Vertical and horizontal bone augmentation with the bone shell technique (BST) using OsteoBiol® cortical xenogeneic Lamina® and particulated autogenous bone.

  • cover image
  • Fig. 1. Initial clinical situation
  • Fig. 2. CBCT pre-op initial situation
  • Fig. 3. CBCT bone defect in site #23
  • Fig. 4. Degloving of a full thickness flap observing the three-dimensional defect in site #23
  • Fig. 5. Measurement of the defect with a deep gauge
  • Fig. 6. Axial clinical view of the three-dimensional defect
  • Fig. 7. Preparation of the OsteoBiol® cortical <i> Lamina® </i> using a piezosurgery device
  • Fig. 8.  Preparation of the OsteoBiol® cortical <i> Lamina® </i> according to the size of the bone defect site
  • Fig. 9. Recollection of autogenous bone chips with a safescraper from the mandibular ramus
  • Fig.10. Particulated autogenous bone chips recollected
  • Fig.11. Buccal and palatal OsteoBiol® cortical <i> Lamina® </i> fixation with 4 ostheosyntesis screws
  • Fig.12. Bone defect filling inside the 2 cortical laminas with autogenous bone chips
  • Fig.13. Axial clinical view of the bone augmentation before flap closure
  • Fig.14. Management of soft tissues and flap closure using 5-0 PTFE suture
  • Fig.15. CBCT post-op lateral view
  • Fig.16. CBCT post-op axial view
  • Fig.17. CBCT 9 month after implant placement in site #23 with relining procedure recommended in this cases
  • Fig.18. Radiograph X-ray with final restoration
  • Clinical indication: horizontal augmentation, vertical augmentation
  • Products : Lamina
  • Authors : Dr. Vladimir Garcia Lozada
  • Information about patient: Male, 35 years old
  • Credits : Documentation provided by Dr. Vladimir Garcia Lozada, Madrid, Spain.
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