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