The Multi-Layer Technique in the esthetic area

Dr. Paul Schuh
Initial situation

A female patient (74 years old) shows a fractured tooth

Used biomaterials
  • mp3®
  • Lamina®
1. Patient received a crown on a endodontic treated tooth #21. Tooth #21 is failing, presenting a fistula and a root fracture

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

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

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 Soft Cortical Lamina® and CT graft. The gap is filled with particulate bone substitute (mp3®)

4. Immediate implant placement and reconstruction of the missing buccal bony plate with Soft Cortical Lamina® and CT graft. The gap is filled with particulate bone substitute (mp3®)

5. X-ray #21 after implantation according to MLT and immediate restoration with a screw retained provisional

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

6. Occlusal view after 3 months immediately before final restoration

Used biomaterials
mp3
mp3®
lamina
Lamina®
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