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1/28 - Initial situation: 40 year old female patient with extensive scar tissue after several surgeries restored with a Rochette bridge
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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2/28 - Pre op radiograph
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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3/28 - Clinical situation after removal of Rochette showed clearly extensive hard and soft tissue volume loss
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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4/28 - CBCT scan: Very large horizontal offset and massively reduced bone volume
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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5/28 - 6 months post extraction the block augmentation was performed. Large flap from the mesial of the upper left 1 to distal upper left 3 with a remote palatal and periosteal relieving incision
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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6/28 - maxgraft® block 10 x 10 x 10 mm
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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7/28 - Block fixated with Straumann bone fixation kit to provide excellent primary stability of the block graft
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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8/28 - cerabone® used to augment around the edges of the block graft
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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9/28 - Jason® membrane used to cover the graft to prevent soft tissue inclusion
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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10/28 - Platelet Rich Growth Factor technique on top of membrane to help improve soft tissue healing
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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11/28 - Sutures free of tension
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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12/28 - The recemented Rochette bridge already showed improved emergence profile of the pontic
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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13/28 - Post op x-ray showed good block fixation and volume
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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14/28 - 2 weeks post-op: Excellent healing of hard and soft tissues
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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15/28 - CBCT scan 4 months post-op: Graft was fully integrated
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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16/28 - Clinical situation before implantation already showed improved aesthetics
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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17/28 - Single sided flap to expose the healed block graft
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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18/28 - Implantation of STRM BLT Implant 3.3 mm
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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19/28 - Emdogain applied over the grafted surface to encourage soft tissue healing and a 2 mm healing abutment used to try and tent the soft tissues to gain thickness of the connective tissue
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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20/28 - Post op x-ray showed good placement of implant and stable bone conditions
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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21/28 - Site closed uneventfully with vicryl rapide sutures
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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22/28 - 8 weeks post-op: Satisfying soft tissue conditions after removal of the Rochette bridge
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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23/28 - Placement of a mono scanbody to take a digital scan
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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24/28 - Screw retained crown with a customised cad/cam abutment
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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25/28 - Clinical situation after surgery
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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26/28 - Post- op x-ray showed excellent seating of the restoration and good bone levels
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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27/28 - 6 weeks post: Fit of final restoration
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
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28/28 - Excellent ridge reconstruction with maxgraft® block
Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts