Tooth replacement with the Multi-Layer Technique

Prof. Dr. Hannes Wachtel

Initial situation

A male patient (68 years old) shows a fistula and root fracture in position 21

Used biomaterials

mp3®
Lamina®

$1. Patient received implants #12 and #11 in 2001. Tooth #21 is failing, presenting a fistula and a root fracture. Note the vertical discrepancy of the gingival and incisal line$

1. Patient received implants #12 and #11 in 2001. Tooth #21 is failing, presenting a fistula and a root fracture. Note the vertical discrepancy of the gingival and incisal line

2. Panoramic view before treatment. Tooth #21 is not maintainable due to a large apical lesion

3. Immediate implant placement and reconstruction of the missing buccal bony plate with Lamina® Soft and CT graft. The gap is filled with mp3®

4. Frontal view immediately after surgery and inserting the temporary bridge

5. X-ray of the 3 implants: #12 and #11 18 years old - #21 implantation site is prepared according to the Multi-Layer Technique (MLT)

6. The clinical view shows the final treatment result after extraction of tooth #21. Implantation, immediate restoration and site development are performed according to the Multi-Layer Technique (MLT), and new full ceramic crowns are placed in #12 - #22

Used biomaterials

mp3®

Lamina®

OsteoBiol by Tecnoss

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