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Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas
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01/13 - The patient presented with a terminal fracture of the crown tooth number 12
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
02/13 - The CBCT revealed adequate bone width and no pathology in the area, immediate implant placement was agreed
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
03/13 - Root condition, gingival zenith higher than the 11, intact distal papilla and some recession in mesial papilla
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
04/13 - Vertical extraction of tooth 12
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
05/13 - Full muco-periostal flap elevation
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
06/13 - Implant (3.3 BL x 12 mm) inserted in correct 3D prosthetic position, a 3 mm distance gap was left in the crestal section; Compared to CBCT apical concavity was more intense
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
07/13 - Autogenous chips applied in contact with the implant, cerabone® mixed with autogenous chips was applied inside and outside; A long conical healing abutment was used in situ
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
08/13 - Application of a double layer of the resorbable collprotect® membrane
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
09/13 - Closure with PTFE sutures
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
10/13 - Clinical view after 8 weeks of healing
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
11/13 - After 10 weeks delivery of the screw retained crown with a CAD CAM milled abutment
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
12/13 - Clinical situation 4 months post surgery: Excellent hard and soft tissue adaptation, papilla closing bilaterally
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas -
13/13 - Before and after comparison: Clinical and radiologic view
Immediate implant placement in the maxilla with contour GBR - Dr. K. Loukas
Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.
Pre-surgical probing reveals a deep intrabony defect on the distal aspect of the upper canine.
Pre-operative radiograph. Intrabony defect on the mesial aspect of tooth 14.
Initial X-ray presenting a very deep intrabony defect of tooth 21
Surgical presentation of the alveolar ridge with reduced amount of horizontal bone available
DVT control after sinusitis surgery, residual bone height 1 mm
OPG of the initial situation – provision of missing denture in regio 44 to 47 by a resin-retained bridge
The patient presented with a terminal fracture of the crown tooth number 12
Clinical situation with narrow alveolar ridge in the lower jaw
Extended horizontal and vertical defect of the maxilla following tumor resection and reconstruction with a scapula graft
Clinical situation of the edentulous distal maxilla before the surgery
DVT image showing the reduced amount of bone available in the area of the mental foramen
