Autogenous Plates for 3D Ridge Reconstruction in Mandible

555 Rating(s).


Posted on By Maurice Salama In Bone Grafting

Patient presents with failing mandibular incisors and severe bone loss on labial lingual aspects. A decision was made to harvest bone from mandibular ramus buccal shelf and use for autologous plates and bone chips. Salvin (Meisenger) mini-screws were utilized to secure both plates. Salvin Bone Scrapers were used to thin blocks and harvest bone. Acteon Cube was used for harvest of bone and thin discs used to split plates. Thoughts? Dr. Salama

Plates Secured on lingual and buccal aspects of ridge
Harvest site and out fracture

Splitting of Block
Harvest of autologous chips while thinning into plates


Add to Favorites
Add a comment to the discussion on Autogenous Plates for 3D Ridge Reconstruction in Mandible


Upload photos
1.  Photo Title:

2.  Photo Title:

Would you like to follow this post?
Case has been added to your favorites.
Case has been removed from your favorites.
Thank you for your input. Your comment has been posted.
You are now following this member. You will get notified on any new topics posted by this member.
You are no longer following this member. You will not get notified on any new topics posted by this member.
Edit Comment
1.  Photo Title:
Current Image:   Delete Image
2.  Photo Title:
Current Image:   Delete Image
Comment has been updated.

13 Comments

2 weeks healing...

PTFE Sutures OMNIA for closure
2 weeks post op maintained closure


Reply

Beautiful case! Nice healing! Gregory


Reply

Amazing work! Common presentation that is usually not get addressed properly. How did you temporize?


Reply

Essix vacuformed tooth borne matrix with denture teeth.


Reply

Great case Maurice! For sure the most predictable bone augmentation. Did you consider extracting teeth, and allow for soft tissue healing before grafting? You would have more keratinized gingiva, and easier to close the flap. Can't wait to see the result here!


Reply

Excelent choice of treatment and expect full width recovery.
Really a Masterclass in just one case.
Regards
Jorge


Reply

6 weeks post op

CBCT 3D
Axial CBCT


Reply

Beautiful!!


Reply

Golden standard of bone augmentation done by golden hands of great mentor ....will be expecting superb result for future implant placement .Mo ..what made you make the decision of using the buccal shelf anteriorly located and not using the retromolar area instead ??? ...is it tge big width of the external oblique line extended to this area or there is another reason ????? Thanks for posting.


Reply

Ritter Spiral Implants placed at 5 months....

Implant prep at 5 months
Ritter Spiral 3.omm implants


Reply

hi beutiful case i guess you`re planning on leaving mini-screws in there forever ?


Reply

Yes, placed screws purposely in the areas where I will NOT be placing the future implants so I can leave these fixation screws in place forever and minimize secondary flap surgical reflection and thereby maintain periosteum and blood supply to grafted bone.


Reply

Best reliable technique for 3D bone augmentation that always works well


Reply


NovaBone
DoWell Dental Products