Isabella Rocchietta

London, United Kingdom

Clinical case description:

› Insuffi cient alveolar ridge height for implant Placement.

› Loss of augmented ridge volume and patient morbidity after using large amounts of autologous bone.

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<p>1) Intraoral view of the defect in the posterior right mandible. 2) Cortical perforations to enhance and promote bleeding. Tenting screws for later support of the overlaying barrier membrane.</p>

1) Intraoral view of the defect in the posterior right mandible. 2) Cortical perforations to enhance and promote bleeding. Tenting screws for later support of the overlaying barrier membrane.

<p>5) Tension-free primary wound closure is performed with alternating horizontal mattress and interrupted sutures. 6) Panoramic X-ray of the augmented sites.</p>

5) Tension-free primary wound closure is performed with alternating horizontal mattress and interrupted sutures. 6) Panoramic X-ray of the augmented sites.

<p>7) After 6 months of uneventful healing, the tenting screws and the non-resorbable barrier membrane are removed. 8) Placement of implants in the stably regenerated alveolar ridge.</p>

7) After 6 months of uneventful healing, the tenting screws and the non-resorbable barrier membrane are removed. 8) Placement of implants in the stably regenerated alveolar ridge.

Pre-surgery

<p>1) Intraoral view of the defect in the posterior right mandible. 2) Cortical perforations to enhance and promote bleeding. Tenting screws for later support of the overlaying barrier membrane.</p>

Surgery

Outcome

<p>5) Tension-free primary wound closure is performed with alternating horizontal mattress and interrupted sutures. 6) Panoramic X-ray of the augmented sites.</p>

Follow-up after at least 6 months

<p>7) After 6 months of uneventful healing, the tenting screws and the non-resorbable barrier membrane are removed. 8) Placement of implants in the stably regenerated alveolar ridge.</p>