Modified shell technique in the esthetic zone - Class V defect

Prof. Arndt Happe
Initial situation

A female patient (28 years old) shows a vertical defect

Used biomaterials
  • Lamina®
Initial clincial situation with missing right central incisor. After trauma in childhood the tooth experienced retention and external resorption.

Initial clincial situation with missing right central incisor. After trauma in childhood the tooth experienced retention and external resorption.

Screenshot of CBST Scan. Class V Defect with missing palatal wall.

Screenshot of CBST Scan. Class V Defect with missing palatal wall.

Intraoperative view of the vertical defect.

Intraoperative view of the vertical defect.

One part of Tecnoss Lamina was fixed buccaly with 1 osteosynthesis screw (1mm Diameter).

One part of Tecnoss Lamina was fixed buccaly with 1 osteosynthesis screw (1mm Diameter).

The space that was created by the 2 xenogenic shells is filled with autogenous bone chips.

The space that was created by the 2 xenogenic shells is filled with autogenous bone chips.

Meticulous soft tissue closure.

Meticulous soft tissue closure.

Tissue healing after 4 months

Tissue healing after 4 months

Regeneration of the ridge and integration of the lamina after 4 months.

Regeneration of the ridge and integration of the lamina after 4 months.

Occlusal view of the regenerated ridge

Occlusal view of the regenerated ridge

3.8mm diameter implant in place. Ready for transmucosal healing

3.8mm diameter implant in place. Ready for transmucosal healing

Post-OP situation after implant placement and soft-tissue augmentation.

Post-OP situation after implant placement and soft-tissue augmentation.

6 months after placement of the final  Imlplant restoration.

6 months after placement of the final Imlplant restoration.

Peri-apical X-ray of the final restoration.

Peri-apical X-ray of the final restoration.

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

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