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Reconstruction of vertical defect located in the mandible

Reconstruction of vertical defect located in the mandible

CT

The next case we present to you is that of a middle-aged non-smoking male with no relevant medical history. This patient was referred to us because of a bone atrophy that precludes the placement of an implant in its ideal position.

We observed a vertical bone atrophy in the 46th tooth, which we attributed to a traumatic extraction and years of edentulism. We requested a CT scan where we saw a healthy bone height of only 3-4 millimetres above the dental nerve.
We proceeded to perform a reconstruction with thin blades of autologous bone fixed with osteosynthesis screws – all this via tunnel access. However, one of the two blades fractured, so we proceeded to substitute the bone blade with titanium mesh.
We sutured, and 6 months later, we proceeded to the approach and placement of the implant. You can observe the achieved width and height which allowed us to place a 10 millimetre long implant with a 2-3mm margin with the dental nerve, as you can see in the last x-ray.

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