Interpositional block bone graft technique in the rehabilitation of an atrophic posterior mandible

Prof. Maurizio Piattelli, Prof. Pietro Felice, Dr. Carlo Barausse
Initial situation

A female patient (70 years old) shows an atrophic posterior right mandible

Used biomaterials
  • Sp-Block
  • Evolution
1. Pre-operative clinical image of an atrophic posterior right mandible

1. Pre-operative clinical image of an atrophic posterior right mandible

2. Pre-operative x-ray of the atrophic posterior right mandible

2. Pre-operative x-ray of the atrophic posterior right mandible

3. CT cross section revealing the vertical crestal atrophy

3. CT cross section revealing the vertical crestal atrophy

4. After performing a paracrestal incision in the buccal aspect, a flap was carefully elevated

4. After performing a paracrestal incision in the buccal aspect, a flap was carefully elevated

5. Horizontal and vertical osteotomy lines

5. Horizontal and vertical osteotomy lines

6. The osteotomized segment was raised coronally

6. The osteotomized segment was raised coronally

7. OsteoBiol® Sp-Block was placed in the obtained space

7. OsteoBiol® Sp-Block was placed in the obtained space

8. OsteoBiol® Evolution membrane was applied on the vestibular surgical side

8. OsteoBiol® Evolution membrane was applied on the vestibular surgical side

9. Clinical image of the re-entry surgery before implants positioning after 3 months

9. Clinical image of the re-entry surgery before implants positioning after 3 months

10. Implant tunnel preparations in the regenerated bone

10. Implant tunnel preparations in the regenerated bone

11. Implants placed during the re-entry surgery

11. Implants placed during the re-entry surgery

12. X-ray after implant positioning

12. X-ray after implant positioning

13. Clinical image of the definitive prosthesis after 1 year

13. Clinical image of the definitive prosthesis after 1 year

14. X-ray with definitive proshtesis after 3 years

14. X-ray with definitive proshtesis after 3 years

15. X-ray with definitive proshtesis after 5 years

15. X-ray with definitive proshtesis after 5 years

Used biomaterials
evolution
Evolution
Sp-Block
Sp‑Block
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