title: A previously unreported surgical technique utilizing five different grafting materials to successfully achieve simultaneous alveolar regeneration and closure of a large oronasal defect.
abstract: This case report describes the successful surgical and restorative management of an unusual cyst-granuloma combination that had expanded to perforate the labial and nasal parts of the maxillary bone. Enucleation and curettage of the lesions resulted in a large oronasal communication that presented a reconstructive challenge. Five different graft and/or barrier materials were used to close the oral and nasal openings and to regenerate the alveolus for implant placement and for aesthetic prosthetic restoration.
mesh_terms: D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000818:Animals; D001861:Bone Regeneration; D018786:Bone Substitutes; D016025:Bone Transplantation / Q000379:methods; D002417:Cattle; D003094:Collagen; D003751:Dental Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery; D005612:Freeze Drying; D016557:Guided Tissue Regeneration, Periodontal / Q000295:instrumentation; D006801:Humans; D008439:Maxillary Diseases / Q000601:surgery; D008567:Membranes, Artificial; D008875:Middle Aged; D009668:Nose Diseases / Q000601:surgery; D010484:Periapical Granuloma / Q000150:complications / Q000601:surgery; D011098:Polyglactin 910; D011859:Radiography; D016038:Skin Transplantation / Q000379:methods