PMC4555933_01
(a and b) Radiographic assessment at 2006 of the previously grafted alveolar clefts. Note the narrow width of the alveolar ridge, especially in the right anterior maxilla, which is not suitable to accommodate dental implants
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F1
However, bone resorption due to severe oral infection in 2003 necessitated removal of all maxillary incisors [Figure 1a and b].
Postoperative orthopantomogram on the first follow-up visit following maxillary bone augmentation with iliac crest bone (blocks secured with two titanium screws each in the anterior maxilla). Titanium plate and screws in the mandible/maxilla were used for fixation during the bimaxillary osteotomy and screws in the left infraorbital area were used for fixation of an alloplastic facial implant for further masking of maxillary hypoplasia
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F2
In 2007, he did undergo anterior maxilla augmentation with two corticocancellous blocks obtained from the anterior iliac crest under general anesthesia, secured with 10 mm screws [Figure 2].
Orthopantomogram following attachment of the implant fixed bridge. A third implant was not accommodated due to infection of the grafted right maxilla
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F3
A 3-unit bridge did replace functional and esthetic demands [Figures 3 and 4].
(a and b) Clinical assessment of the fixed prosthesis at 18-month follow-up visit
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F4
A 3-unit bridge did replace functional and esthetic demands [Figures 3 and 4].