre-operative clinical situation.

Preoperative clinical situation

Pre-operative OPG

Initial clinical situation.

Pre-surgical situation.

Initial situation: missing teeth #11 & 12 and badly broken #21 root

Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.

Instable bridge situation with abscess formation at tooth #15 after apicoectomy

Initial clinical situation.

Implant insertion in atrophic alveolar ridge

Clinical situation before extraction and implantation

Pre-operative radiographic view.

Situation after tooth extraction.

Pre-operative X-ray. Hopless tooth 21.

Pre-surgical situation. Teeth 26 and 27 missing.

Extraction of tooth 21 after endodontic treatment

Pre-surgical probing reveals a deep intrabony defect on the distal aspect of the upper canine.

Initial clinical situation with single tooth gap in regio 21

Clinical situation with narrow alveolar ridge in the lower jaw

Initial clinical situation showing bone wall defect.