Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts

  • 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
  • 2/28 - Pre op radiograph
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 4/28 - CBCT scan: Very large horizontal offset and massively reduced bone volume
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 6/28 - maxgraft® block 10 x 10 x 10 mm
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 8/28 - cerabone® used to augment around the edges of the block graft
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 9/28 - Jason® membrane used to cover the graft to prevent soft tissue inclusion
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 11/28 - Sutures free of tension
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 12/28 - The recemented Rochette bridge already showed improved emergence profile of the pontic
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 13/28 - Post op x-ray showed good block fixation and volume
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 14/28 - 2 weeks post-op: Excellent healing of hard and soft tissues
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 15/28 - CBCT scan 4 months post-op: Graft was fully integrated
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 16/28 - Clinical situation before implantation already showed improved aesthetics
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 17/28 - Single sided flap to expose the healed block graft
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 18/28 - Implantation of STRM BLT Implant 3.3 mm
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 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
  • 21/28 - Site closed uneventfully with vicryl rapide sutures
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 23/28 - Placement of a mono scanbody to take a digital scan
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 24/28 - Screw retained crown with a customised cad/cam abutment
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 25/28 - Clinical situation after surgery
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 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
  • 27/28 - 6 weeks post: Fit of final restoration
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts
  • 28/28 - Excellent ridge reconstruction with maxgraft® block
    Block augmentation with maxgraft® in the maxilla - Dr. R. Cutts