Immediate implant placement in the esthetic area with the Multi-Layer Technique

Dr. Iñaki Gamborena
Initial situation

A female patient (38 years old) shows a hopeless tooth in the esthetic area

Used biomaterials
  • mp3®
  • Lamina®
1. Initial situation

1. Initial situation

2. X-ray initial situation

2. X-ray initial situation

3. CBCT and planning

3. CBCT and planning

4. Extraction. It is possible to see a granuloma

4. Extraction. It is possible to see a granuloma

5. Implant placement

5. Implant placement

6. Incision to access to the granuloma

6. Incision to access to the granuloma

7. Flap management

7. Flap management

8. Regeneration of the buccal plate with Soft Cortical Lamina®

8. Regeneration of the buccal plate with Soft Cortical Lamina®

9. Placement of the Soft Cortical Lamina® (buccal)

9. Placement of the Soft Cortical Lamina® (buccal)

10. Placement of the Soft Cortical Lamina® (palatal)

10. Placement of the Soft Cortical Lamina® (palatal)

11. 3D packing of mp3® around the implant

11. 3D packing of mp3® around the implant

12. Packing view of mp3®

12. Packing view of mp3®

13. Connective tissue graft

13. Connective tissue graft

14. Circular position of the CTG

14. Circular position of the CTG

15. Provisional restoration

15. Provisional restoration

16. Healing after 4 months

16. Healing after 4 months

17. Second buccal and circular CTG

17. Second buccal and circular CTG

18. Circular CTG

18. Circular CTG

19. Final CTG positioning and provisional restoration

19. Final CTG positioning and provisional restoration

20. CBCT at 6 months post-op

20. CBCT at 6 months post-op

21. Second provisional restoration

21. Second provisional restoration

22. Final restoration

22. Final restoration

23. Restoration after 1 year

23. Restoration after 1 year

24. Palatal view of the final restoration after 1 year

24. Palatal view of the final restoration after 1 year

25. X-rays after 2 years

25. X-rays after 2 years

26. Restoration after 4 years

26. Restoration after 4 years

27. X-rays after 4 years

27. X-rays after 4 years

Used biomaterials
mp3
mp3®
lamina
Lamina®
Are you a medical professional?
No

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