A male patient came to our observation with the request of a improvement in his jaw-line projection. 6 years ago, he had the installation of 2 mandibular angle hydroxyapatite implants (quadrangular shape, no screw, just scheletrization of the region and implants dropping). During the visit he showed us a CBCT with the perfect ossification of both implants in the lower jaw.
Now the question: which could be the best approach in a possible prevision of a BSSO?
I consider that if the bone is integrated with the hydroxyapatite and as you say that the tomography does not show screws or osteosynthesis, surgery can be performed, however, it must be considered that no matter how osseointegrated any material is, it will not have the same characteristics. than native bone. Just take precautions and exercise caution when making cuts and displacements to avoid undesirable fractures or other complications.
