Pietro Felice

Bologna, Italy

Clinical case description:

›› Insufficient alveolar ridge height for implant Placement and proximity to the alveolar nerve.

›› Autologous bone harvesting is associated with patient discomfort. Surgery by Dr. Pietro Felice, Prof. Dr. Luigi Checchi, Prof. Dr. Claudio Marchetti

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<p>1) Exposure of the alveolar ridge and buccal bone. 2) Horizontal and vertical osteotomies of the distracted segment.</p>

1) Exposure of the alveolar ridge and buccal bone. 2) Horizontal and vertical osteotomies of the distracted segment.

<p>3) The upward lift of the transported segment, achieving a height gain of 7 mm. 4) Geistlich Bio-Oss<sup>®</sup> Block is trimmed in a dry state with a piezo surgical device to the required dimension and shaped to completely fit into the recipient site.</p>

3) The upward lift of the transported segment, achieving a height gain of 7 mm. 4) Geistlich Bio-Oss® Block is trimmed in a dry state with a piezo surgical device to the required dimension and shaped to completely fit into the recipient site.

<p>5) The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block. 6) A resorbable bilayer collagen membrane Geistlich Bio-Gide<sup>®</sup> is used to cover the grafted area.</p>

5) The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block. 6) A resorbable bilayer collagen membrane Geistlich Bio-Gide® is used to cover the grafted area.

<p>7) Intra-operative situation following implants insertion 4 months after interpositional grafting. 8) Periapical X-ray evaluation immediately after implant insertion.</p>

7) Intra-operative situation following implants insertion 4 months after interpositional grafting. 8) Periapical X-ray evaluation immediately after implant insertion.

Pre-surgery

<p>1) Exposure of the alveolar ridge and buccal bone. 2) Horizontal and vertical osteotomies of the distracted segment.</p>

Surgery

<p>3) The upward lift of the transported segment, achieving a height gain of 7 mm. 4) Geistlich Bio-Oss<sup>®</sup> Block is trimmed in a dry state with a piezo surgical device to the required dimension and shaped to completely fit into the recipient site.</p>

Outcome

<p>5) The coronally shifted segment is fixed with miniplates and miniscrews and thus immobilizes also the biomaterial block. 6) A resorbable bilayer collagen membrane Geistlich Bio-Gide<sup>®</sup> is used to cover the grafted area.</p>

Follow-up after at least 6 months

<p>7) Intra-operative situation following implants insertion 4 months after interpositional grafting. 8) Periapical X-ray evaluation immediately after implant insertion.</p>