• cover image
  • 1. Initial situation patient with upper RPD willing to have a fixed upper restaurations on implants
  • 2. Full contour wax-up demonstrating the horizontal and vertical bone loss deficiency on posterior areas
  • 3. Virtual representation of the full contour wax-up and the presence of the defects
  • 4. a-b-c-d From left to right implant placement N1 Nobel Biocare plus screwed hard OsteoBiol® Lamina® plates and 50% autogenous bone + 50% xenogenic bone material (OsteoBiol® Apatos®)
  • 5. a-b-c  From left to right, day 0 of the surgery to 6 months uncovery. We can appreciate the nice integration of the hard lamina into the grafted bone
  • 6. Panoramic x-ray of the osseous surgery.
  • 7. Crestal tuberosity connective tissue graft + connection of multiunits and corresponding healing abutments
  • 8. Provisional restoration connection. Notice the absence of keratinized mucosa and the incisal position of the mucogingival line on a high lip smile line
  • 9. a-b-c The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® Derma/X-fine
  • 9. a-b-c The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® Derma/X-fine
  • 9. a-b-c The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® Derma/X-fine
  • 10. Final zirconia screw retained Nobel Biocare Procera implant bridge with corresponding x-ray
  • 11. a-b Before and after of the treatment chosen
  • 11. a-b Before and after of the treatment chosen
  • 12. a-b Before and after final smile
  • 12. a-b Before and after final smile
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