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ePaper created 2014-07-29, 09:08:59 | version 1.30.01
I case report Figs. 1 & 2_Initial clinical situation and CT view of the critical bone defect in the canine area. Figs. 3 & 4_After opening the flap, the large resorption was verified. _Autologous bone blocks were combined with a synthetictricalciumphosphate(TCP)bonegraftsubsti- tutetoreconstructthealveolarridgeintheregionofthe maxillaryleftcanine.Onre-openingforimplantplace- ment,themajorityofthebonegraftsubstitutehadbeen replacedbynewlyformedboneandtheboneblocks,al- though still discernible from the surrounding hard tis- sue,hadbeenintegratedintothehostbone.Fouryears aftersurgery,thesitewasevaluatedusingCBCT.There- sultsdemonstratedpreservationoftheheightandvol- umeofthegraftedarea. _Introduction Dental rehabilitation of partially or totally edentu- lous patients with oral implants has become a routine treatment modality in the last few decades and offers reliablelong-termresults.1–4 However,unfavourablelo- calconditionsofthealveolarridgeduetoatrophy,peri- odontaldiseaseortraumasequelaemayprovideinsuf- ficient bone volume or unfavourable vertical, horizon- tal,andsagittalintermaxillaryrelationships,whichmay render implant placement impossible or undesirable Surgical procedures with minimally-invasive autologous bone block graft Including a tomographic analysis after 48 months Author_Prof. Dr Sergio Alexandre Gehrke, Brazil 32 I implants2_2014 Fig. 1 Fig. 2 Fig. 3 Fig. 4