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Soft tissue augmentation at immediate implant placement

Dr. Ignacio Sanz-Martín

Lausanne, Switzerland

Case courtesy of Dr.Sanz Martín

Patient: 49 years, female

Clinical situation: healthy patient, smoker (< 10 cig/day), no history of periodontitis, presented root resorption in tooth 11. Tooth was scheduled for extraction. 

Surgical solution: tooth extraction with immediate implant placement and simultaneous soft tissue augmentation.

Restorative solution: Nobel Procera ASC abutment with screw-retained crown

Surgery date: April 04, 2017

Total treatment time: 6 months

Tooth position: 11 (FDI)

 

 

 

Case courtesy of Dr. Ignacio Sanz-Martín.

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Case courtesy of Dr. Sanz Martín

Initial clinical solution

Frontal view (left) and occlusal view (right).

Case courtesy of Dr. Sanz Martín

Surgical procedure

Tooth extraction – frontal view (left) and occlusal view (right).

Case courtesy of Dr. Sanz Martín

Surgical procedure

Probing of buccal bone (left).

Placed 13 x 3.5mm NobelActive™ implant (center).

Insertion of a DBBM block (right).

Case courtesy of Dr. Sanz Martín

Surgical procedure

Side and top view of the prepared creos™ mucogain matrix. The matrix is folded in order to increase the volume to be augmented, and cut to shape in a wet state (left).

View of creos™ mucogain over the implantation site (right).

Case courtesy of Dr. Sanz Martín

Surgical procedure

Preparation of a buccal pouch for soft tissue volume augmentation with the «envelope technique» (left).

Insertion of creos™ mucogain in the pocket (center).

Fixation of creos™ mucogain to neighboring soft tissue to minimize movements during the healing phase (right).

Case courtesy of Dr. Sanz Martín

Surgical procedure

Frontal view after placement of creos™ mucogain. Note that creos™ mucogain is sutured to the neighboring soft-tissue to minimize movement during the healing phase (left).

Occlusal view after placement of creos™ mucogain (right).

Case courtesy of Dr. Sanz Martín

Outcome

Occlusal view of the soft tissue, at initial situation (top left) and after 6 months healing (bottom left).

Frontal view after 6 months, with the definitive restoration (right).

Case courtesy of Dr. Sanz Martín

Outcome

Side and occlusal view (left).

Frontal view of the clinical outcome after 1 year (right).

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