Case Details
A patient wishes to have teeth for the upper anterior segment of the mouth but does not want to resort to wearing any type of removable denture. Unfortunately, the width of the anterior alveolar bone is only 2-3 mm thick and will not be able to accommodate any of the desired implant sizes. As a result, 2 block blocks are harvested from separate areas of the patient’s jaw. One of the bone blocks is prepared and converted into 2 bone shields (or bone shells) and bone chips while the other bone block is prepared and converted to bone particulate. This procedure is repeated for the opposite side of the mouth. The pieces of bone are then placed and fixated within the targeted areas accordingly and allowed to heal for 4-6 months before dental implant(s) are placed free-handedly.
Before
After
Description: LEFT (before the surgery): Shows the area of missing teeth and bone from the frontal view. AFTER (after the delivery of the implant prosthesis): Shows a broad or wide smile.
Before
After
Description: LEFT (before the surgery): Shows the area of missing teeth and bone from the occlusal view or bottom view. AFTER (after the delivery of the implant prosthesis): Shows a more relaxed smile.
Before
After
Description: From the CBCT scan's cross-sectional image, you can see that the width of bone is approximately 2.5 mm which does not allow the placement of dental implants of any size. Therefore, a bone augmentation procedure will need to be performed to increase the thickness of bone for both sides of the midline.
Before
After
Before
After
Description: The completion of the bone block procedure has made an improvement for an additional gain of 8 mm resulting in an overall bone width of 10-11 mm of bone thickness which will be quite sufficient to support a desired implant size of 3 to 4 mm which is ideal for this particular location.
