Horizontal and vertical augmentation with custom graft.
Dr. E. Messo
Patient: male, 60 years old, no smoker, no disorder.
Surgical anotomic site: Right top arch.
Surgical procedure: Horizontal and vertical augmentation with our custom graft.
Here are the main Higlights of the surgical procedure in a great video that Dr. Messo shared with us!
Pre-surgical situation after elements extraction.
CBCT section of the bone defect.
Virtual model; 3D-reconstruction (obtained starting from the CT-scan) by using software. The pieces were also reconstructed and tested on a stereolithographic model.
Skeletization of the surgical site.
The graft has been placed and fixed tight with 2 osteosynthesis screws: Perfect fit of the custom graft during fixation.
No tension sutures.
Follow-up 2 onths: CBCT section of the surgical site, the status of the tissues and the new bone is very good. No resorption occurred, the graft volume is preserved and the status of the new bone is good.
Implant placement 8 months after bone augmentation: no resorption occurred, the graft volume is preserved and the status of the new bone is good
Good healing of the soft tissue.
Histological analysis 8 months (highlight bone graft VS newly formed tissue; staining method): thin trabecular bone with a mature lamellar structure. No reaction for foreign body.
Histological analysis 8 months.
Follow-up 1 year: final prosthesis placement; satisfactory aesthetic result.
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