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Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher
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01/19 - Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
02/19 - Clinical situation before explantation, extensive peri-implantitis
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
03/19 - Virtual representation of the defect situation
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
04/19 - CAD/CAM planning for the reconstruction of the upper jaw
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
05/19 - Mix of autologous bone and maxgraft® cortico-cancellous granules for external sinus lift
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
06/19 - External sinus lift with autologous bone and maxgraft® cortico-cancellous granules and the use of Jason® membrane
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
07/19 - Fixation of the maxgraft® bonebuilder blocks
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
08/19 - Reopening for implantation after seven months of healing: very well perfused, vital bone except in the very small area of dehiscence, here with clearly recognizable demarcation in contrast to the very well perfused remaining augmentation
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
09/19 - Histology regio 14: Newly formed bone in close contact with allogeneic material (*), osteoblast seams (arrows) show material-mediated bone regeneration (Prof. Götz, Rheinische Friedrich-Wilhelm-University Bonn)
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
10/19 - Digital planning of implant positions
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
11/19 - Digital planning of implant positions
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
12/19 - Scanning images in the dental laboratory used to fabricate the prosthesis (Rieger Zahntechnik, Augsburg)
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
13/19 - Scanning images in the dental laboratory used to fabricate the prosthesis (Rieger Zahntechnik, Augsburg)
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
14/19 - One year after augmentation with a very stable osseous situation, here still with the temporary, fixed immediate restoration
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
15/19 - Radiological control 1 year after augmentation
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
16/19 - Clinical final situation 14 months after augmentation: bar construction as retention element of the prosthesis
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
17/19 - Clinical final situation 14 months after augmentation: bar construction as retention element of the prosthesis
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
18/19 - Radiological control - 4 years follow up
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher -
19/19 - Radiological control - 4 years follow up
Full maxillary reconstruction with maxgraft® bonebuilder - Dr. C. Hilscher
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.
