Atrophic posterior mandible rehabilitation with the interpositional block bone graft technique

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. The CT cross section reveals the vertical crestal atrophy

3. The CT cross section reveals the vertical crestal atrophy

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

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

5. Horizontal and vertical osteotomy lines

5. Horizontal and vertical osteotomy lines

6. The osteotomized segment is raised coronally

6. The osteotomized segment is raised coronally

7. Sp-Block is placed in the obtained space

7. Sp-Block is placed in the obtained space

8. An Evolution membrane is applied on the vestibular surgical side

8. An Evolution membrane is 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. Two implants are placed during the re-entry surgery

11. Two implants are 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 one year

13. Clinical image of the definitive prosthesis after one year

14. X-ray with definitive proshtesis after three years

14. X-ray with definitive proshtesis after three years

15. X-ray with definitive proshtesis after five years

15. X-ray with definitive proshtesis after five years

Used biomaterials
evolution
Evolution
Sp-Block
Sp‑Block
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