Concepts et produits - indication matrix

Preoperative situation – Maxillary defect in area 14-16 (loss of implant 16 due to periimplantitis, tooth 14 extracted recently and area 15 already edentulous for a while)

3D model of the defect

3D Reconstruction of the maxilla with maxgraft® bonebuilder

3D Reconstruction of the maxilla with maxgraft® bonebuilder – area 15

3D Reconstruction of the maxilla with maxgraft® bonebuilder – interproximal area 15/16

3D Reconstruction of the maxilla with maxgraft® bonebuilder – area 16

Optimal fit of rehydrated maxgraft® bonebuilder

Pillar Incision and Fixation of maxgraft® bonebuilder with two osteosynthesis screws (1.5 x 9 mm)

Covering the allogenic bone block with Jason® membrane

Covering with PRF matrices

Tension-free wound closure with a modified vertical mattress suture according to Laurrell with resorbable suture material (Vicryl 4.0)

Reentry after 6 months with crestal incision - vital bone tissue growing on top of one screw

Implantation of three Straumann implants

Uncovering of implants three months later: Vestibuloplasty with mucoderm®, crestal incision and split flap preparation. Rehydration and preparation of mucoderm® to fit around gingiva formers

Vestibuloplasty with mucoderm®: Fixation of vestibular wound edge with single sutures in the vestibulum

Early soft tissue healing - Situation nine days after vestibuloplasty at time point of suture removal

X-ray after uncovering the implants nine months after bone augmentation