Posterior mandible vertical defect Part 2
Continuing the previous post: Posterior mandible vertical defect Part 1
( http://forum.dentalxp.com/case/details/7174 )
After 5 months we performed a modified Kazanjian's vestibuloplasty approach to place two implants and achieve fund of vestibule. This technique does not provided of keratinized tissue.
As you can see the aspect of the bone is pretty good, we could place two implants 10 mm long.
After a 4 months osseointegration we performed the gingival former surgery + free gingival graft to achieve keratinized tissue.
One of the things we most like is how changes the aspect of the reconstruction with the time, at first we can see perfectly well every part of the bone reconstruction (bone blades, the particulate bone inside), due to remodeling process this aspect will be changing until it is almost impossible to see any difference with the rest of the mandible.
Last xray is 3 years after situation (sorry for the bad quality of that xray)
Hope you all like it
Juan Lara Chao
Jose Luis Dominguez-Mompell
Madrid - Spain
Reconstructive Surgery in Oral Implantology