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Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger
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01/28 - Model of the initial defect computed from a CBCT scan - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
02/28 - Model of the initial defect computed from a CBCT scan - lingual view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
03/28 - Initial clinical situation - massive bone loss in the posterior 4th quadrant
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
04/28 - Full-thickness flap preparation via crestal incision
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
05/28 - maxgraft® cortico rehydrated in saline solution for 30 minutes
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
06/28 - Fixation of two defect-adapted maxgraft® cortico plates with osteosynthesis screws
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
07/28 - Occlusal view on the immobile container created with the two cortical plates
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
08/28 - Defect-fill and contouring with a composite of autologous and allogenic maxgraft® granules and covering with Jason® membrane
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
09/28 - Application of L-PRF matrices for improved wound healing
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
10/28 - Saliva-tight and compression-free wound closure with single-button and mattress sutures
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
11/28 - X-ray scan after augmentation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
12/28 - Model of the augmented ridge before implantation computed from CBCT-recordings - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
13/28 - Model of the augmented ridge before implantation computed from CBCT-recordings - lingual view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
14/28 - Sagittal section of the alveolar ridge in the region of the defect before the augmentation and after 5 months of healing at implantation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
15/28 - Clinical situation 5 months after ridge augmentation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
16/28 - Surgical site opening along the initial incision lines to prevent further scar tissue formation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
17/28 - Excellent osseous integration of the allogenic cortical plates with new bone attached to the outside and optimal bone tissue regeneration
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
18/28 - Implantation of two Straumann BLT implants into the augmented bone
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
19/28 - Placement of implant cover screws in the fully submerged dental implants
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
20/28 - Occlusal view of the implants with cover screws
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
21/28 - X-ray scan of the augmented ridge after implantation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
22/28 - Stab incision for reopening of the surgical site and installation of gingival formers - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
23/28 - Stab incision for reopening of the surgical site and installation of gingival formers - occlusal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
24/28 - X-ray control scan after implant uncovering - excellent and stable osseous situation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
25/28 - Final prosthetic restauration with provisional screw channels - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
26/28 - Final prosthetic restauration with provisional screw channels - occlusal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
27/28 - Aesthetic and functional final result
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
28/28 - Radiographic control of the final prosthesis - excellent stability of the augmented bone tissue
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger
Preparation of a single tooth defect with severely resorbed vestibular wall
Clinical situation
Occlusal view of attached maxgraft® cortico at the buccal site
Initial clinical situation – missing bonein regio 11, 12, 21, 22 and scarred soft tissue
OPG of the initial situation – provision of missing denture in regio 44 to 47 by a resin-retained bridge
Preoperative CBCT: vertical bone defects in the 3rd & 4th quadrant
Clinical situation
Severe atrophy of the ridge
Initial clinical situation
