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Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger
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01/28 - Model of the initial defect computed from a CBCT scan - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
02/28 - Model of the initial defect computed from a CBCT scan - lingual view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
03/28 - Initial clinical situation - massive bone loss in the posterior 4th quadrant
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
04/28 - Full-thickness flap preparation via crestal incision
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
05/28 - maxgraft® cortico rehydrated in saline solution for 30 minutes
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
06/28 - Fixation of two defect-adapted maxgraft® cortico plates with osteosynthesis screws
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
07/28 - Occlusal view on the immobile container created with the two cortical plates
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
08/28 - Defect-fill and contouring with a composite of autologous and allogenic maxgraft® granules and covering with Jason® membrane
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
09/28 - Application of L-PRF matrices for improved wound healing
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
10/28 - Saliva-tight and compression-free wound closure with single-button and mattress sutures
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
11/28 - X-ray scan after augmentation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
12/28 - Model of the augmented ridge before implantation computed from CBCT-recordings - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
13/28 - Model of the augmented ridge before implantation computed from CBCT-recordings - lingual view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
14/28 - Sagittal section of the alveolar ridge in the region of the defect before the augmentation and after 5 months of healing at implantation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
15/28 - Clinical situation 5 months after ridge augmentation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
16/28 - Surgical site opening along the initial incision lines to prevent further scar tissue formation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
17/28 - Excellent osseous integration of the allogenic cortical plates with new bone attached to the outside and optimal bone tissue regeneration
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
18/28 - Implantation of two Straumann BLT implants into the augmented bone
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
19/28 - Placement of implant cover screws in the fully submerged dental implants
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
20/28 - Occlusal view of the implants with cover screws
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
21/28 - X-ray scan of the augmented ridge after implantation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
22/28 - Stab incision for reopening of the surgical site and installation of gingival formers - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
23/28 - Stab incision for reopening of the surgical site and installation of gingival formers - occlusal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
24/28 - X-ray control scan after implant uncovering - excellent and stable osseous situation
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
25/28 - Final prosthetic restauration with provisional screw channels - buccal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
26/28 - Final prosthetic restauration with provisional screw channels - occlusal view
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
27/28 - Aesthetic and functional final result
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger -
28/28 - Radiographic control of the final prosthesis - excellent stability of the augmented bone tissue
Three-dimensional augmentation with maxgraft® cortico - Dr. R. Würdinger
Situation after tooth removal.
Pre-operative radiographic view.
Three implants placed in a narrow posterior mandible
Initial clinical situation with single tooth gap in regio 21
Initial clinical situation with broken bridge abutment in regio 12 and tooth 21 not worth preserving
Initial clinical situation.
Initial situation 57-year old female patient. X-ray scan reveals severe bone loss due to inflammation in region 13. Treatment plan was extraction of teeth 13 and 14 and augmentation after healing.
X-ray control showing initial situation
Clinical situation
Preoperative radiological situation
Pre-op picture of affected teeth 11 and 21
Pre-surgical situation. Teeth 26 and 27 missing.
Instable bridge situation with abscess formation at tooth #15 after apicoectomy
Implant insertion in atrophic alveolar ridge
Initial situation after root channel treatment
Initial situation pre-op: Central incisors with mobility 3
Initial clinical situation, regio #16
Lateral view of the defect in the posterior right maxilla.
Atrophic alveolar ridge in the left mandible
Initial x-ray showing bone loss around implants placed 5 years ago in another dental clinic
Extraction of tooth 21 after endodontic treatment
Initial clinical situation with gum recession and labial bone loss eight weeks following tooth extraction
Preoperative clinical situation
Situation after tooth extraction.
Initial clinical situation
Initial situation after extraction of tooth 21 after 6 months
Bone defect in area 11-21 due to two lost implants (periimplantitis) after 15 years of function
Pre-operative clinical situation: severe atrophy of the maxillary bone
