3 Dental Implants with Vertical and Horizontal Bone Block Graft Augmentation

Case ID: 3797

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Case Details

This patient has a vertical and horizontal bone deficiency in the lower right quadrant of the mouth and wishes to replace his missing teeth with dental implants. There needs to be enough bone support for the implants in this area in order to prevent the restorative implant crowns from being “too tall” which will not only be esthetically unpleasant but will also create unfavorable stress factors to the dental implants due to the existence of a vertical cantilever from the elongated implant crowns. In order to restore the deficiency, the region is meticulously grafted with harvested bone from the patient’s lower jaw in the form of separated bone shells or plates, bone particulate (size of 1 to 2 mm),  and bone chips (size of 250 micrometers to 1 mm) of an autogenous bone block in combination with growth factors. The area is first allowed to heal for a longer period of time since new sufficient bone needs to be regenerated in both a horizontal and vertical dimension. After at least 60% of mature lamellar bone is available from bone remodeling the area placed with dental implants.


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