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Juan José Aranda

Madrid, Spain

Clinical case description:

›› Insufficient alveolar ridge width for implant Placement.

›› Autologous bone blocks are subject to resorption.

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<p>1) CT-scan images of the posterior atrophied mandible. 2) Intrasurgical view of the recipient area. Note the severe horizontal ridge resorption.</p>

1) CT-scan images of the posterior atrophied mandible. 2) Intrasurgical view of the recipient area. Note the severe horizontal ridge resorption.

<p>3) The donor site is filled with Geistlich Bio-Oss<sup>®</sup>. A single flap was elevatedto include the receptor and donor areas. 4) The autologous bone block from the symphysis is fixed with one screw in the correct position at the recipient site.</p>

3) The donor site is filled with Geistlich Bio-Oss®. A single flap was elevatedto include the receptor and donor areas. 4) The autologous bone block from the symphysis is fixed with one screw in the correct position at the recipient site.

<p>7) Re-entry after 6 months, demonstrating optimal bone regeneration. 8) Panoramic X-ray long-term follow-up 6 years after implant placement showing a stable bony situation.</p>

7) Re-entry after 6 months, demonstrating optimal bone regeneration. 8) Panoramic X-ray long-term follow-up 6 years after implant placement showing a stable bony situation.

Pre-surgery


							<p>1) CT-scan images of the posterior atrophied mandible. 2) Intrasurgical view of the recipient area. Note the severe horizontal ridge resorption.</p>

Surgery


							<p>3) The donor site is filled with Geistlich Bio-Oss<sup>®</sup>. A single flap was elevatedto include the receptor and donor areas. 4) The autologous bone block from the symphysis is fixed with one screw in the correct position at the recipient site.</p>

Outcome

Follow-up after at least 6 months


							<p>7) Re-entry after 6 months, demonstrating optimal bone regeneration. 8) Panoramic X-ray long-term follow-up 6 years after implant placement showing a stable bony situation.</p>