Fig.1 Fig.2 Fig.3 Fig.4
Fig.5 Fig.6 Fig.7 Fig.8
Fig.9 Fig.10    

Chin Graft for Lower Incisors

Two mandibular central incisors are congenitally missing from a healthy 36-year-old lady (Fig.1 (**), and Fig.2).  The ridge is atrophic, especially apical to the crest (Fig.2 arrowheads).  A corticocancellous block is harvested from the chin and fixed  in place  with 2 screws (Fig.3 S).  The patient is doing well postop probably due to minimal invasive approach (single donor/recipient site).  The buccal plate morphology improves postop (Fig.4 between arrowhead, apical to a removable denture (D)).  Five months later, a 3.5x11 mm Bicon implant is placed. Two "mini" crowns with pink gingiva are cemented 8 months later (Fig.5,6).  

Crest bone remains stable around the implant 1 year 3 months after crown cementation (Fig.7).  The gingiva is healthy (Fig.8).  Recently the patient returns for follow up  There is no bone loss 4 years (Fig.9) or 6 years 3 months (Fig.10) post cementation.  She eats normally and is pleased with the result.

Return to Fellowship Documentation Form, Lower Incisor Immediate Implant

Xin Wei, DDS, PhD, MS 1st edition 06/25/2010, last revision 12/15/2016