logo 17 • CAMLOG Partner Magazine • March 2018 21 Covering with membrane The pliable, non-side-specific Mem-Lok® Pliable membrane is a native collagen membrane made from high purity porcine tissue. It separates the rapidly proliferating soft tissue from the graft and the slower regenerating hard tissue. With a resorption time of 12 to 16 weeks, the membrane corresponds to the period of angiogenesis and ossification. As it is highly tear resistant, the membrane can be easily sutured over the defect. One should not exert too much pressure on the flap, because this can lead to an unwanted migration of graft particles into the surrounding tissue [2]. (Figs. 7 to 8) Re-Entry The healing time in the presented case was approximately four months. The periimplant soft tissue over the augmentation area was healed completely without irritation and without dehiscence. At exposure, bone remodeling was observed beyond the implant shoulder in parts. The X-ray showed a complete conversion of the granules to newly formed bone with a stable structure. The healing caps could be inserted and the patient was referred to her family dentist for impression taking and further prosthetic treatment. The implant in regio 13 was restored with an individual zirconium abutment, the two implants in regio 14 and 16 with corresponding PEKK abutments. Divergences that develop between the implant and crown axes can be compensated for easily by the two-piece Fig. 4: Insertion of the Mem-Lok® Pliable membrane. Fig. 7: Cover the augmentation material with the previously inserted Mem-Lok® Pliable barrier membrane. Fig. 10: Re-entry after four months with complete bone remodeling. Fig. 9: Peri-implant soft tissue healed without complications over the augmentation area. Fig. 8: Suture the mucoperiosteal flap without too much pressure. Fig. 11: Using single button sutures, the soft tissue is adapted closely to the healing caps. Fig. 12: Sutured peri-implant mucosa at the healing caps. Fig. 5: The bone mixture is easy to handle. Fig. 6: Filling of the defect with the mixed MinerOss®-X. CASE STUDY
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