Shell Bone Block with Simultaneoulsy Dental Implants Insertion

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Dental Surgery

Case description

The use of a shell bone block typically refers to a bone grafting technique in oral and maxillofacial surgery. This technique involves using a block of bone, often shaped like a shell, to augment or reconstruct bone in areas where there is insufficient bone volume for dental implant placement. Here is a general outline of the process:

Assessment: A thorough examination, including imaging (such as CT scans), is done to evaluate the existing bone structure and determine the need for bone grafting.

Preparation: The dental surgeon prepares the patient for the procedure, which may involve local or general anesthesia.

Harvesting Bone Block: A shell-shaped bone block, typically harvested from the patient's own body (autograft) or obtained from a donor source, is prepared. Common donor sites include the chin or retro-molar area in jaw. in this video we harvested from retro-molar area. 

Recipient Site Preparation: The recipient site, where the dental implant will be placed, is prepared. This  involve creating a precise space for the bone block to fit into.

Simultaneous Dental Implant Insertion: before the bone block is securely in place, dental implants are inserted into the augmented bone during the same surgical procedure. This eliminates the need for a separate surgery for implant placement.

Bone Block Placement: The shell bone block is secured in place at the recipient site, using screws to stabilize it. This creates a foundation for the subsequent placement of dental implants.bone augmentation to augment bone dehisence that harvested from own patient. 

Healing: The patient undergoes a healing period during which the bone graft integrates with the surrounding bone (osseointegration). This process typically takes several months (4-6 months). 

Prosthetic Phase: After successful healing, the prosthetic phase begins, where dental crowns, bridges, or other prosthetic devices are attached to the implants to restore function and aesthetics.It's essential to note that the specific details of the procedure can vary based on the patient's individual case and the surgeon's preferences. Patients should consult with their oral surgeon or implantologist to get personalized information and recommendations tailored to their needs.

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