Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel

  • 1/34 - Planning the surgery with CoDiagnstix® for Straumann® Guided Surgery
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 2/34 - Initial situation 3 months after 21 extraction: Missing central upper left incisor retained with a bridge
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 3/34 - Buccal bone loss already visible
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 4/34 - CBCT shows vertical and horizontal bone loss. Lost due to inflammation and apical lesions
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 5/34 - Drill guide
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 6/34 - Situation 3 months after tooth 21 extraction and template in place
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 7/34 - Crestal view shows right position of guide and healthy soft tissue
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 8/34 - Visible bone loss after full flap elevation
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 9/34 - Periostal releasing incisions - flap mobilisation and elongation
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 10/34 - Measuring the defect with a trephine. 7mm ring required.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 11/34 - Guided pilot drilling with Straumann BLT Pilot Drill 2.2mm diameter
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 12/34 - Trephine drilling: Guiding pin followthe pilot drilling path. Depth of drilling in this case: 4-5mm.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 13/34 - Collecting bone particles
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 14/34 - Ring bed preparation with 7mm diameter planator - the same size as the trephine was used
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 15/34 - Situation after 7mm planator was used
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 16/34 - Crestal view
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 17/34 - Bone ring measurement: Setting the bone ring in the defect to measure the height and fit.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 18/34 - bonering fix to hold the ring in a safe manner and measure the height
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 19/34 - Adjustment of maxgraft® bonering length with a diamond disc
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 20/34 - Enlargement of the inner diameter with the Straumann® BLT profile drill
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 21/34 - Final drilling with the 2.8mm BLT drill through the guide to enlarge the to fit the Straumann® BLT NC (3.3mm) implant.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 22/34 - Situation after final preparation
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 23/34 - maxgraft® bonering in place
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 24/34 - Implant placement: Straumann® BLT NC 3.3/12mm SLActive
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 25/34 - maxgraft® bonering fixated with the implant in the defect
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 26/34 - Smooth the sharp edges with the diamond tulip (diameter 3mm)
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 27/34 - maxgraft® bonering fixated with the implant in the right pisition
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 28/34 - Tacking a Jason® membrane with Pins
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 29/34 - Cover the ring with cerabone small particles as resorption protection.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 30/34 - The defect is completely covered with a collagen membrane.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 31/34 - Cover the augmented area with the flap and suture without tension.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 32/34 - Mattress sutures to remove tension of muscles
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 33/34 - Sututing the flap.
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel
  • 34/34 - Adhesive temporary restoration in place
    Guided bone ring procedure in aesthetic zone -Dr. K Chmielewski & Dr. O Yüksel