Anterior Bone Reconstruction Split Bone Block Technique (Khoury's) + Ti Mesh

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Posted on By Jose Luis Dominguez Mompell In Bone Grafting

A 38-year-old man with an atrophic area involving central and lateral incisors and the canine.
A technique using Khoury's concept of "Revascularizable Membranes" on the buccal side, and a titanium mesh of the palatal side was used to reconstruct the bone defect. Only autogenous bone was used to fill the gap.

A colleague asked us on the FB group, why not everything with Ti mesh or Using the SBB technique?

After doing SBB on the anterior region, IMHO the most difficult part is to adapt the thin bone Block on the palatal side.
And when doing Recosntructions with Ti meshes sometimes we have found problems of partial exposure of the mesh or transparencies on the buccal side. Also the presence of muscular forces on the buccal side sometimes may act against us.

So we thought about a good combination of both techniques, bone stability on the buccal and easy to adapt on the palatal.
Please comment and tell us what you think.

Jose D. Mompell
Juan L. Chao
Madrid (Spain

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KLS Martin
Salvin