Today more focus is becoming on implant surgical procedure rather than prosthetic rehabilitation. The present case reports are about autogenous block grafting. Autogenous block grafting is a highly effective treatment modality in addressing severe atrophic ridges to place dental implant. Autografts are for long considered as the gold standard of grafting materials and are currently the only osteogenic graft that heals into the growing bone through the process of osteogenesis, osteoinduction and osteoconduction. The cortico-cancellous nature of bone harvested from mandible symphysis or ramus site facilitates faster vascular in-growth once the block has been placed, resulting in more rapid integration and less potential resorption during healing. In the literature achievement of adequate bone gain has been seen with mandibular block graft and with minimum morbidity of the donor site. Therefore, in the present case series, the symphysis and ramus block graft were harvested for the horizontal bone augmentation of deficient alveolar ridges to facilitate implant placement in proper position in order to restore adequate esthetic and function. Despite this the lack of adequate pre-prosthetic planning has lead to compromised esthetic and function that is explained here to some extent.
Comments
No have any comment !