Mauro Merli

Rimini, Itália

Clinical case description:

› Severely atrophied alveolar ridge with insuffi cient bone volume for implant Placement.

› High complication rates and patient discomfort associated with large augmentations when using autologous bone grafts.

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<p>1) Preoperative radiograph depicting the severe bony atrophy in the posterior mandible. 2) Fixation of the pre-formed osteosynthesis plate with miniscrews.</p>

1) Preoperative radiograph depicting the severe bony atrophy in the posterior mandible. 2) Fixation of the pre-formed osteosynthesis plate with miniscrews.

<p>3</p>

3

<p>5) In order to obtain primary wound closure, a double-layered suturing technique is used by combining a horizontal internal mattress and a coronal single stitch technique. 6) Implants are inserted 6 months after augmentation and the healing abutments are</p>

5) In order to obtain primary wound closure, a double-layered suturing technique is used by combining a horizontal internal mattress and a coronal single stitch technique. 6) Implants are inserted 6 months after augmentation and the healing abutments are

<p>7) Lateral view of the fi nal prosthetic restoration 6 months after implant placement. 8) Intraoral radiograph 15 months after augmentation procedure showing a stable bony situation.</p>

7) Lateral view of the fi nal prosthetic restoration 6 months after implant placement. 8) Intraoral radiograph 15 months after augmentation procedure showing a stable bony situation.

Pre-surgery

<p>1) Preoperative radiograph depicting the severe bony atrophy in the posterior mandible. 2) Fixation of the pre-formed osteosynthesis plate with miniscrews.</p>

Surgery

<p>3</p>

Outcome

<p>5) In order to obtain primary wound closure, a double-layered suturing technique is used by combining a horizontal internal mattress and a coronal single stitch technique. 6) Implants are inserted 6 months after augmentation and the healing abutments are </p>

Follow-up after at least 6 months

<p>7) Lateral view of the fi nal prosthetic restoration 6 months after implant placement. 8) Intraoral radiograph 15 months after augmentation procedure showing a stable bony situation.</p>