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Alveolar Ridge Augmentation using the Allograft Bone Shell Technique.

Mogammad Thabit Peck1

  • 1Consultant Specialist, Department of Oral Medicine and Periodontology, Faculty of Dentistry, University of the Western Cape, Cape Town, South Africa, Phone: +2721 937 3128,

The Journal of Contemporary Dental Practice
|November 3, 2015
PubMed
Summary
This summary is machine-generated.

This study demonstrates using an allograft bone plate to reconstruct lost alveolar bone, avoiding a second surgical site and donor site morbidity. This method facilitates precise dental implant placement for improved oral restoration.

Keywords:
AllograftAlveolarAugmentationDental implantsRidge

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Area of Science:

  • Oral surgery
  • Dental implantology
  • Bone regeneration

Background:

  • Alveolar bone loss often accompanies tooth loss, complicating dental implant placement.
  • Traditional bone grafting techniques, like Khoury's sandwich technique, require a second surgical site and can cause donor site morbidity.
  • Allograft bone plates offer a potential alternative to autografts for alveolar bone reconstruction.

Observation:

  • A 53-year-old female with significant horizontal bone defects in the upper jaw underwent reconstruction.
  • Cone beam computed tomography (CBCT) confirmed minimal remaining bone in the affected anterior region.
  • The defect was augmented using an allograft bone plate secured with screws, filled with bone graft materials.

Findings:

  • Surgical re-entry six months post-operation revealed substantial ridge width increase.
  • The allograft bone plate successfully facilitated alveolar bone reconstruction.
  • The technique allowed for reconstruction without harvesting bone from a separate donor site.

Implications:

  • Utilizing allograft bone plates can be a viable alternative to autografting for alveolar bone defects.
  • This approach minimizes surgical morbidity and complications associated with donor site harvesting.
  • It enables predictable three-dimensional placement of dental implants in augmented bone.