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Gianpiero Deluzio

Implantologist

Horizontal gbr with titanium foils

Female 60 y.o. In good general health comes to our observation for marked horizontal bone atrophy of the maxilla. The patient with a mobile prosthesis for over twenty years has been asking for fixed prosthetic rehabilitation. It was decided to regenerate the crest of 1 mm of residual thickness with pre-shaped titanium foils on a 3D model obtained from the printing of the tac come beam. The foils were blocked with osteosynthesis screws and the resulting boxes filled with a mix of heterologous and autologous bone. The corners of the foils were rounded off and covered with further resorbable collagen membranes. The flaps were extensively passivated to obtain a closure by primary intention.

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Initial situation
Open flap
3D model (Oral 3d printing)
Titanium foils shaped on 3D model
Titanium foils 0.12 mm fixed
Bone grafts
Final covering collagen membranes
Flap release
Avatar
Gianpiero Deluzio

Implantologist

Horizontal gbr with titanium foils

Female 60 y.o. In good general health comes to our observation for marked horizontal bone atrophy of the maxilla. The patient with a mobile prosthesis for over twenty years has been asking for fixed prosthetic rehabilitation. It was decided to regenerate the crest of 1 mm of residual thickness with pre-shaped titanium foils on a 3D model obtained from the printing of the tac come beam. The foils were blocked with osteosynthesis screws and the resulting boxes filled with a mix of heterologous and autologous bone. The corners of the foils were rounded off and covered with further resorbable collagen membranes. The flaps were extensively passivated to obtain a closure by primary intention.

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