Vertical and horizontal maxillary bone augmentation on mandibular atrophy

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Dr. Pablo Bustillo

Case Summary

Patient Information
Chief Complaint	The patient with vertical bilateral mandibular atrophy due to prolonged dental loss and the use of removable partial prostheses that caused a vertical bone defect and dental destruction in those parts that supported the prosthesis.
Treatment Plan
3 months was expected for the maturation of soft and hard tissue. Applied mixed THE Graft and autogenous (5:5) and covered with OpenTex-TR. 6 months after GBR, removed OpenTex-TR, biopsy, and implants placement.
Grafting Area	--\|------ \| 4 6
Materials
Bone Graft	THE Graft™, autogenous Mixed autologous bone harvested from the left and right oblique line as well as the chin (50%) and small particle size, THE Graft™ (50%)
Membrane	OpenTex-TR® Using reinforced PTFE membrane (30X40) for vertical ridge augmentation. Fixation with screws
Methods
Category	Implantology
Indication	Horizontal bone loss, Vertical bone loss
Approach	Bone augmentation
Implant Technique	Two-stage, Staged/Delayed approach

Edentulous with left mandibular atrophy.

GBR using PTFE reinforced membrane (OpenTex-TR®) and mixed THE Graft™ and autogenous bone graft (50:50%).

Fixation OpenTex-TR® with pins.

Re-open. Clinically observed vascularized new bone formation.

THE Graft™ is a natural, porous bone mineral matrix. It is produced by the removal of all organic components from the porcine bone.