Reconstruction of the severely atrophic mandible using calvarial split bone grafts for implant-supported oral rehabilitation.
OBJECTIVE
This article describes reconstruction of the severely atrophic mandible using calvarial bone grafts for implant-supported prosthetic oral rehabilitation. The study aim was to evaluate the efficacy of the treatment by determining implant survival and complication rates, and the extent of the postoperative graft resorption.


METHODS
Ten patients who underwent the treatment were followed clinically and radiologically using panoramic radiographs and CT scans during a mean postoperative period of 30 months.


RESULTS
Good bone healing was observable 6 months postoperatively. The height reduction measured on panoramic radiographs was insignificant (mean 0.68 mm). Only minor complications occurred. Implant survival was 95%. Prosthodontic treatment was successfully performed in all cases, resulting in an improvement of oral function. Histological analysis of 1 bone biopsy showed minimal resorptive changes in otherwise very dense bone.


CONCLUSIONS
Augmentation using calvarial grafts is a promising treatment alternative for the severely atrophic mandible.
Smolka
Wenko
W
Department of Cranio-Maxillofacial Surgery, University of Berne, Switzerland. wenko.smolka@insel.ch
Bosshardt
Dieter D
DD
Mericske-Stern
Regina
R
Iizuka
Tateyuki
T
D000368:Aged; D016301:Alveolar Bone Loss / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous; D019094:Dental Prosthesis, Implant-Supported; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures; D012886:Skull / Q000601:surgery; D016896:Treatment Outcome