This patient presented at Balaji Dental and Craniofacial Hospital, Teynampet, Chennai, a few months ago with multiple missing teeth in both jaws. The patient has been partially edentulous for many years now. The patient requested dental implants to replace the missing teeth. Dr SM Balaji examined the patient and ordered CBCT(Cone Beam CT Scan) diagnostic studies in order to do bone mapping of the patient’s jaws. It was found that bone had resorbed in both the maxilla as well as the mandible.
It was explained to the patient that the existing bone was inadequate for fixing the implants and that bone grafting would be required to reconstruct the maxillary and mandibular alveolar ridges in order to place the implants. The patient consented to surgery and bone grafting was performed.
The patient presents now for placement of dental implants in the reconstructed areas of the maxilla and the mandible. Midline alveolar ridge incisions were made and the reconstructed areas of the bone were exposed. Screws that were fixed to hold the grafts in place were removed since the grafts had fused to the alveolar bone. Implants were placed in the reconstructed regions of the maxilla and the mandible.
The alveolar flaps were then closed with sutures. Once adequate osseointegration had taken place between the implants and the bone over a period of 4-6 months, the flaps would be raised again and the crowns would be fixed on the implants.
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