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Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan
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01/11 - Initial X-ray presenting a very deep intrabony defect of tooth 21
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
02/11 - Initial probing depth of 12 mm before non-surgical therapy
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
03/11 - Probing depth of 10 mm after non-surgical therapy with a 13 mm clinical attachment level (CAL)
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
04/11 - Access to the defect using EPP technique by avoiding an incision over the defect-associated papilla. Note: the osseous defect involving the apex
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
05/11 - Application of maxgraft® granules to fill the defect
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
06/11 - Trimming of collprotect® membrane according to the osseous defect morphology
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
07/11 - Application of the membrane to cover the defect, stabilised with sutures
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
08/11 - Primary wound closure with microsurgical suturing technique
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
09/11 - Early wound healing at 7 days post-operative
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
10/11 - Resolution of the defect at 1-year with 3 mm probing depth and 7 mm CAL gain
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan -
11/11 - Control x-ray at 1-year follow-up
Entire papilla preservation technique (EPP) for the regenerative treatment of a severely compromised central incisor - Dr. S. Aslan
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.
