Dr. Christian Hilscher

This case demonstrates significant bone resorption with the loss of buccal walls in the 14-24 region, along with substantial three-dimensional bone defects resulting from periimplantitis. Following the surgical removal of four implants and stabilization of the blood coagulum using collacone®, a DVT image was taken for CAD/CAM planning following a six-month healing period. For augmentation, four maxgraft® bonebuilder blocks were utilized, along with external bilateral sinus floor elevation using a combination of autologous bone and maxgraft® cortico-cancellous granules. The Schneiderian membrane was protected with several Jason® membrane, and the augmentation area was fully covered with additional Jason® membranes and PRF matrices. After seven months, successful implantation was carried out. The biopsy taken at this time point shows the remodeling of the allogenic graft (star) into patient’s new bone (arrow).  4 years radiological control shows satisfying, stable outcome.

The „Case Of The Month“ highlights every month a clinical case, which distinguished itself by the clinical results or the treatment concept in combination with the applied botiss biomaterials. The selection of the case is based on content relevance and quality of the documentation.