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Horizontal ridge augmentation in anterior atrophic mandible

Dr. Fabrizio Colombo, M.D.

Case Summary

Patient Information
Chief ComplaintThe patient presented for a treatment of a Bilateral agenesis of the upper right and left lateral incisors.
Treatment Plan
  1. Implants #12 and #22 + simultaneous GBR using THE Graft and a collagen membrane.
  2. After 6 months: uncovering & implant loading with temporary crowns.
  3. Soft tissue graft from palate to shape convex buccal architecture.
  4. Final zirconia crowns after healing.
Grafting Area2|2
---|---
|
Materials
Bone Graft THE Graft™
Small particle xenograft placed on exposed implant surface in buccal region.
Membrane Collagen Membrane
Collagen membrane fixed with pins for horizontal ridge augmentation.
Suture Biotex™
PTFE suture for primary closure – biologically inert and easy handling.
Methods
CategoryImplantology
IndicationHorizontal bone loss
ApproachBone augmentation
Implant TechniqueTwo-stage, Simultaneous approach

Case Approach

This is a simplified summary of the case methodology. For complete details, please see the full PDF or video presentation.

1.

Pre-operative image.

Lack of typucal convex architecture of the buccal side of the lateral incisors area (frontal view).

2.

Intra-first operative image.

Buccal fenestrations after implants placement.

3.

Intra-first operative image

Stabilization of the membrane of the palatal side and placement of THE Graft on the buccal area.

4.

Intra-first operative image

Biotex™ completed the primary closure.

Case Outcome

Horizontal ridge augmentation performed using only DPBM and cross-linked collagen membrane is an effective and predictable procedure.

In this clinical case, the clinical and radiographic final situation shows the right root mimetism and the sufficient amount of newly regenerated buccal bone around the implants.

The one-stage approach is a safe procedure with a short healing time, low invasiveness, and less number of surgeries.

It is also important to deliver a prosthesis that allows home and professional hygienic maintenance in the long term. The x-ray exam taken after 5 years of follow-up shows the good stability of the regenerated bone.

Before

Horizontal bone loss dwas observed at the start of the therapy

After

Final situation after horizontal ridge augmentation with GBR technique and soft tissue management with CTG (connective tissue graft).

Horizontal ridge augmentation in anterior atrophic mandible

Dr. Fabrizio Colombo, M.D.

2004 Graduated in Dentistry and Dental Prosthesis at Università degli Studi, Milan; Master degree in Oral Surgery at Università degli Studi, Milan and Implantology and Implant Prosthesis at the University of Brescia Member of AISOD (Italian Association of Dental Seats); Speaker at workshops and events about Oral Surgery and in particular Regenerative Surgery and Implantology; Author of magazines WW, and the work winner of the “Poster Award” category; “Advanced clinical cases” at “I° International Congress” IAO (Italian Academy of Osseointegration); Attended Emerging Leader Program 2022-2023 sponsored by FOR ORG (Foundation for Oral Rehabilitation.

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