Case Report
Volume 17 Issue 5 - 2018
Rehabilitation of a Severely Atrophic Mandible with Appositional Autogenous Graft and Immediate Implant Placement: A Case Report
Márcio de Carvalho Formiga1*, Guilherme Claudino2 and José Nilo de Oliveira Freire3
1Professor of Basic Implantology, Prosthodontics I and Clinical Stage III and IV at Unisul, Palhoça, SC, Brazil
2Msc Student in Implant Dentistry at Ilapeo Curitiba, PR, Brazil
3Professor of Implantology at ABCD Florianópolis, SC, Brazil
*Corresponding Author: Márcio de Carvalho Formiga, Professor of Basic Implantology, Prosthodontics I and Clinical Stage III and IV at Unisul, Palhoça, SC, Brazil.
Received: February 26, 2018; Published: April 30, 2018
Citation: Márcio de Carvalho Formiga., et al. “Rehabilitation of a Severely Atrophic Mandible with Appositional Autogenous Graft and Immediate Implant Placement: A Case Report”. EC Dental Science 17.5 (2018): 613-621.
Abstract
Although several materials are used as bone substitutes, the gold standard is autogenous bone, especially in cases where implants are placed concomitantly at the moment of bone graft, whether bone blocks or particulate, as guided bone regeneration. This case report describes a mandibular fixed rehabilitation, based on the All-on-4 concept, where four implants were placed at the moment of the bone graft, which were harvested in high from the patient’s mandible. All implants showed excellent initial stability (40 to 80 N/cm), nevertheless, we waited 3 months before starting the prosthetic steps to allow osseointegration and graft healing. At the moment of the reopening, the abutments were placed and the procedures for the fabrication of the fixed immediate load prosthesis were started, which was placed in 72 hours. Passed 3 months from the placement of the prosthesis, a tomography was taken to certify the good integration of the hard tissues and the implants. The technique of placing the implants at the moment of the autogenous block graft demonstrated to be reliable and easy to handle. This technique should be more used and studied, due to its advantages of a shorter treatment time and less surgical interventions, thus providing more comfort and better acceptation by patients.
Keywords: Rehabilitation; Atrophic Mandible; Appositional Autogenous Graft
Copyright: © 2018 Márcio de Carvalho Formiga., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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