CLINICAL CASE

1 – Patient with missing teeth 3, 4 and 5 in combination with horizontal and vertical atrophy. Situation incompatible with ideal and prosthetically guided implant insertion.
2 – Initial CBCT showing vertical and horizontal bone deficit.
3 – 3-D model obtained from CBCT with the corresponding Yxoss CBR® design.
4 – Final titanium scaffold ready for use.
5 – Exposure of the bone defect with full thickness flap.
6 – Fixation of Yxoss CBR® filled with a mix of autologous bone chips and Geistlich Bio-Oss® using two titanium screws.
7 – Coverage with a Geistlich Bio-Gide® membrane.
8 – Tension-free hermetic suture of the flap.
9 – After 8 months, the adequate rooting of the bone graft is assessed by CBCT and the insertion of the implants is planned in a prosthetically guided manner.
10 – 8 months after the GBR the scaffold is removed and two endosseous implants are inserted.
11 – Radiography with three elements supported by implants.
12 – Final prosthetic reconstruction 3 months after implant placement, without the need of a temporary interim solution.