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    • Vertical and horizontal reconstruction using rigid lamina

    • cover image
    • 1. Initial situation patient with upper RPD willing to have a fixed upper restaurations on implants
    • 2. Full contour wax-up demonstrating the horizontal and vertical bone loss deficiency on posterior areas
    • 3. Virtual representation of the full contour wax-up and the presence of the defects
    • 4. From left to right implant placement N1 Nobel Biocare plus screwed hard OsteoBiol® <i> Lamina® </i> plates and 50% autogenous bone + 50% xenogenic bone material (OsteoBiol® <i>Apatos®</i>)
    • 5. From left to right, day 0 of the surgery to 6 months uncovery. We can appreciate the nice integration of the hard lamina into the grafted bone
    • 6. Panoramic x-ray of the osseous surgery.
    • 7. Crestal tuberosity connective tissue graft + connection of multiunits and corresponding healing abutments
    • 8. Provisional restoration connection. Notice the absence of keratinized mucosa and the incisal position of the mucogingival line on a high lip smile line
    • 9. The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® <i>Derma</i>/X-fine
    • 9. The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® <i>Derma</i>/X-fine
    • 9. The strip gingival autograft technique was selected in order to blend the gingival color with the rest of the soft tissues in conjunction with xenogenic collagen matrix OsteoBiol® <i>Derma</i>/X-fine
    • 10. Final zirconia screw retained Nobel Biocare Procera implant bridge with corresponding x-ray
    • 11. Before treatment
    • 12 After treatment
    • 13. Smile before surgery
    • 14. Smile after surgery
    • Clinical indication: horizontal augmentation, vertical augmentation
    • Products : Apatos, Derma, Derma, Lamina, Lamina
    • Authors : Dr. Iñaki Gamborena
    • Information about patient: Female, 53 years old
    • Credits : Documentation provided by Dr. Iñaki Gamborena
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