Reconstruction and Implant Rehabilitation of the Completely Edentulous Maxilla and Mandible Utilizing Iliac Crest Autogenous Block Grafts: A Clinical Case-Report

The number of completely edentulous patients has been increasing over the years due to an extended life expectancy. This debilitating condition is frequently associated with severe bone resorption which complicates predictable implant rehabilitation. This report shows the clinical outcome of an edentulous geriatric patient treated with iliac crest appositional autogenous bone block grafts and subsequent implant-supported bar-retained overdentures in a staged-approach. An adequate quality and quantity of newly formed bone allowed for ideal implant placement. After the surgical procedures the healing proceeded uneventfully and no adverse events were encountered. The final prosthesis improved the oral-health quality of life of the patient resulting in a high satisfaction level as well as low morbidity. After a one-year follow-up period, no clinical and radiographic signs of inflammation and infection were reported in either jaw, stressing the reliability of this procedure even in geriatric patients.