case_images: PMC10836133_01
case_images: Pre-operative panoramic view.
case_images: 10.1177_2050313X241229586-fig1.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig1.jpg
case_images: fig1-2050313X241229586
case_images: An orthopantomogram revealed missing teeth 36, 37, 46, and 47 (Figure 1).
case_images: (a) Preoperative Cone Beam Computed Tomography (CBCT) cross-section right side first molar region with 4.2 mm width. (b) Preoperative CBCT cross section left side first molar region with 2.4 mm width.
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case_images: PMC10836133_01_10.1177_2050313X241229586-fig2.jpg
case_images: fig2-2050313X241229586
case_images: The CBCT scan showed that the ridges were too narrow for implant placement, measuring 4.2 mm on the right and 2.4 mm on the left side at the crestal part of the alveolar bone in the lower posterior mandible (Figure 2(a) and 2(b)).
case_images: 3D Cone Beam Computed Tomography of left side after buccal bone block harvest (marked with yellow color arrowheads).
case_images: 10.1177_2050313X241229586-fig3.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig3.jpg
case_images: fig3-2050313X241229586
case_images: Using a fissure bur, a cortical osteotomy to harvest cortical bone of size 12 mm by 8 mm from the donor site (ramus/buccal shelf) was done, as depicted in Figures 3 and 4.
case_images: Cross section of left side Cone Beam Computed Tomography after buccal bone block harvest (marked with yellow color arrowheads).
case_images: 10.1177_2050313X241229586-fig4.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig4.jpg
case_images: fig4-2050313X241229586
case_images: Using a fissure bur, a cortical osteotomy to harvest cortical bone of size 12 mm by 8 mm from the donor site (ramus/buccal shelf) was done, as depicted in Figures 3 and 4.
case_images: 3D Cone Beam Computed Tomography of right side after buccal bone block harvest (marked with black color arrowheads).
case_images: 10.1177_2050313X241229586-fig5.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig5.jpg
case_images: fig5-2050313X241229586
case_images: A cortico-cancellous bone graft was harvested from the ramal/buccal shelf area of the mandible, as depicted in Figures 5 and 6, which was then ground using the bone mill.
case_images: Cross section of right side Cone Beam Computed Tomography after buccal bone block harvest (marked with yellow color arrowheads).
case_images: 10.1177_2050313X241229586-fig6.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig6.jpg
case_images: fig6-2050313X241229586
case_images: A cortico-cancellous bone graft was harvested from the ramal/buccal shelf area of the mandible, as depicted in Figures 5 and 6, which was then ground using the bone mill.
case_images: Post-operative panoramic view.
case_images: 10.1177_2050313X241229586-fig7.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig7.jpg
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case_images: After the 20-week follow-up, a second CBCT scan was taken to assess the outcome of the GBR procedure (Figure 7).
case_images: (a) Post-operative Cone Beam Computed Tomography (CBCT) cross-section right first molar region with 9.00 mm width. (b) Post-operative CBCT cross-section left first molar region with 7.7 mm width.
case_images: 10.1177_2050313X241229586-fig8.jpg
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case_images: fig8-2050313X241229586
case_images: On the right side, the ridge exhibited a width of 9.0 mm, as depicted in (Figure 8(a)). On the left side, the GBR resulted in a ridge width of 7.7 mm, as shown in (Figure 8(b)).
case_images: Implant placement on the right side of lower arch.
case_images: 10.1177_2050313X241229586-fig9.jpg
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case_images: fig9-2050313X241229586
case_images: After a period of 1 week from screw removal, 2 implants (Megagen AnyOne, South Korea) with standard diameters of 4.5 mm and 4 mm and heights of 8.5 and 10 mm were successfully placed on the right in the 46 and 47 places (Figure 9), while 2 implants (Megagen AnyOne, South Korea) of diameter 4.5 mm and height of 10 mm were placed on the left side (Figure 10).
case_images: Implant placement on the left side of lower arch.
case_images: 10.1177_2050313X241229586-fig10.jpg
case_images: PMC10836133_01_10.1177_2050313X241229586-fig10.jpg
case_images: fig10-2050313X241229586
case_images: After a period of 1 week from screw removal, 2 implants (Megagen AnyOne, South Korea) with standard diameters of 4.5 mm and 4 mm and heights of 8.5 and 10 mm were successfully placed on the right in the 46 and 47 places (Figure 9), while 2 implants (Megagen AnyOne, South Korea) of diameter 4.5 mm and height of 10 mm were placed on the left side (Figure 10).