Autogenous bone augmentation for vertical defects in a severely resorbed mandible: case report of five year follow-up with dental implants

2011 ◽  
Vol 40 (10) ◽  
pp. 1139
Author(s):  
L.E. Morais ◽  
S.A. Raskin ◽  
R.D.L. Pocztaruk ◽  
T.A. Lico ◽  
E. Kolodny ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Autogenous Bone ◽  
Bone Augmentation

Additive manufacturing to assist prosthetically guided bone regeneration of atrophic maxillary arches

2015 ◽  
Vol 21 (6) ◽  
pp. 705-715 ◽  
Author(s):  
M. Fantini ◽  
F. De Crescenzio ◽  
L. Ciocca ◽  
F. Persiani
Keyword(s):  
Additive Manufacturing ◽  
Bone Regeneration ◽  
Dental Implants ◽  
Surgical Intervention ◽  
Guided Bone Regeneration ◽  
Autogenous Bone ◽  
Bone Augmentation ◽  
Virtual Planning ◽  
Content Type ◽  
Fused Deposition

Purpose – The purpose of this paper is to describe two different approaches for manufacturing pre-formed titanium meshes to assist prosthetically guided bone regeneration of atrophic maxillary arches. Both methods are based on the use of additive manufacturing (AM) technologies and aim to limit at the minimal intervention the bone reconstructive surgery by virtual planning the surgical intervention for dental implants placement. Design/methodology/approach – Two patients with atrophic maxillary arches were scheduled for bone augmentation using pre-formed titanium mesh with particulate autogenous bone graft and alloplastic material. The complete workflow consists of four steps: three-dimensional (3D) acquisition of medical images and virtual planning, 3D modelling and design of the bone augmentation volume, manufacturing of biomodels and pre-formed meshes, clinical procedure and follow up. For what concerns the AM, fused deposition modelling (FDM) and direct metal laser sintering (DMLS) were used. Findings – For both patients, a post-operative control CT examination was scheduled to evaluate the progression of the regenerative process and verify the availability of an adequate amount of bone before the surgical intervention for dental implants placement. In both cases, the regenerated bone was sufficient to fix the implants in the planned position, improving the intervention quality and reducing the intervention time during surgery. Originality/value – A comparison between two novel methods, involving AM technologies are presented as viable and reproducible methods to assist the correct bone augmentation of atrophic patients, prior to implant placement for the final implant supported prosthetic rehabilitation.

scholarly journals Current approach to bone augmentation with allogeneic cortical graft: A case report

2021 ◽  
Vol 11 (Suppl. 1) ◽  
pp. 299-302
Author(s):  
Utku Nezih Yılmaz ◽  
Fatma Eriş Derkuş
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Healing Process ◽  
Bone Defects ◽  
Current Approach ◽  
Autogenous Bone ◽  
Bone Augmentation ◽  
Alveolar Crest

Aim: Today, dental implant applications have become the most preferred option in the treatment of tooth deficiencies. Long-term successful results in dental implant applications depend largely on the volume and quality of the hard and soft tissues in the relevant region. Insufficient soft tissues and alveolar crest resorption complicate implant applications. Grafts and additional surgical procedures are required to compensate for resorption and to provide bone augmentation. Shell technique, one of the augmentation methods used in the treatment of alveolar bone defects, is an important procedure for guided bone regeneration. The purpose of this case report is to describe the treatment of vertical and horizontal bone loss with the Shell technique using allogeneic cortical grafts. Methodology: A 58-year-old female patient without any systemic disease was admitted to our clinic with the complaint of tooth loss in the right posterior mandibular region. In the intraoral and radiological examinations, it was determined that the bone volume in the relevant region was not sufficient for dental implant. Two-stage surgical treatment was planned for the patient. First, vertical and horizontal bone defects were augmented with allogeneic cortical graft application under local anesthesia. After the healing process, dental implants were placed in the sufficient volume of the alveolar bone and the patient's treatment was completed. Conclusion: Allogeneic grafts in the treatment of alveolar crest defects; it is a good alternative to autogenous bone grafts,there is no need for a second surgical field and the resulting reduction in morbidity.   How to cite this article: Eriş Derkuş F, Yılmaz UN. Current approach to bone augmentation with allogeneic cortical graft: A case report. Int Dent Res 2021;11(Suppl.1):299-302. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.44     Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Mandibular Full-Arch Rehabilitation over 3 Straight Immediately Loaded Implants: 8 Years of Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Márcio de Carvalho Formiga ◽  
Magda Nagasawa ◽  
Jamil Awad Shibli
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Treatment Option ◽  
Successful Treatment ◽  
Treatment Plan ◽  
Adequate Treatment ◽  
The Past ◽  
Technical Complications ◽  
Edentulous Patients

Mandibular full-arch restoration is a good and successful treatment option for totally edentulous patients. In the past years, several studies have described the placement of 4 to 6 implants to restore this type of case; however, an option using 3 dental implants placed in strategic and specific positions could also be an alternative. Therefore, this case report describes a full-arch rehabilitation on 3 straight, immediately loaded implants after 8 years of follow-up. The restoration presented no biological or technical complications during this follow-up period, showing that an adequate treatment plan was able to allow good results using this treatment option.

scholarly journals Autogenous Chin Block Grafts in the Aesthetic Zone: A 20-Year Follow-Up Case Report

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Carlo Maiorana ◽  
Susanna Ferrario ◽  
Pier Paolo Poli ◽  
Mattia Manfredini
Keyword(s):  
Autogenous Bone ◽  
Bone Augmentation ◽  
Reliable Technique ◽  
Implant Placement ◽  
Osseointegrated Implants ◽  
Clinical And Radiological Outcome ◽  
The Aesthetic ◽  
Autogenous Bone Grafts

