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    • Advanced periodontal disease associated with iatrogenic dentistry

    • cover image
    • 1. Loss of #24, #26, #27 and #28, have to be extracted
    • 2. 3D X-rays, major bone loss around #26, #27, #28 furcation involvement. Significant concavity in #24
    • 3. Teeth are extracted, all labial bone is lost. Major bone loss is visible
    • 4. Teeth are extracted, all labial bone is lost. Major bone loss is visible
    • 5. GTO<sup>®</sup> is inserted into the alveoli
    • 6. A collagen membrane covers the defect filled with the biomaterial
    • 7. Re-entry 4 months later. Note the significant labial ridge augmentation as well as the soft tissue quality
    • 8. Note the optimal hard tissue volume obtained and the quality of the bone formation
    • 9. Four implants of 3.5mm diameter are inserted
    • 10. X-ray illustrating the labial ridge augmentation
    • 11. The concavity level in the apical portion of the first premolar, is filled with GTO® in order to recreate a natural ridge profile
    • 12. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
    • 13. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
    • 14. Part of biopsies retrieved 4 months after augmentation with GTO®. The particles of biomaterial are surrounded by newly formed bone, presence of osteocyte lacunae
    • 15. One-week post-op. Note the soft tissue healing
    • 16. Re-entry 4 months later. Implants are perfectly integrated into a well vascularized bone
    • 17. Soft tissue manipulation around implants
    • 18. Healing after three weeks. Note the ridge augmentation as well as shape, colour, texture of soft tissue
    • 19. Abutments are selected and placed for a screw retained restauration
    • 20. Final reconstruction in place (Prosthodontist Dr Christian Roux, Marseille)
    • Clinical indication: horizontal augmentation
    • Products : Duo-Teck, GTO®
    • Authors : Dr. Patrick Palacci, Prof. Ulf Nannmark
    • Information about patient: Female, 54 years old
    • Credits : Documentation provided by Dr. Patrick Palacci, Brånemark Osseointegration Center Marseille, France
      Prof. Ulf Nannmark, Göteborg University, Sweden
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