Excellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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01/30 - Initial situationExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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02/30 - Initial situation, 36 year old ladyExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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03/30 - Old crownExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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04/30 - Occlusal viewExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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05/30 - Separation with turbine drillExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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06/30 - Atraumatic extractionExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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07/30 - Atraumatic extractionExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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08/30 - Atraumatic extractionExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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09/30 - Flapless implant placementExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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10/30 - Occlusal view – 4 mm placement depthExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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11/30 - Bone profiler was used to remove supracrestal boneExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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12/30 - Plastic temporary crown and 2.5 mm temporary abutmentExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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13/30 - Temporary in placeExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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14/30 - Temporary crown fixated with flow compositeExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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15/30 - Finishing in handsExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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16/30 - Finishing in handsExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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17/30 - Temporary out of occlusionExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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18/30 - Rehydration of maxgraft cancellous granulesExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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19/30 - Filling the gap with maxgraftExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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20/30 - Hydration of the acellular dermal matrix mucodermExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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21/30 - Gap filled with maxgraftExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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22/30 - Soft tissue thickening with mucodermExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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23/30 - Soft tissue thickening with mucodermExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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24/30 - Insertion of the immediate temporaryExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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25/30 - Immediate temporary in placeExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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26/30 - Clinical view after 3 monthsExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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27/30 - 3 years after prosthetic deliveryExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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28/30 - Radiological control after surgeryExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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29/30 - After 1 yearExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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30/30 - After 3 yearsExcellent aesthetic result of buccal augmentation with mucoderm® and maxgraft® after immediate implant placement - 3-years follow-up - Dr. A. Puišys
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.





























