To evaluate the effectiveness of allograft customized bone blocks (ACBBs) for bone augmentation in a severely atrophic maxilla in a 77-year-old female patient.
Approach:
Patient Background: A 77-year-old female smoker with a 22-year history of edentulism and a non-functional maxillary prosthesis.
Surgical Procedure: Utilized CAD/CAM technology for 3D planning and placement of ACBBs for extensive bone augmentation.
Postoperative Evaluation: Conducted a CBCT scan after 6 months to assess bone gain and integration of the ACBBs.
Key Findings:
Bone gain was observed with ridge widths between 6.9 mm and 8.9 mm after 6 months.
ACBBs showed potential as an alternative to extensive bone harvesting procedures.
The design and placement of ACBBs were precise and matched the pre-surgical digital plan.
Interpretation:
The use of ACBBs can effectively augment bone in severely atrophic maxillas, potentially reducing donor site complications.
Limitations:
Single case report limits generalizability of findings.
Long-term outcomes beyond 15 months are not reported.
Conclusion:
ACBBs represent a promising technique for bone augmentation in patients with severe maxillary atrophy.
