Clinical case | Bone reconstruction

Prof. Dr. David Peñarrocha Oltra
Specialty: Oral Surgery
Training:
- Degree in Dentistry, University of Valencia, (Extraordinary Award)
- Master in Oral Surgery and Implantology, University of Valencia,
- Doctorate in Dentistry with International Mention, Universitat de Valéncia – University of Pisa, (Extraordinary Prize)
- Scholar ITI (International Team for Implantology), Universidad Nacional Autónoma de México.
- Titular Professor of Oral Surgery and Implant Surgery, University of Valencia.
- Director of the University Expert in Implantology, University of Valencia.
Websites of interest:
3D BONE RECONSTRUCTION WITH THE KHOURY TECHNIQUE OF A VERTICAL BONE DEFECT IN THE POSTERIOR MANDIBULAR AREA
58-year-old patient with no relevant medical history, with a vertical bone defect at the 36–37 level caused by peri-implantitis. The patient comes to us after the implant has been removed.
Treatment: 3D bone reconstruction with the Khoury technique (autologous bone sheets) and placement of 2 Galimplant IPX® implants at 4 months. Bridge 36-37 in monolithic zirconia on rotational aesthetic straight abutments.
Soft tissues healed after implant exposure surgery and placement of 2mm height rotational aesthetic rectus multiposition abutments. The band of keratinized mucosa was 1-2mm. We would have preferred to perform a free graft to increase the keratinized mucosa, but the patient did not want to undergo such surgery.
Figure 13
Placement of the definitive monolithic zirconia prosthesis. The patient had a crossbite at 35 and the antagonist molars palatinized, so it was decided to do a rehabilitation of 36-37 also in a crossbite as the patient’s natural teeth were probably before losing them.
Figure14 (A, B y C)