Horizontal / Vertical defect ( 3 teeth gap ) – Mandible
Horizontal / Vertical defect ( 3 teeth gap ) – Mandible
Surgery and concept by Dr . Marcus Seiler , MSc MSc ( Filderstadt , Germany )
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1 Initial clinical and radiological situation of the vertical and horizontal defect .
2 A crestal incision reveals the combined vertical and horizontal bone defect .
3 Yxoss CBR ® fully-protect is used to augment the defect . The microstructured surface protects against soft tissue ingrowth .
4 The titanium lattice is then filled with a 50:50 mixture of autologous bone and Geistlich Bio-Oss ® and is inserted .
5 With deep absorbable mattress sutures and single button sutures , the mucoperiosteal flap is sutured in two layers without tension over Yxoss CBR ® fully-protect .
6 Clinical situation seven months after augmentation .
7 Upon reopening no soft tissue ingrowth into the 8 The pilot drilling can be performed through microstructure which allowed easy removal . Note the pre-planned backward holes . there is no separation between soft tissue and bone in the area of planned openings for implant placement .
9 Subsequently , the Yxoss CBR ® fully-protect was removed . The result is a harmonious bone contour with good bone quality .
10 With the Yxoss CBR ® fully-protect , a horizontal bone width of approx . 10 mm could be achieved .
11 Due to the good quality of the regenerated bone , transgingival healing is possible .
12 Radiological findings four months after healing of the implant . Soon on www . reoss . eu : Clinical 3-year follow-up after prosthetic restoration with all-ceramic crowns .
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