Implant Dentistry

Skip Navigation LinksHome > February 2013 - Volume 22 - Issue 1 > Full-Arch Vertical Reconstruction of an Extremely Atrophic M...
Implant Dentistry:
doi: 10.1097/ID.0b013e318278fa1c
Clinical Science and Techniques

Full-Arch Vertical Reconstruction of an Extremely Atrophic Mandible With “Box Technique.” A Novel Surgical Procedure: A Clinical and Histologic Case Report

Menoni, Andrea DDS*; Bernardello, Fabio MD, DDS; Spinato, Sergio DDS; Zaffe, Davide MBioSc§

Collapse Box

Abstract

Purpose: To describe a new augmentation procedure named “box technique” for bone reconstruction in a severely atrophic jaw with mandibular and mental nerve dehiscence.

Material and Methods: The first surgical box technique procedure was performed to augment the atrophic posterior area. Simultaneously, 2 implants were inserted into the interforaminal zone to stabilize the denture. After 6 months, 2 implants were positioned in the regenerated bone, and a second box technique procedure was performed to reconstruct the ridge in the area of fixture exposition. Six months after the second surgery, the patient was rehabilitated with a removable prosthesis retained on 4 implants.

Results: The clinical and histologic analyses highlighted outstanding healing resulting from this vertical and horizontal allografting and included complete resorption of poly D,L-lactide meshes and substitution of the mineralized human bone allograft with an excellent quality new bone formation.

Conclusions: Results confirm the effectiveness of the technique, which needs a further case series study endorsing its reliability.

© 2013 Lippincott Williams & Wilkins, Inc.

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.