Abstract
Computer-aided design methods combined with computer-aided manufacturing assist in more accurate and fast removal of nonosteolytic intraosseous pathologies, which are often clinically indistinguishable from adjacent healthy bone tissue. Among these pathologies, idiopathic osteosclerosis is an area of focal radiopacity that cannot be attributed to inflammatory, dysplastic, neoplastic, or systemic disorders. We present here the case of a 54-year-old female patient seeking implant-supported rehabilitation with no other complaints. Computed tomography scan suggested a hyperdense intraosseous lesion in the left mandible. The surgical guide, designed with the add-on OrtogOnBlender, was used to design the bone window through which the osteosclerotic area was approached, preserving bone tissue and reducing operative time. The surgical cavity was filled according to the principles of guided bone regeneration. The patient is awaiting osseointegration of the bone substitute to continue with her surgical-prosthetic treatment.
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