CLINICAL CASE

1 – The preoperative radiograph displays the vertical bone defect in the left mandible and thus, insufficient vertical bone volume to allow implant placement.
2 – Yxoss CBR® is planned based on the preoperative CBCT data.
3 – Opening the defect site using the ridge incision technique. The titanium scaffold fits the bone defect precisely during the augmentation procedure.
4 – The titanium scaffold is filled with 50% autologous bone and 50% Geistlich Bio-Oss®. Fixation is performed with one titanium screw in vestibulolingual direction.
5 – A collagen membrane (Geistlich Bio-Gide®) is used to provide an additional barrier for bone regeneration.
6 – Stable soft tissue situation after 6 months with no complications during the healing period. After reopening, bone is regenerated to the contour defined by the titanium scaffold.
7 – The bone is completely regenerated in the correct three-dimensional orientation. This is also visible in the respective CBCT. Implant placement is now possible.
8 – Two implants were placed with good primary stability. The vertical bone regeneration is also visible in the CBCT data.
9 – Postoperative panoramic radiograph after implant placement.
10 – Clinical situation 3 months post implant insertion.
11 – Final prosthetic reconstruction 6 months post implant insertion and 16 months post regenerative surgery.
12 – Final prosthetic reconstruction 16 months post regenerative surgery.