Repairing Severe Damage in the Esthetic Zone: A Case Report
by Gerald Rudick DDS, FAAID, FICOI, Ms. Arta Prenga
Various methods can be used to repair alveolar defects including autogenous, allogenic, xenogenic, and alloplastic graft materials, as well as guided bone regeneration.2 Among these, autogenous bone grafts are the gold standard for bone grafting.
For this patient, a very large volume of grafted bone was required to develop a n adequate implant site. As such, if the grafting bone was to be harvested intraorally, multiple donor sites would have been necessary. This approach would have created at least three concurrent surgical sites in the patient’s mouth.
The protocol described above used an alternate approach; the implant was placed in the ideal predetermined position, and the required bone was developed around and on top of the implant. No autogenous bone was needed, and additional intraoral surgical sites were avoided, reducing patient discomfort and potential complications.
This case was initiated in 2015 and completed a year later. It is still functioning asymptomatically and esthetically at this time, 4 years later.
Case Report
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Oral Health welcomes this original article.
References
Khojasten A., Schellifar S, Mohajerani H ,et al. The effectiveness of barrier membranes on bone regeneration in localized boney defect : A systemic review, Int J Oral Maxillofac Implants. 2013;28:1076-1089.
Pistilli R, Felice P, Piatelli M , et al. Blocks of autogenous bone versus xenografts for the rehabilitation of atrophic jaws with dental implants: Preliminary date from a pilot randomized controlled trial. Eur J Oral Implantol 2014;7:153-171.
Ghanaati S, Booms P, PhD. Orlowska A, et al. Advance Platelet-Rich Fibrin: A New Concept for Cell-Based Tissue Engineering by Means of Inflammatory Cells. J Oral Implantol 2014; 40 (6): 679-689.
About the Author
Dr. Gerald Rudick, a graduate of McGill University, completed a post-graduate program in Oral Rehabilitation at the Hebrew University of Jerusalem, Israel. He is an Associate Fellow-American Academy of Implant Dentistry; Diplomate, Fellow and Master-Implant Prosthodontic Section-International Congress of Oral Implantology and was selected a Top Contributor for OsseoNews in 2018. He can be reached at 514 342 4444, or by email: implants@total.net.
Ms. Arta Prenga is a graduate of The Dental Assisting Program at CDI College, Montreal, is a surgical dental assistant and has worked with Dr. Rudick for seven years.
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