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Updated: May 4, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Posterior atrophic mandible rehabilitation with onlay allograft created with CAD-CAM procedure: a case report
Michele Jacotti1, Carlo Barausse, Pietro Felice
1*Private Practice, Brescia, Italy. †Unit of Periodontology and Implantology, Bologna Dental School, University of Bologna, Bologna, Italy.
Aim:
Implant rehabilitation of the atrophic right posterior mandible in a 48-year-old woman using dehydrated homologous bone block, shaped with a computer aided design-computer aided manufacturing (CAD-CAM) system, to avoid harvesting of autologous bone block and to assure a perfect fitting of the block above the alveolar crest.
Results:
After 7 months, 6.09, 7.36, and 8.08 mm (mean, 7.18 mm) of total horizontal bone gain was observed at sites 6, 12, and 18 mm posterior to the right mental foramen, respectively.
Conclusions:
The use of a bone block with CAD-CAM system for alveolar ridge augmentation is a valuable alternative to autograft because it reduces time, cost, and complications for the patients. Data from a computerized tomographic scan can be used to shape a precise 3-dimensional homologous bone block using a CAD-CAM system.

