Autologous Onlay Bone Block Graft (OBG) for 3D Bone Defect Reconstruction in the Esthetic Zone
A severe 3D bone deficiency caused by trauma was reconstructed using an onlay bone block graft harvested from the ramus.
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Length: 27 Minutes
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1 Video
About this video
A 24-year-old patient lost both central maxillary incisors in an accident, resulting in significant horizontal and vertical bone loss. Given the severity of the 3D defect, the optimal treatment approach involved augmentation with autologous bone blocks harvested from the mandible. The graft was placed over a slow-resorbing xenograft material saturated in PRP and covered with PPP and a resorbable membrane, combined with additional xenograft for enhanced stability. Implant placement and connective tissue grafting are planned for six months post-augmentation.
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A comprehensive treatment approach for managing chronic infection and severe bone loss in the posterior mandible due to failed implants. The protocol includes immediate ridge preservation with xenograft material (GBR), followed by vertical augmentation using autologous onlay bone grafting, and a final stage of implant placement with connective tissue grafting.