From "No Implant Possible" to a Successful Dental ImplantThis patient was told that a dental implant could not be placed because there was not enough bone height in the lower left jaw. While many bone grafting procedures focus on increasing bone width, increasing bone height is much more difficult and is considered one of the most challenging procedures in implant dentistry and bone reconstruction. Without enough bone height, an implant cannot be placed safely and predictably. Because of the severity of the bone loss, we chose to rebuild the area using the patient's own bone through a procedure called a block bone graft. This case demonstrates how advanced bone reconstruction techniques can create bone in areas that many patients are told cannot be treated. Click to Enlarge Image Step 1: Bone Harvested From the Donor SiteA small piece of the patient's own bone was carefully taken from the back portion of the lower jaw (ramus area). This bone would later be used to rebuild the area where the implant was needed. Using the patient's own bone provides the best opportunity for successful healing and long-term stability. Click to Enlarge Image Step 2: Preparing the Bone GraftThe harvested bone was shaped and customized to fit the area where additional bone was needed. Using the patient's own bone helps create a strong and predictable foundation for rebuilding lost bone. Click to Enlarge Image Step 3: Bone Grafts Secured in PlaceThe bone grafts were positioned in the deficient area and secured with fixation screws. Keeping the grafts completely stable is one of the most important factors for successful healing. The screws prevent movement and allow the grafts to fuse with the existing jawbone. Click to Enlarge Image Step 4: Putty Bone AddedA bone graft putty was prepared to be placed over the block grafts. This material helps fill small spaces and supports additional bone formation during healing. Click to Enlarge Image Step 5: Putty Bone AppliedThe putty bone graft was placed over the fixed block grafts. This additional layer helps support bone regeneration and improves the overall shape and contour of the rebuilt ridge. Click to Enlarge Image Step 6: Six-Month Healing ResultSix months after surgery, the grafted area showed excellent healing. Most importantly, we successfully achieved an increase in both bone height and bone width. Because vertical bone growth is one of the most difficult goals to achieve in implant reconstruction, this result demonstrates the effectiveness of the treatment and the stability of the grafts. Click to Enlarge Image Step 7: Implant Successfully PlacedBecause sufficient bone height and width were created, we were able to place a dental implant in an area that was previously considered unsuitable for treatment. The regenerated bone provided the support necessary for predictable implant placement and long-term success. Schedule Your Complex Case Consultation |
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