# An innovative approach to three-dimensional ridge augmentation in the posterior mandible: A case report

**Authors:** Nadim Sleman

PMC · DOI: 10.1016/j.ijscr.2024.110146 · 2024-08-10

## TL;DR

A new surgical method for rebuilding bone in the lower jaw helps place dental implants where bone loss is severe.

## Contribution

This case report introduces an innovative surgical technique combining vertical and horizontal augmentation for posterior mandibular bone reconstruction.

## Key findings

- Three-dimensional bone augmentation is crucial for successful dental implant placement in atrophic posterior mandibles.
- Guided bone regeneration effectively promotes bone formation and implant stability.
- Innovative surgical techniques significantly improve bone gain outcomes.

## Abstract

Surgical intervention is necessary to address significant three-dimensional bone loss in the posterior mandibular alveolar ridge when implants are planned, and primary stability cannot be achieved due to anatomical limitations.

The objective of this study is to elucidate the surgical procedures for reconstructing significant bone loss in the posterior mandibular region and to present the outcomes and insights gained from this clinical case.

A 42-year-old woman exhibited first lower molar loss, significant movement of the second molar, and severe bone loss at the same site. Vertical and horizontal bone augmentation was performed to enable the restoration of teeth loss by inserting dental implants.

Significant bone loss poses a great limitation in replacing missing teeth, particularly in the posterior mandible, given anatomical constraints. Therefore, it is essential to establish an adequate amount of bone to ensure primary stability for the implants.

This clinical case demonstrates a restoration technique of severe bone loss in the posterior mandible to enable stable dental implant placement, highlighting the importance of combining vertical and horizontal augmentation to overcome anatomical limitations and ensure primary stability.

•Three-dimensional bone augmentation in the severely atrophic posterior mandible is crucial for effective oral rehabilitation.•Guided bone regeneration is an excellent method for promoting bone formation and ensuring implant stability.•Implementing innovative surgical techniques enhances bone gain outcomes significantly.

Three-dimensional bone augmentation in the severely atrophic posterior mandible is crucial for effective oral rehabilitation.

Guided bone regeneration is an excellent method for promoting bone formation and ensuring implant stability.

Implementing innovative surgical techniques enhances bone gain outcomes significantly.

## Full-text entities

- **Diseases:** teeth loss (MESH:D018677), bone loss (MESH:D001847), molar loss (MESH:D006828)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

14 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11375275/full.md

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Source: https://tomesphere.com/paper/PMC11375275