Reconstruction of the severely resorbed mandible prior to vestibuloplasty or placement of endosseous implants. A 2 to 5 year follow-up.
Ninety-two patients underwent augmentation of the severely resorbed mandible using corticocancellous bone grafts in the symphysis and a mixture of autogenous cancellous bone chips and hydroxylapatite particles in the posterior area. This study, extending from 2 to 5 years, shows that predictable and stable results were achieved. The average loss of height measured at 3 reference points was approximately 20%. Slight sensory disturbance was present in 19 patients (23%). Benefits derived from augmentation of the atrophic mandible include: improvement of facial form due to the renewed support of the collapsed circumoral muscles, a decrease in the intermaxillary distance, and restoration of mandibular bone bulk that will accommodate endosseous implants of maximum size.
Haers
P E
PE
Department of Oral and Maxillofacial Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
van Straaten
W
W
Stoelinga
P J
PJ
de Koomen
H A
HA
Blydorp
P A
PA
D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001862:Bone Resorption / Q000473:pathology / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods; D003758:Dental Implantation, Endosseous; D003828:Denture, Overlay; D017886:Durapatite; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D006882:Hydroxyapatites; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008336:Mandibular Diseases / Q000473:pathology / Q000601:surgery*; D009061:Mouth Mucosa / Q000473:pathology; D010027:Osteotomy / Q000379:methods; D019736:Prostheses and Implants; D012677:Sensation; D014727:Vestibuloplasty / Q000379:methods*
D006882:Hydroxyapatites; D017886:Durapatite