Clinical benefit of Yxoss CBR ® protect
Horizontal / Vertical Defect ( 3 teeth gap ) – Posterior Maxilla
Surgery and concept by Dr . Marcus Seiler MSc MSc ( Filderstadt , Germany )
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1 Clinical baseline situation of the vertical and horizontal defect .
2 Vertical and horizontal bone defect after surgical opening via a mid-crestal incision .
3 3-D printed Titanium scaffold with pre-specified fixation options in the apical area of the „ protect “ structure .
4 Try-in of Yxoss CBR ® protect into the defect region . A bone defect of approx . 6 mm is revealed .
5 The scaffold is fixed with a single FYxoss screw in the crestal area . In accordance with the backward planning one implantat could be inserted immediately ( pos . 14 ). In addition an external sinus lift was performed .
6 Tension-free closure of the double layer mucoperiosal flap over Yxoss CBR ® protect using resorbable deep mattress and single interrupted sutures .
7 Clinical image shows an irritation-free healing after the extensive horizontal and vertical augmentation .
8 Yxoss CBR ® protect successfully prevented hard and soft tissue ingrowth in the apical area . The bone maturation was not affected .
9 Thanks to the Yxoss CBR ® protect design the scaffold could be removed more easily after a healing period of 6 months .
10 Fully regenerated and maturated bone with implants .
11 After inserting the two addional implants and the healing abutments the flap is closed once again .
12 Radiographic image visualizes the implant positions within the regenerated bone .
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