Single tooth restoration of a lateral incisor with horizontal bone augmentation in the maxilla

Prof. Arndt Happe
Initial situation

A female patient (45 years old) shows a vertical defect in the esthetic area

Used biomaterials
  • mp3®
  • Lamina®
1. A female patient shows a buccal fistula on the left lateral incisor due to long-axis fracture

1. A female patient shows a buccal fistula on the left lateral incisor due to long-axis fracture

2. The periapical radiograph shows a long-axis fracture of the left lateral incisor

2. The periapical radiograph shows a long-axis fracture of the left lateral incisor

3. Situation eight weeks after extraction

3. Situation eight weeks after extraction

4. A horizontal bone defect is evident

4. A horizontal bone defect is evident

5. A 3.3-mm diameter implant is placed. A buccal dehiscency defect is evident

5. A 3.3-mm diameter implant is placed. A buccal dehiscency defect is evident

6. The bone is augmented with mp3® and Lamina®

6. The bone is augmented with mp3® and Lamina®

7. Lamina® is adapted to the defect and secured with two titanium pins buccally

7. Lamina® is adapted to the defect and secured with two titanium pins buccally

8. Wound closure. Only one distal releasing incision is performed

8. Wound closure. Only one distal releasing incision is performed

9. Post-operative x-ray

9. Post-operative x-ray

10. After one week, the post-operative healing is uneventful

10. After one week, the post-operative healing is uneventful

11. Second stage surgery. The removal of the two pins three months after the surgery is perfomed minimally invasively, without raising a flap

11. Second stage surgery. The removal of the two pins three months after the surgery is perfomed minimally invasively, without raising a flap

12. The clinical view shows the situation prior to the restorative phase

12. The clinical view shows the situation prior to the restorative phase

13. Zirconia abutment in place

13. Zirconia abutment in place

14. X-ray four months after implant placement

14. X-ray four months after implant placement

15. Final result one year after placement of the final all-ceramic restoration

15. Final result one year after placement of the final all-ceramic restoration

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

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