Vertical ridge augmentation of the anterior maxilla
using creos™ syntoprotect mesh
Dr. Istvan Urban
Patient: 34-year-old female patient, healthy.
Clinical situation: Several failed bone graft surgeries in the history. Severe asymmetry and lack of lip support because of the underlying bone defect. Very unhappy with her facial appearance.
Surgical solution: Vertical ridge augmentation of the anterior maxilla; implant placement.
Restorative solution: Implant bridge.
Products used: creos™ syntoprotect mesh, Nobel Biocare N1™ implant system
Surgery date: 2020 Total treatment time: 17 months in 2020
Tooth positions: #22, #24
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial view of the face demonstrates severe asymmetry and lack of lip support because of the underlying bone defect (left).
Labial view of severe vertical defect of the anterior maxilla involving three teeth (right).
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial view of the defect after flap elevation (left).
Labial view of a particulate bone graft composed of a 1:1 ratio of autogenous bone and a xenogenic bone graft. creos syntoprotect mesh was fixated before the graft was applied (center).
Labial view of the membrane after complete fixation. Several titanium pins were utilized for the fixation (right).
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial view at membrane removal after 8 months of uneventful healing (left).
Labial view of the regenerated bone demonstrating a complete vertical and horizontal bone gain (right).
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial and occlusal views of defect during implant placement. Two Nobel Biocare N1™ implants were placed.
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Occlusal view of a surgical guide in place, demonstrating good prosthetic positions of the implants (left).
Labial view of a protection layer of bone graft called a “mini sausage.” 20% autograft and 80% xenograft were utilized for this graft. The collagen membrane was fixated with titanium pins. The goal of the graft was to protect the newly formed bone from any resorption (right).
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
A double layer, "Iceberg" connective tissue graft was placed over the implants to increase tissue thickness (left).
A strip gingival graft harvested from the labial gingiva was utilized in combination with the collagen matrix to reconstruct the vestibule and keratinized tissue (right).
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial view of the reconstructed soft tissue, demonstrating a natural color.
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Labial view of the final restoration in place.
Vertical ridge augmentation of the anterior maxilla utilizing reinforced PTFE mesh (creos™ syntoprotect mesh)
Before: Periapical radiographs demonstrate good bone stability after loading (left).
After: Facial view demonstrates beautiful lip support and symmetry after treatment (right).
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Nobel Biocare N1™ systemChange the way you treat patients.
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creos™ syntoprotect meshNon-resorbable reinforced PTFE mesh for the stabilization and support of bone grafts in horizontal and vertical ridge augmentations.
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