Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation

Purpose. In cases of severe atrophic maxilla or maxillary involution, augmentation is necessary for implant-supported prosthetics. Using bone grafts is a standard procedure, and using customized allogeneic bone blocks may be a predictable alternative before dental implantation. Clinical Findings. Th...

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Main Authors: Manfred Nilius, Minou Hélène Nilius, Charlotte Mueller, Bernhard Weiland, Dominik Haim, Anna Krahe, Guenter Lauer
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/6943930
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author Manfred Nilius
Minou Hélène Nilius
Charlotte Mueller
Bernhard Weiland
Dominik Haim
Anna Krahe
Guenter Lauer
author_facet Manfred Nilius
Minou Hélène Nilius
Charlotte Mueller
Bernhard Weiland
Dominik Haim
Anna Krahe
Guenter Lauer
author_sort Manfred Nilius
collection DOAJ
description Purpose. In cases of severe atrophic maxilla or maxillary involution, augmentation is necessary for implant-supported prosthetics. Using bone grafts is a standard procedure, and using customized allogeneic bone blocks may be a predictable alternative before dental implantation. Clinical Findings. This case study shows the digital workflow, including a preimplantological augmentation by a customized allogeneic block, followed by soft tissue optimization and template-based dental implantation, after six months of healing. It is part of a three-year follow-up study on the resorption rate of allogeneic bone blocks. Outcomes. Allogeneic bone augmentation is an alternative treatment option to autologous bone grafts. It allows predictable advanced backward planning (ABP) even in the maxillary esthetic zone. Diameter-reduced implants show long-term stability of a minimum of three years after loading and excellent results of prosthetic fixtures. Conclusion. Prefabricated customized allogeneic blocks for augmentation may increase the fitting accuracy of the graft, decrease morbidity, and reduce the operation time in esthetic maxillary rehabilitation.
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series Case Reports in Dentistry
spelling doaj-art-b9afeafe4bed4a298cee67c9573e99f32025-02-03T01:09:53ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/6943930Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental ImplantationManfred Nilius0Minou Hélène Nilius1Charlotte Mueller2Bernhard Weiland3Dominik Haim4Anna Krahe5Guenter Lauer6NiliusklinikNiliusklinikNiliusklinikDepartment of Oral and Maxillofacial SurgeryDepartment of Oral and Maxillofacial SurgeryNiliusklinikDepartment of Oral and Maxillofacial SurgeryPurpose. In cases of severe atrophic maxilla or maxillary involution, augmentation is necessary for implant-supported prosthetics. Using bone grafts is a standard procedure, and using customized allogeneic bone blocks may be a predictable alternative before dental implantation. Clinical Findings. This case study shows the digital workflow, including a preimplantological augmentation by a customized allogeneic block, followed by soft tissue optimization and template-based dental implantation, after six months of healing. It is part of a three-year follow-up study on the resorption rate of allogeneic bone blocks. Outcomes. Allogeneic bone augmentation is an alternative treatment option to autologous bone grafts. It allows predictable advanced backward planning (ABP) even in the maxillary esthetic zone. Diameter-reduced implants show long-term stability of a minimum of three years after loading and excellent results of prosthetic fixtures. Conclusion. Prefabricated customized allogeneic blocks for augmentation may increase the fitting accuracy of the graft, decrease morbidity, and reduce the operation time in esthetic maxillary rehabilitation.http://dx.doi.org/10.1155/2022/6943930
spellingShingle Manfred Nilius
Minou Hélène Nilius
Charlotte Mueller
Bernhard Weiland
Dominik Haim
Anna Krahe
Guenter Lauer
Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
Case Reports in Dentistry
title Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
title_full Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
title_fullStr Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
title_full_unstemmed Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
title_short Customized Allogeneic Bone Augmentation Improves Esthetic Outcome in Anteromaxillary Dental Implantation
title_sort customized allogeneic bone augmentation improves esthetic outcome in anteromaxillary dental implantation
url http://dx.doi.org/10.1155/2022/6943930
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