Background. The severe atrophy of the posterior mandible requires surgical bone grafting for implant positioning and fixed prosthetic rehabilitation. The interpositional inlay grafting procedure is a predictable technique to increase the bone volume after loss of teeth. The purpose of this case report was to evaluate the clinical and radiographical effectiveness of an interpositional inlay grafting enhanced by Autologous Platelet Gel at 6 months healing.
Materials and methods. An interpositional inlay grafting was clinically provided in the region of the third quadrant of the posterior anthropic mandible. The study findings were evaluated by clinical and radiographical parameters at 6 months healing. No miniscrews nor miniplates were used for stabilizing the bovine bone block.
Results. The healing phase was uneventful and no impairment regarding inferior alveolar nerve sensibility was reported. At 6 months the tomographical scans showed the complete volumetric stability of the bone graft.
Conclusion. The Interpositional Inlay Grafting enhanced by Autologous Platelet Gel represents a predictive and improving treatment for severe atrophies of the posterior mandible.
KEY WORDS: inlay bone graft, collagen, bovine bone block, autologous platelet gel, atrophic mandible.