Reconstruction of the severely resorbed (Class VI) jaws: routine or exception?
After disappointing results with conventional preprosthetic procedures endosseous implants in combination with alveolar ridge augmentation opened up new prospects in reconstructive surgery. A total of 64 patients who underwent three-dimensional reconstruction of the alveolar ridge and insertion of endosseous implants for severe resorption were evaluated retrospectively. Despite the postoperative infection rate of 20.3% (13 patients), only 4.1% of the 266 inserted implants were lost in the long term. This indicates that augmentation using free autogenous iliac bone grafts and implants have a success rate of approximately 96% despite difficult initial situations. This success was mainly related to the soft tissue condition covering the graft. A technique for soft tissue dissection, especially in the maxilla, is presented.
Joos
U
U
Department of Oral and Cranio-Maxillofacial Surgery, University of Münster, Germany.
Kleinheinz
J
J
D000328:Adult; D000368:Aged; D016301:Alveolar Bone Loss / Q000534:rehabilitation / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000009:adverse effects; D003758:Dental Implantation, Endosseous / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D013530:Surgical Wound Infection; D016896:Treatment Outcome