GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković

01/27 - Clinical view 8 weeks after extraction of teeth 25 and 26

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
02/27 - Treatment plan: Implant placement in region 25 and 26, regeneration of a fenestration defect around implant 25 and widening of the keratinized mucosa (after GBR)

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
03/27 - CBCT treatment plan

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
04/27 - Implant placement in region 25 and 26, implant 26 placed in the distal part of the extraction site to avoid the bone defect in the region of the MB root

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
05/27 - Apical fenestration at implant 25, bone defect in the region of the MB root of extraction site 26

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
06/27 - GBR with cerabone® (mixed with autologous bone) and Jason® membrane

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
07/27 - Final stabilization of Jason® membrane

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
08/27 - Wound closure

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
09/27 - Reduced width of keratinized mucosa, displacement of M-G border, reduced vestibular depth

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
10/27 - Lateral view, the patient refused to undergo FGG grafting procedure

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
11/27 - Initial incision line

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
12/27 - APF stabilized with resorbable sutures, exposed periosteal bed surrounded with KM (the apical border is surrounded with KM attached to the APF)

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
13/27 - mucoderm® stabilized with resorbable sutures on top of the exposed periosteal surface

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
14/27 - New width of KM after 8 weeks

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
15/27 - New width of KM after 8 weeks

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
16/27 - Before (left) and after (right) comparison

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
17/27 - CBCT 6 months after GBR

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
18/27 - Implant uncover procedure

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
19/27 - Gained bone volume

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
20/27 - Flap preparation

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
21/27 - Mobilisation and coronal displacement of the palatal flap

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
22/27 - Mobilisation and coronal displacement of the palatal flap

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
23/27 - Clinical view 3 weeks after implant uncover procedure

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
24/27 - Clinical view 6 weeks after implant uncover procedure

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
25/27 - Clinical view before prosthetic restoration

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
26/27 - Screw retained PFM two unit bridge

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković
27/27 - Screw retained PFM two unit bridge

GBR with simultaneous implant placement and widening of KM with mucoderm® - Dr. M. Blašković

Augmentation of the peri-implant attached gingiva in the posterior mandible with mucoderm®- Dr. Dr. A. Stricker

Augmentation of the mandibular attached gingiva- Stricker

Initial clinical situation with loss of attached gingiva around the implants and shallow vestibule

Widening of the peri-implant keratinized mucosa in the upper jaw with mucoderm®- Dr. A. Horváth

Widening of the peri-implant keratinized mucosa-Horváth

Lack of sufficient keratinized mucosa following extensive horizontal ridge augmentation

Augmentation of the keratinized tissue in the posterior maxilla with mucoderm®- Dr. Dr. A. Stricker

Augmentation of the maxillary attached gingiva-Stricker

Initial clinical situation with lack of keratinized tissue

Ridge augmentation with maxgraft® bonebuilder and vestibuloplasty with mucoderm® in the maxilla – Dres. O.Blume/M.Back

botiss maxgraft® bonebuilder and vestibuloplasty with mucoderm® for ridge augmentation - Clinical case

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)

mucoderm® for full arch reconstruction of insufficient vestibular depth and lack of keratinized tissues - Dr. B. Mólnar & Prof. P. Windisch