BONE GRAFTS
Previously Bone Grafted Sites
When placing implants into a previously bone grafted site, it is preferable to follow a flapless approach in order to avoid devascularization of the graft, reduce the risk of resorption, and preserve the new blood supply to the graft site.
In order to achieve the ideal position and angle when surgically placing the implant without visualizing the patients bone at the time of surgery, the use of guidance is recommended.
X-Guide dynamic navigation can help guide the surgeon to place the implant exactly where they want it without opening a flap to visualize the anatomy.
Case 1
Multiunit unit posterior restoration in poor quality bone
(bone graft)

38 year old female with failed implant restoration requiring maxillary reconstruction and implant placement in areas #9 through #15.
X-Guide required for extreme accuracy and minimally invasive approach to avoid devascularizing graft.

Screws in place for edentulous registration approach.
No X-Clip used.

6 month Post operative image showing hybrid prosthesis in place.
Prosthetics: Dr. Samual Lievano


Post operative image showing implant in grafted bone. High accuracy in poor bone quality.