Bone guide for maxillary reconstruction: a case report.

Area of Science:

• Dentistry
• Oral and Maxillofacial Surgery
• Biomaterials Science

Background:

• Advanced dental technology enables comprehensive oral rehabilitation planning.
• Complex cases often require pre-implant surgical interventions like bone grafting.
• Prosthetic planning and bone grafting significantly improve patient function, aesthetics, and psychosocial well-being.

Purpose of the Study:

• To present a clinical case of maxillary reconstruction using autogenous bone grafts.
• To evaluate the utility of a bone volume guide in achieving predictable aesthetic results.
• To detail the process of oral rehabilitation following extensive surgical procedures.

Main Methods:

• Maxillary reconstruction using iliac crest autogenous bone grafts.
• Fabrication and use of a custom bone volume guide for assessing graft requirements.
• Placement of dental implants after graft integration and osseointegration.
• Fabrication and placement of metalloceramic fixed prostheses.

Main Results:

• Successful maxillary reconstruction and restoration of bone volume.
• The bone volume guide facilitated accurate assessment of bone requirements for prosthetic support.
• Achieved functional and aesthetic restoration of the patient's dentition.
• Completed oral rehabilitation with fixed prostheses on dental implants.

Conclusions:

• Autogenous bone grafting is effective for maxillary reconstruction in complex cases.
• A bone volume guide is a crucial tool for predictable aesthetic outcomes in implant-supported prosthetics.
• Comprehensive treatment planning integrating surgical and prosthetic phases is essential for successful oral rehabilitation.