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Case Report:            „TFT“ Method (Tissue-Frame-Technique)
                        Implantology, sutureless

Surgeon:                Michael Claar DDS, Kassel, Germany

Situation:              Placement of a 3.4 mm Implant
                        Upper jaw
                        Front tooth

Material:               Flex Barrier (crosslinked Hyaluronic acid)
                        Medical Instinct/ BoneTrust +

Summary:

To prevent the natural esthetic look of the mucosa, the soft tissue
around the Gingival Former is stabilized immediately without a suture
even by application of Flex Barrier. The case report shows, that the
aim of a voluminous soft tissue and naturally looking papillae is easily
to reach without any additional surgical procedures.
Flex Barrier warrants a fast wound closure and a good handling even
by application and injection into the soft tissue.
Ausgangssituation

Initial situation




                    Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Fehlender oberer, seitlicher Schneidezahn

Missing upper lateral incisor




                                            Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Eröffnung ohne laterale Entlastungsschnitte

Incision witout lateral relief cut




                                              Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Einbringung des 3,4 mm BoneTrust+ Implantates

Insertion of a 3.4 mm BoneTrust+ implant




                 Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Implantatverschluss mit Gingivaformer

Coverage of the implant with a gingival former




                                                 Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Wundverschluss durch Flex Barrier Membran ohne Naht

Wound closure with Flex Barrier without suture




                                                      Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Hydrophiles Flex Barrier „zieht“ das Defektblut in die Gelmatrix zur schnellen Koagulation

Flex Barrier is tracking the blood from the operating site for coagulation due to its hydrophil
characteristics




                                                           Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Vollständig abgeheilte, narbenfreie Weichgewebssituation nach einigen Wochen

Fully healed mucosa free of scares after a couple of weeks




                                                      Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Gesundes Weichgewebe nach Eröffnung

Healthy soft tissue after reopening




                                      Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Ausreichende Weichgewebshöhe für eine natürliche und ästhtetische Prothtetik

Good height of soft tissue for natural and estheticly looking prosthtetics




                                                  Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Abformung mit der Repositionstechnik

Impression taking with the open tray technique




                                                 Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Zirkonabutment zur optimalen prothetischen Versorgung

Cercon Abutment for a optimum of prosthetetic solution




                                                 Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Krone unmittelbar nach der Eingliederung

Ceramic crown directly after integration




                                           Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Finale Situation mit sehr guten Weichgewebsverhältnissen

Final situation with perfect soft tissue relation




                                                    Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
Röntgenkontrolle zeigt trotz offener Einheilung ohne Naht keinerlei Verlust des marginalen
Knochens

X-Ray shows no marginal bone loss particularly after wound healing without suture




                                                 Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany

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Прменение Flex Barrier для регенерации мягких тканей

  • 1. Case Report: „TFT“ Method (Tissue-Frame-Technique) Implantology, sutureless Surgeon: Michael Claar DDS, Kassel, Germany Situation: Placement of a 3.4 mm Implant Upper jaw Front tooth Material: Flex Barrier (crosslinked Hyaluronic acid) Medical Instinct/ BoneTrust + Summary: To prevent the natural esthetic look of the mucosa, the soft tissue around the Gingival Former is stabilized immediately without a suture even by application of Flex Barrier. The case report shows, that the aim of a voluminous soft tissue and naturally looking papillae is easily to reach without any additional surgical procedures. Flex Barrier warrants a fast wound closure and a good handling even by application and injection into the soft tissue.
  • 2. Ausgangssituation Initial situation Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 3. Fehlender oberer, seitlicher Schneidezahn Missing upper lateral incisor Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 4. Eröffnung ohne laterale Entlastungsschnitte Incision witout lateral relief cut Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 5. Einbringung des 3,4 mm BoneTrust+ Implantates Insertion of a 3.4 mm BoneTrust+ implant Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 6. Implantatverschluss mit Gingivaformer Coverage of the implant with a gingival former Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 7. Wundverschluss durch Flex Barrier Membran ohne Naht Wound closure with Flex Barrier without suture Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 8. Hydrophiles Flex Barrier „zieht“ das Defektblut in die Gelmatrix zur schnellen Koagulation Flex Barrier is tracking the blood from the operating site for coagulation due to its hydrophil characteristics Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 9. Vollständig abgeheilte, narbenfreie Weichgewebssituation nach einigen Wochen Fully healed mucosa free of scares after a couple of weeks Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 10. Gesundes Weichgewebe nach Eröffnung Healthy soft tissue after reopening Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 11. Ausreichende Weichgewebshöhe für eine natürliche und ästhtetische Prothtetik Good height of soft tissue for natural and estheticly looking prosthtetics Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 12. Abformung mit der Repositionstechnik Impression taking with the open tray technique Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 13. Zirkonabutment zur optimalen prothetischen Versorgung Cercon Abutment for a optimum of prosthetetic solution Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 14. Krone unmittelbar nach der Eingliederung Ceramic crown directly after integration Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 15. Finale Situation mit sehr guten Weichgewebsverhältnissen Final situation with perfect soft tissue relation Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany
  • 16. Röntgenkontrolle zeigt trotz offener Einheilung ohne Naht keinerlei Verlust des marginalen Knochens X-Ray shows no marginal bone loss particularly after wound healing without suture Chirurg/Surgeon: Dr. Michael Claar/Kassel/Germany