Allograft Customized Bone Block in the Edentulous Maxilla: A 6-Month CBCT Analysis and 15-Month Follow-up
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By
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Maarten J. Boogaard
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Georgios E. Romanos
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Martijn Kerver, DMD
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July 1, 2026
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Clinical Scorecard: Allograft Customized Bone Block in the Edentulous Maxilla: A 6-Month CBCT Analysis and 15-Month Follow-up
At a Glance
| Category | Detail |
|---|
| Condition | Maxillary atrophy |
| Key Mechanisms | Use of allograft customized bone blocks for bone augmentation |
| Target Population | Long-term edentulous patients, particularly older adults |
| Care Setting | Dental implantology |
Key Highlights
- Significant vertical and horizontal bone gain observed after 6 months
- Allograft customized bone blocks offer an alternative to extensive bone harvesting
- CAD/CAM technology utilized for individualized bone block design
- Initial resorption of allograft may occur during remodeling
- Soft-tissue management is crucial for successful healing
Guideline-Based Recommendations
Diagnosis
- Assess bone volume and ridge morphology using CBCT imaging
Management
- Utilize allograft customized bone blocks for bone augmentation in severely atrophic maxilla
Monitoring & Follow-up
- Evaluate bone integration and remodeling at 6 months post-surgery
Risks
- Potential for initial resorption of the allograft and complications related to soft-tissue management
Patient & Prescribing Data
77-year-old female smoker with a history of maxillary edentulism
Amoxicillin prescribed post-surgery to prevent infection
Clinical Best Practices
- Ensure primary wound closure to facilitate healing
- Maintain space for bone ingrowth during graft placement
- Utilize 3D planning for accurate graft design and placement
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