Fig. 4 Creation of a pocket in the mucosa with
a special tunnel instrument (Tissue control Set,
Fa. Meisinger Germany). Fig. 5 Application of bone chips in the gap between
the implant and the buccal bone plate.
Fig. 6 Placing Geistlich Bio-Oss ® granules in the
crestal part of the gap to compensate the bundle
bone resorption.
Fig. 7 Cutting and adjusting of Geistlich Mucograft ®
for placing in the created pocket. Fig. 8 The matrix is inserted, so that it completely
covers the crestal part of the gap. The impression
copy is screwed to produce immediately a tempo
rary restoration. Fig. 10 Buccal view of the temporary crown
6 months later. Fig. 11 Buccal view of the healed mucosa. Fig. 12 Occlusal view. Note the thick facial soft
tissue.
Fig. 13 Fit control of the impression coping with a
x-ray before definitive restoration. Fig. 14 Definitive screw-retained crown. Fig. 15 Buccal view after 1 year.
Fig. 9 Temporary screwed crown 2 hours after im-
plantation. It is important not to apply pressure on
the matrix.
Compared to surgery with FGG, a treatment with Geistlich Mucograft ® needs more
post-op time to be assimilable concerning results. The use of Geistlich Mucograft ® in this
treatment concept leads to better patient satisfaction and less morbidity.
Fig. 16 Buccal view after 2 years. The papillae are
completely regenerated, the gingival margin is con-
siderably thickened.
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