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    • Multi Layer Technique

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    • 1. Patient received a crown on a endodontic treated tooth #21. Tooth #21 is failing, presenting a fistula and a root fracture
    • 2. Final treatment result after extraction of tooth #21, implantation, immediate restoration and site development according to the multilayertechnique (MLT) and new full ceramic crown #21
    • 3. CBCT scan before treatment. #21 presenting an apical lesion and the missing buccal bony plate
    • 4. Immediate implant placement and reconstruction of the missing buccal bony plate with a soft bone lamina and CT graft. The gap is filled with particulate bone substitute (mp3<sup>®</sup>)
    • 5. X-ray #21 after implantation according to MLT and immediate restoration with a screw retained provisional
    • 6. Occlusal view after 3 months immediately before final restoration
    • Clinical indication: horizontal augmentation
    • Products : Lamina, mp3®
    • Authors : Dr. Paul Schuh
    • Information about patient: Female, 74 years old
    • Credits : Documentation provided by Dr Paul Schuh, Munich, Germany
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