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    • Reconstruction of a severly compromized maxilla

    • cover image
    • Teeth were lost (21 22 23). A significant portion of the labial bone was lost.
    • A temporary maryland bridge is placed. A large quantity of acrylic is placed to compensate tissue loss.
    • The entire labial plate of bone disappeared. Defect 16mm wide, 15mm height, 5mm depth.
    • The entire labial plate of bone disappeared. Defect 16mm wide, 15mm height, 5mm depth.
    • GTO was placed on top of the ridge with successive layers.
    • 2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)
    • 2 implants NP 3,5mm were placed and well stabilised (ostell value above 70)
    • An additive layer of GTO was placed in labial position.
    • An additional layer was placed in a saddle position to gain in vertical as well.
    • 3D showing the graft and the implants placed.
    • Second stage surgery 4 months later. Implants were still stable (ostell 74) and before soft tissue manipulation (Palacci flaps), GTO was added in a coronal position to gain in vertical.
    • Occlusal view. Notice the vertical and horizontal gain in tissues.
    • Front view. Notice the vertical and horizontal gain in tissues.
    • Before and after.
    • Before and after.
    • Final result
    • Clinical indication: horizontal augmentation, vertical augmentation
    • Products : GTO®, GTO®
    • Authors : Dr. Patrick Palacci
    • Information about patient: Female, 19 years old
    • Credits : Dr. Patrick Palacci, Brånemark Osseointegration Center Marseille, France
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