Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski

  • 01/17 - Initial situation before surgery. Patient lost central incisors 1 month ago due to endodontic failures
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 02/17 - Initial situation showing horizontal defect of hard and soft tissue
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 03/17 - Vestibular deffect of hard tissue visible in CBCT examination with planned position of future implants
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 04/17 - Full flap elevation and severe hard tissue exposure
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 05/17 - Mobilisation of full flap is achieved by periostium incision in the bottoom of the flap
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 06/17 - Cortico-spongious maxgraft® block is prepared by wetting in saline solution according to manufacturer
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 07/17 - Perforation of the vestibular cortical plate of the ridge with Piezosurgery to improve nutrition for the augmented site
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 08/17 - Stabilization of maxgraft® block with 2 screws for osteosynthesis
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 09/17 - Additional protection of the block with cerabone® granules and placement of mucoderm® as barrier membrane and additional soft tissue augmentation in one step
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 10/17 - Stabilization of mucoderm® with sutures. Base of the mucoderm® was stabilized with 3 titanium pins
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 11/17 - mucoderm® adapted in place and stabilized with resorbable (PGA) and nonresorbable mattress sutures
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 12/17 - Tension free flap closure with monofilament sutures
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 13/17 - Non resorbable sutures are stabilizing flap and sealing the wound
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 14/17 - Immediate temporary restoration shortened in apical region to avoid accidental soft tissue perforation during initial healing
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 15/17 - Situation after sutures removal and healing period of 2 weeks
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 16/17 - Soft tissue situation after temporary prosthesis
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski
  • 17/17 - Final denture with nice papilla
    Block augmentation with maxgraft® block and mucoderm® - Dr. K. Chmielewski
    Block augmentation with maxgraft® block & mucoderm® - Dr. K. Chmielewski