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1.3.2.1 Bony lid technique

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Already in 1987, Khoury reported his clinical data on the bony lid technique for the apical root resection of mandibular molars.71 In another study, he reported his prospective data on this technique in pre-implant and implant surgery.67 The bony lid is a cortical bone plate obtained by the cutting and luxation of parts of the mandible (see Chapter 4). The cortical bony lid can also be split into two halves that are used as a bony sheet (stabilized by micro screws) that holds the bone particles in place, thereby molding the augmentation and implantation site (see Chapter 4). At the re-entry 3 months later, the average width of the alveolar crest after placing the bony lid showed a loss of only 0.5 mm, which is around 7% of the original dimension, suggesting good volume stability.

Bone and Soft Tissue Augmentation in Implantology

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