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Volume 37 , Issue 3
May/June 2017

Pages 317–325


A Novel Approach to Bone Reconstruction: The Wafer Technique

Mauro Merli, MD, DDS/Marco Moscatelli, DDS/Giorgia Mariotti, DDS/Alessandro Motroni, MS/Annalisa Mazzoni, DDS, PhD/Simona Mazzoni, MD, DDS, PhD/Lorenzo Breschi, DDS, PhD/Michele Nieri, DDS


PMID: 28402341
DOI: 10.11607/prd.3055

This study presents a novel technique based on guided bone regeneration and onlay grafts for three-dimensional bone augmentation. This two-stage technique uses an autogenous cortical bone plate and collagen membranes to form a barrier containing a mixture of deproteinized bovine bone matrix, autologous blood, and bone grafted from intraoral sites. Five patients were treated. At 6 months postsurgery, a mean increase in bone volume of 1,062 mm³ was shown. Mean maximum linear augmentation was 3.65 mm. Histologic analysis of the regenerated areas revealed the presence of compact newly formed bone with no sign of inflammation. A total of 13 implants were placed. The patients were satisfied, and complications were not observed.


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