GUIDED BONE REGENERATION USING BONE GRANULES AND FLEXIBLE CORTICAL LAMINA OF EQUINE ORIGIN

Bone augmentation using collagen-preserved bone granules and flexible cortical lamina.

The clinical case concerned a 56-year-old patient who required the reconstruction of bridge 23-26 for aesthetic reasons. In order to guarantee a correct aesthetic profile and also to favour a better cleaning of the prosthetic restoration, a solution with single elements anchored to teeth and implants was proposed. Clinical and radiographic examination by CBCT showed severe horizontal bone loss at sites 24-25, a condition that made the insertion of osseointegrated implants of standard diameter impossible. The regenerative process was achieved with the use of a collagen-preserved granular bone graft, protected by a cortical lamina fixed with osteosynthesis screws. The reopening, 6 months after the regenerative procedure, showed the presence of mature bone, obtained by remodelling the granular graft and the cortical bone plate with the patient’s own bone. The regenerated volume allowed the insertion of two implants of diameter 3.3 mm (element 24) and 4.1 mm (element 25). The subsequent follow-up two years after the procedure regenerative procedure confirmed the excellent aesthetic profile recovered.

PRODUCTS USED: Osteoxenon Mix Granules, Osteoxenon Flex Cortical Sheet, OSP-OX09