Multi-Layer Technique and soft tissue augmentation

Initial situation. Full smile. First dental visit in 20 years: tilted and crowded teeth presenting high tooth mobility.

Intraoral frontal view – initial situation.

Intraoral right lateral view – initial situation.

Intraoral left lateral view – initial situation.

Intraoral occlusal view upper jaw – initial situation.

Intraoral occlusal view lower jaw – initial situation.

X-ray initial situation.

Intraoperative occlusal view upper jaw – simultaneous hard and soft tissue augmentation from region 12-22 using the Lamina®, GTO®, and subepithelial connective tissue graft.

Provisional restoration on the day of surgery. 6mm rise in VOD.

One week after healing.

Healed soft tissue situation after bone and soft tissue grafting.

X-ray after implantation and augmentation. Endodontic retreatment #46/#47 was performed later

Final restoration – frontal view.

Final restoration – occlusal view – upper jaw.

Initial situation

Final smile