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Immediate loading of 4 implants with bar retained overdenture in the edentulous mandible.
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Sinus augmentation combined with
onlay/inlay grafted from chin
1.The chin graft.
Prior to procedure evaluate the thickness of cortical bone on chine and the inclination of lower incisors (lateral radiograph) and measure the the vertical height from apical area of lower incisors to the lower border of mandible (orthopanoramic radiograph corrected for magnification). Measure the amount of bone plate needed in the recipient area.
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2. Sinus augmentation and mounting of the graft.
Palatal placed incision. Mucoperiostal flap mobilized by horizontal periostal incision and a light finger pressure.
If necessary supplementary bonechips is obtained from the back of maxillary tuberosity.
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Distraction osteogenesis
Distraction osteogenesis has some advantages compared to other bone augmentation procedures in mandible.
No donor sites.
Shortening of treatment time before implant can be placed in the augmented bone.
Simultaneous lengthening of soft tissue.
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