The 60-year-old patient comes to our attention too rehabilitate his oral function, because he is no longer able to chew on the left side. The patient presents with partial edentulism (missing teeth 35 and 36) dated, leading to resorption of the mandibular ridge and consequently, extrusion of opposing elements, which are fitted with an old prosthesis.
The treatment objectives are primarily functional: the restoration of volumes, necessary for implant rehabilitation due to insufficient bone height for fixture placement applying a mesh with a filler, consisting of 50% autologous bone and 50% heterologous bone; the reinstatement of chewing function by a second intervention to remove the mesh and simultaneously place two implant fixtures, concurrent with an increase of adherent gingival tissue level; and finally, the goal is to achieve the correct vertical relationship between the upper and lower arches through prosthetic rehabilitation of the upper arch with the replacement of the old prosthetic device.
After 4 months we can appreciate the perfect tissues healing, the bone level stability, a perfect implants osteointegration, with a complete recovery of masticatory function and an aesthetic balance between teeth and gum portions.
Bibliography:
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– “Customized 3D-Printed Titanium Mesh Developed for an Aesthetic Zone to Regenerate a Complex Bone Defect Resulting after a Deficient Odontectomy: A Case Report” Gabriela Luminița Gelețu, Alexandru Burlacu, Alice Murariu, Sorin Andrian, Loredana Golovcencu, Elena-Raluca Baciu, George Maftei and Neculai Onica
– “The effect of connective tissue graft or a collagen matrix on epithelial differentiation around teeth and implants: a preclinical study in minipigs
Alexandra Stähli, László Párkányi, Sofia Aroca, Andreas Stavropoulos, Frank Schwarz, Anton Sculean and Dieter D. Bosshardt
positioning of healing abutments and suture of the autologous epithelium connective graft
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