As the lateral incisors are no longer worth preserving, Prof. Dr. Markus Hürzeler will perform a reconstruction of the maxillary front. Besides tooth extraction and immediate implantation in regio 12 and 22, hard and soft tissue reconstruction is also planned for this surgical intervention.

Following the incision, a mucoperiosteal flap is formed, whereby a relief incision is performed in the distal region. Two sub-epithelial connective tissue grafts are harvested from the palate to thicken the soft tissue during reconstruction of the maxillary front. Cavities for the implants are prepared in the region of the extraction alveoles whereby a decision for closed healing had been made. An implant-supported prosthesis on two implants is planned for the reconstruction of the maxillary front.

The bone defects are augmented using bone replacement material and the double layer technique. Primary wound healing and interference with wound healing due to exposed membranes are excluded by a tight wound closure. This is of particular importance in the reconstruction of the maxillary front.