The successful use of osseointegrated implants in the treatment of partial or complete edentulism requires a sufficient bone support. Whenever rehabilitation in atrophic edentulous areas is needed, bone augmentation procedures are recommended. The aim is to provide adequate amount of supporting bone to achieve a prosthetically guided implant placement. This in turn leads to functional and aesthetic improvements that can be maintained on the long term. Bone grafting of the atrophic site can be performed either prior to implant placement or at the time of implantation. Irrespective of the timing, bone augmentation by means of autogenous bone grafts is a reliable technique, as confirmed by several studies. On the other hand, long-term evidence on the use of autogenous chin block grafts in preprosthetic implant surgery is still scarce. Thus, the purpose of the present case is to report the 20-year clinical and radiological outcome of autogenous chin block grafts used to augment a bilateral defect due to agenesis of the upper lateral incisors for implant placement purposes.

Radiographic and Endoscopic Observation of Accidentally Perforated Anterior Nasal Cavity with Dental Implants: Case Reports with 5-23 Years of Follow-Up

2020 ◽  
Author(s):  
Won-Bae Park ◽  
Young-Jin Kim ◽  
Ji-Young Han ◽  
Jung-Soo Park ◽  
Philip Kang
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Nasal Cavity ◽  
Dental Implants ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Nasal Endoscopy ◽  
Nasal Floor ◽  
Mucosal Thickening

Severe atrophy of the maxillary anterior region may make implant placement difficult and as a result, iatrogenic complications such as nasal floor perforation may occur.  The purpose of this case report is to present radiographic and nasal endoscopic features in the anterior nasal floor when dental implants were inadvertently perforated into nasal cavities. Between 2003 and 2018, four patients recorded with anterior nasal floor perforation with dental implants were followed and reviewed with panoramic radiographs and cone-beam computed tomography. Also, nasal endoscopic examinations were performed by one otolaryngologist. Four implants in four patients were included in this case report. All implants achieved osseointegration and survived for 5-23 years without clinical complications. Three implants did not show any mucosal thickening and only one had minor mucosal thickening as visible on the radiographs.  Nasal endoscopy examinations revealed that three implants were covered with mucosa and one had threads exposed. Intraorally, only one had clinical signs of peri-implant mucositis. Dental implants that perforated into the anterior nasal floor did not show clinical, radiographic, and nasal endoscopic complications during the long-term follow-up period. Nasal endoscopy was a better diagnostic tool to evaluate the implants perforated into the nasal cavity than conventional panoramic or cone-beam computed tomography.

scholarly journals Staged Rehabilitation of Posttraumatic Dentoalveolar Defect with Distraction Osteogenesis and Dental Implants

2017 ◽  
Vol 1 (1) ◽  
pp. s-0037-1604327
Author(s):  
Virendra Singh ◽  
Neha Jajodia ◽  
Pranav Gupta ◽  
Amrish Bhagol
Keyword(s):  
Soft Tissue ◽  
Internal Fixation ◽  
Dental Implants ◽  
Distraction Osteogenesis ◽  
High Energy ◽  
Alveolar Ridge ◽  
Bone Augmentation ◽  
Multiple Fractures ◽  
Anterior Mandible

Rehabilitation of posttraumatic composite defects of anterior mandible following comminution type high-energy injury often presents a reconstructive challenge. Obtaining ideal osseous and soft tissue contours in these cases is a demanding task. We discuss a case of a young man, involved in a road-side accident leading to multiple fractures in his mandible with comminution of anterior alveolar ridge. We were able to achieve excellent results by planning and treating him in five sequential stages. First, the need for rigid internal fixation was addressed followed by bone augmentation with the dynamic osteodistraction method, dental implants, and prosthesis delivery. Satisfactory aesthetics and functions were noted at a 7-year follow-up evaluation of the patient justifying the multistaged rehabilitation treatment rendered.

scholarly journals The Use of Cortical Bone Wedges from the Mandibular Ramus “Wedge Technique” for 3-Dimensional Bone Augmentation of the Atrophic Ridges

2021 ◽  
Author(s):  
Fares Kablan
Keyword(s):  
Cortical Bone ◽  
Healing Process ◽  
Panoramic Radiograph ◽  
Bone Volume ◽  
Autogenous Bone ◽  
Bone Augmentation ◽  
3 Dimensional ◽  
Bone Gain ◽  
Wedge Technique

Autogenous bone is still considered the gold standard in bone augmentation for implant insertion in atrophic ridges. However, augmentation of multiple edentulous atrophic segments usually necessitates the use of extraoral donor sites. This chapter introduces the Wedge Technique, as a new bone augmentation method that can augment multiple edentulous ridges with intraoral cortical bone grafts. Patients with moderate to severe ridge atrophy in different regions of the jaws were treated with the wedge technique (WT). Patients received a panoramic radiograph immediately after the surgery, and they were examined clinically and radiographically (periapical radiograph) every 2 weeks. At four months, CBCT was performed to evaluate the bone gain. Reentry was performed after 4 to 5 months to evaluate the new bone volume and quality and to insert implants. The follow-up period ranged from 30 to 120 months. The healing process was uneventful, with minimal morbidity. The success rate was 95%, the bone gain average was 3–6 mm vertically and 3–9 mm horizontally. The wedge technique can augment multiple segments of atrophic ridges with a small amount of autogenous graft. The achieved bone volume was satisfying, especially that the majority of the augmented areas were at posterior mandibular defects.

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