Onlay Grafting with FDBA Block Bone for Reconstruction of Localized Maxillary Ridge Defect

P. Bawankar, A. Kolte, R. Kolte
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Abstract

Ab s t r Ac t Aim: The aim of the present case was to evaluate the efficacy of freeze-dried bone allograft (FDBA) bone block in the augmentation of atrophied maxillary esthetic zone. Background: The placement of endosseous dental implants is often hampered by unfavorable anatomy of the alveolar bone thereby making it difficult for the placement of implant in an optimal prosthetic position. The loss of width of the residual alveolar ridge necessitated measures which could refurbish the lost dimensions for adequate bone availability for the implant placement. Case description: Here we report the successful management of atrophic ridge condition in the maxillary anterior esthetic zone wherein the placement of implant was made possible by the placement of FDBA bone block allograft obtained from the tissue bank. The predictable osseointegration was achieved after placement of a regular platform implant and restoration of the complete esthetics, and the patient satisfaction was attained. Conclusion: Allogenic bone blocks can serve as a good alternative for autogenous bone owing to its unlimited availablility, reduced donor site morbidity, increased patient compliance, and decreased treatment time. Clinical significance: Allogenic bone block confers an excellent alternative to autogenous bone blocks for the augmentation of atrophic maxillary ridges for the placement of endosseous implant.
FDBA块骨移植修复局部上颌嵴缺损
目的:探讨冻干同种异体骨块(FDBA)对上颌美观区萎缩的修复效果。背景:牙槽骨的不利解剖结构阻碍了内种植体的植入,因此难以将种植体放置在最佳的假体位置。残牙槽嵴宽度的损失需要采取措施来修复损失的尺寸,以获得足够的骨可用性。病例描述:在这里,我们报告了上颌前审美区萎缩性脊病的成功治疗,其中种植体的放置是通过放置从组织库获得的FDBA骨块同种异体移植物来实现的。在植入常规平台种植体并恢复完整美观后,实现了可预测的骨整合,并获得了患者满意度。结论:同种异体骨块可作为自体骨的一种很好的替代方法,因为它具有无限的可用性,减少了供区发病率,提高了患者的依从性,缩短了治疗时间。临床意义:同种异体骨块是一种很好的替代自体骨块的方法,用于增加萎缩的上颌嵴,用于植入内种植体。
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