Implant-Supported Rehabilitation Using GBR Combined with Bone Graft on a Reconstructed Maxilla with the Fibula Free Flap

Figure 1

(a) Clinical image shows peri-implantitis, hypertrophy, and severe gingival inflammation. (b) Computerized tomography scan. Preoperative view showing insufficient bone in the apicocoronal and buccolingual dimension to place implants according to the prosthetic needs. (c) Clinical image showing bone defect. (d) Clinical image prior to fixing the membrane on the palatal side showing the graft that completely covers the defect. (e) Clinical image with the membrane completely in place. (f) Panoramic radiograph post-GBR. (g) Clinical image shows tissue healing at three months. (h) Computerized tomography scan. Postoperative view showing robust bone regeneration in the area corresponding to the radiopaque marks on the surgical stent. (i) Panoramic radiograph postimplant surgery. (j) Clinical view of the implant-supported fixed prosthesis. Frontal view. (k) Clinical view of the implant-supported fixed prosthesis. Maxillary occlusal view.

(a)

(b)

(c)

(d)

(e)

(f)

(g)

(h)

(i)

(j)

(k)