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Clinical and 3-Dimensional Radiographic Evaluation of Autogenous Iliac Block Bone Grafting and Guided Bone Regeneration in Patients With Atrophic Maxilla 

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Presentation on theme: "Clinical and 3-Dimensional Radiographic Evaluation of Autogenous Iliac Block Bone Grafting and Guided Bone Regeneration in Patients With Atrophic Maxilla "— Presentation transcript:

1 Clinical and 3-Dimensional Radiographic Evaluation of Autogenous Iliac Block Bone Grafting and Guided Bone Regeneration in Patients With Atrophic Maxilla  B. Alper Gultekin, DDS, PhD, Erol Cansiz, DDS, PhD, M. Oguz Borahan, DDS, PhD  Journal of Oral and Maxillofacial Surgery  Volume 75, Issue 4, Pages (April 2017) DOI: /j.joms Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

2 Figure 1 The anterior iliac crest was exposed for bone graft harvesting. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

3 Figure 2 The bone block was fixed to the residual ridge with screws.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

4 Figure 3 The mucoperiosteal flap was elevated.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

5 Figure 4 The recipient site was prepared for guided bone regeneration.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

6 Figure 5 Resorbable collagen membrane and composite graft (autogenous particle bone and deproteinized bovine bone) were applied for horizontal augmentation. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

7 Figure 6 Resorbable collagen membrane and composite graft (autogenous particle bone and deproteinized bovine bone) were applied for horizontal augmentation. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

8 Figure 7 Titanium-reinforced dense polytetrafluoroethylene membrane and composite graft (autogenous particle bone and deproteinized bovine bone) were applied for vertical augmentation. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

9 Figure 8 Titanium-reinforced dense polytetrafluoroethylene membrane and composite graft (autogenous particle bone and deproteinized bovine bone) were applied for vertical augmentation. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

10 Figure 9 Grafted site after healing (iliac bone grafting).
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

11 Figure 10 Grafted site after healing (guided bone regeneration, horizontal). Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

12 Figure 11 Grafted site after healing (guided bone regeneration, vertical). Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

13 Figure 12 Dental implants were placed after 3 months of healing.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

14 Figure 13 Dental implants were placed after 6 months of healing.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

15 Figure 14 Dental implants were placed after 9 months of healing.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

16 Figure 15 Cone beam computed tomography was obtained to evaluate volumetric changes in graft sites. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

17 Figure 16 Radiologic evaluation of graft sites.
Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

18 Figure 17 Digital reconstruction was performed by selecting the grafted site, and volumetric changes were analyzed. Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

19 Figure 18 Horizontally and vertically augmented sites were evaluated in the guided bone regeneration (GBR) and iliac bone grafting (IBG) groups within 3 weeks (V1); at 3 months or 6 to 9 months after bone grafting (V2), depending on the treatment method; and at final follow-up after loading (V3). Journal of Oral and Maxillofacial Surgery  , DOI: ( /j.joms ) Copyright © 2016 American Association of Oral and Maxillofacial Surgeons Terms and Conditions

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