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ePaper created 2017-12-06, 11:14:19 | version 1.38.0
industry | Fig. 1: Pre-op X-ray in right mandibular. Fig. 2: After opening and preparation of a mucoperiostal flap. Fig. 3: Defect filling with CERASORB® Classic granules. Fig. 4: Control X-ray after nine months shows a sufficient bony consolidation. Fig. 1 Fig. 2 Fig. 3 Fig. 4 more porous and polygonal shaped CERASORB® M. Here, after removal of teeth #26, #27 and #28, the ridge was preserved with the new product. membrane were noted. An implant treatment was the best choice in this situation (Fig. 10). The extraction of the deeply destroyed mo- lar teeth and the dislocated wisdom tooth left an extensive hard- and soft-tissue defect (Fig. 5). The extraction sockets were filled with dry CERASORB® M granules to allow a better evalua- tion of the defect’s bleeding capacity (Fig. 6). Re- garding the extensive soft-tissue loss, the wound was additional covered with a resorbable mem- brane ( Epi-Guide®; Fig. 7) and fixed with sutures. The following healing process exposed a soft- tissue defect (Fig. 8), which afterwards healed completely. The control X-ray scan after six months showed a homogenous bony rehabilitation of the extraction sockets and a complete preservation of the alveolar ridge dimension (Fig. 9). Case 3: CERASORB® Foam In 2015 after surgical removal of teeth #16 and #17 following the “basic protocol” alio loco, the patient visited the clinic. After clinical examina- tion, a compromised alveolar ridge, lowered sinus and an iatrogenic damage of the Schneiderian Firstly, a mucoperiostal flap was designed and ele- vated. Then, the lateral window was cut to expose the Schneiderian membrane. After elevation of the Schneiderian membrane, CERASORB® Foam was in- serted to provide outline and to keep the membrane elevated (Fig. 11). The residual space was filled with CERASORB® M granules (Fig. 15). In area 17, an implant was inserted, which was not possible for the first molar area due to a lack of primary stability (Fig. 12). The postsurgical healing process was absolutely uncomplicated. The postimplantation scan (Fig. 13) revealed a significant growth of volume in the grafted area, providing the basement for an additional im- plant. Case 4: CERASORB® Foam, Epi-Guide® membrane The patient introduced in 2015 to our clinic with a surgical and prosthetic treatment done in Switzerland in 2012/13 asked for rehabilitation with an implant- implants 3 2017 29