Vertical Mandibular Alveolar Bone Distraction and Dental Implant Placement: A Case Report

Abstract

Extensive bone defects complicate the adequate placement of dental implants and the required angulation. In such cases, alveolar-ridge augmentation techniques such as guided bone regeneration, particulate or block grafting, and alveolar bone distraction are needed. The present study describes a case in which a large vertical bone defect in the anterior mandibular zone was corrected via vertical alveolar bone distraction. Six dental implants were posteriorly placed for implant-supported restoration of the mandible, with early implant loading. The clinical and radiologic control showed good implant and soft tissue conditions 12 months later.

Long‐term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non‐resorbable membranes after 12–14 years

“…; Walker ; Penarrocha‐Diago et al. ), bone splitting (Enislidis et al. ) and guided bone regeneration (GBR) (Dahlin et al.…”

“…These techniques typically include autogenouse bone grafting (Simion et al 1998), distraction osteogenesis (Chiapasco & Gatti 2004;Oda et al 2004;Walker 2005;Penarrocha-Diago et al 2006), bone splitting (Enislidis et al 2006) and guided bone regeneration (GBR) (Dahlin et al 1988(Dahlin et al , 1989(Dahlin et al , 1991aNyman et al 1990;Nyman & Lang 1994;Hammerle et al 1996).…”

Topographic analysis of the mandibular canal in coronal section, in the region of molars

“…But the loss of teeth and consequently the associated periodontal tissues, influence of various ways in the organism and the quality of life of individuals, because due to this phenomenon, it might occur a dental movement, difficulty in speaking and chewing, imbalance in the orofacial muscles and esthetic and dental care, and negatively affect the self-esteem (SOARES, KNOP, JESUS et al, 2007). That is, the vertical and horizontal bone deficiency can result in stability problems with prosthesis, speech and chewing problems, pain, mucous membrane intolerant to chewing, loss of soft tissue support and altered facial appearance, as well (PEREIRA-FILHO, HOCHULI-VIEIRA, GABRIELLI et al, 2007).…”

“…The literature has cited that the reduction of the alveolar process can occur due to loss of teeth (SEGUNDO, 2000;TECIMER and BEHR, 2001;MATIAS, ANDRADE and FERNANDES, 2004;JUODZBALYS and RAUSTIA, 2004;KLASSMANN, CORÓ, THOMÉ et al, 2006; PEÑARROCHA-DIAGO, GÓMEZ-ADRIÁN, GARCÍA-GARCÍA et al, 2006;SIDDIQUI and SOSOVICKA, 2006), to the trauma (SEGUNDO, 2000; PEÑARROCHA-DIAGO, GÓMEZ-ADRIÁN, GARCÍA-GARCÍA et al, 2006;SIDDIQUI and SOSOVICKA, 2006), aplasia, infections, poorly fitted dentures (SEGUNDO, 2000) and periodontal disease (PEÑARROCHA-DIAGO, GÓMEZ-ADRIÁN, GARCÍA-GARCÍA et al, 2006).…”

“…In this sense, it is not uncommon implantodontists face with inadequate bone for implant placement (LEY and CRANIN, 2004), however, it is crucial to the success of treatment with dental implants that the condition of the bone that will receive the implant be adequate (MAURETTE, MAZZONETTO, O'BRIEN et al, 2005;PEREIRA-FILHO, HOCHULI-VIEIRA, GABRIELLI et al, 2007), since both the quantity and quality of the site that will receive the implant will influence the bio-mechanical-esthetic results, the prosthetic stability and health of the remaining teeth (MAURETTE, MAZZONETTO, O'BRIEN et al, 2005).…”