• https://pubmed.ncbi.nlm.nih.gov/38392246/
  Dr. Alexandre Perez, Prof. Tommaso Lombard

INITIAL SITUATION

A 53-year-old male presented with a severe horizontal bone loss in positions 13 and 14 that was associated with the removal of an included canine, performed 3 months prior. Diagnostic CBCT indicated a residual vestibular-palatal alveolar thickness of 2 mm in the edentulous premolar area.

TREATMENT

A two-staged implant therapy was performed comprising a lateral bone block augmentation using maxgraf^® cancellous block covered with a collagen membrane followed by implant placement in positions 13 and 14 after 5 months of augmentation.

OUTCOME

Clinically, the graft appeared well integrated and the defect was properly reconstructed. CBCT scans taken before and 5 months after augmentation revealed a substantial horizontal bone gain of 8.0 mm. Two bone level implants (Ø 4.1 × 10 mm) were placed in the ideal prosthetic position with torque values 35 and 40 N/cm respectively, indicating the adequate primary stability of the implants. Radiographical evaluation of marginal bone levels and soft tissue conditions showed a stable situation at the 3-year post-restoration follow-up.