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ePaper created 2017-12-06, 11:14:19 | version 1.38.0
| industry Fig. 5 Fig. 6 Fig. 7 Fig. 5: Extended hard- and soft- tissue defect after extraction. Fig. 6: Dry CERASORB® M granules filled into the defect. Fig. 7: Covering the wound area with a resorbable Epi-Guide® membrane. Fig. 8: Soft-tissue dehiscence during the healing process. Fig. 9: Control X-ray after six months: homogenious bony Fig. 8 Fig. 9 based solution. The first inspection demonstrated the complexity of this case, that required a few interven- tions and posttreatments. The CT scan (Fig. 14) displayed seven stainless steel leaf implants and a one-piece screw implant with partly relevant signs of osteolysis and an enor- mously big bone destruction. The complete con- struction had to be classified as inadequate and a complete clinical revision was needed. The first surgical intervention in general anaesthe- sia was to remove the complete prosthetic construc- tion and the implants. The implants were completely imbedded in inflammatory soft tissue. This provided a removal of the implants without any additional iatrogenic destruction of the considerable compro- mised alveolar bone. After complete removal of the inflammatory soft tissue, there was a need for protection of the dam- bridging and preservation of the alveolar crest dimension. Fig. 10: Initial situation in the X-ray. Wish for implant solution. Fig. 11: CERASORB® Foam for protection of the Schneiderian membrane. Fig. 12: Implant in area 17. Defect reconstruction with CERASORB® M. Fig. 13: Control X-ray after implant insertion. Fig. 10 Fig. 11 Fig. 12 Fig. 13 30 implants 3 2017