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Surgery by Jan Kielhorn Jan Kielhorn shows the application of maxgraft® cortico in the shell technique in a free-end situation in the atrophic mandible. He is an oral surgeon and more specifically a specialist for Periodontology (DPG) and Oral Implantology (DGI, DGZI, BDO, BDZI). His specializations are 3D diagnosis, navigated surgery, oral implantology, augmentation, CAD/CAM. Jan Kielhorn shows in this uncommented live surgery the treatment of an atrophic mandible with the help of maxgraft® cortico in the shell technique. Animation sequences are used to illustrate the step-by-step instructions for the application of the shell technique. The animation sequences are followed by live performance of these steps in the patient. The main steps are trimming, placement and fixation, as well as, adaptation of the edges of maxgraft® cortico. The container, which was created by the strut, was filled with cancellous allograft. The augmented area was covered with a PRF-matrix and final tension-free and saliva-proof wound closure was performed. maxgraft® cortico is a prefabricated cortical bone plate from human donor bone. The concept of the shell technique is the preparation of a biological container which creates the necessary space for the full incorporation of the particulated bone graft material. (https://botiss-dental.com/products/ma...) As particulate bone grafting material xenogeneic (e.g., cerabone®), allogeneic (e.g., maxgraft® granules) or autologous bone can be used. cerabone® is a 100% pure bone mineral of bovine origin, which offers exceptional volume stability due to its non-resorbable properties. (https://1200trust.com/) maxgraft® is a sterile and safe allograft product from human donor bone, processed by the Cells+Tissuebank Austria. (https://botiss-dental.com/products/ma...) More about ridge augmentation / reconstruction: https://botiss-campus.com/indications... and bone defect augmentation: https://botiss-campus.com/indications... In contrast to the Khoury technique (use of autogenous bone plates), with the shell technique of maxgraft® cortico, surgery time is reduced by using allogenic cortical struts.