Treatment of the Atrophic Upper Jaw: Rehabilitation of Two Complex Cases

Abstract

In reconstructive surgery, the fresh frozen homologous bone (FFB) represents a valid alternative to the autologous bone, because FFB allows bone regeneration thanks to its osteoinductive and osteoconductive properties. The purpose of this work is to describe the surgical-implant-prosthetic treatment of two complex cases using FFB. In particular, fresh frozen homologous bone grafts were used to correct the severe atrophy of the maxilla, and, then, once the graft integration was obtained, implant therapy was performed and implants placed in native bone were immediately loaded.

Novel Bone Grafting Techniques in Implant Dentistry

“…It is considered to be a safe, simple and patient compliance method to augment bone. The subperiosteal tunneling approach is a minimally invasive procedure that allows the surgeon to allocate the graft in a space that is obtained between the soft tissues and the underlying bone through an access represented by a single incision on the mesial limit of the bone defect [2,3]. This approach is believed to warrant minimal discomfort to the patient in the immediate postoperative phase in addition to ensuring a steady coverage of the graft during the healing time, with minimal risk of exposure, infection, and failure [4,5].…”