title: Proximal tibial bone harvesting under local anesthesia without intravenous sedation in the dental office: a case report.
abstract: Maxillary sinus enlargement often occurs in the maxillary posterior edentulous area and reduces the available bone height for implantation. Therefore, maxillary sinus lift and bone graft procedures are necessary to provide sufficient available bone. Autogenous bone grafting is the best base for implant osseointegration. Recently, tibial bone has been recognized as an alternative extraoral donor site. We present a case in which we used a proximal tibia bone graft for maxillary sinus augmentation under local anesthesia without sedation in the dental office. During a 4-year postoperative follow-up, gait was not disturbed and the scar on the donor site remained unremarkable.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Chun-Ming
authors.initials: CM
authors.lastname: Chen
authors.forename: Pai-Li
authors.initials: PL
authors.lastname: Chen
authors.forename: Chung-Wei
authors.initials: CW
authors.lastname: Wu
authors.forename: I-Yueh
authors.initials: IY
authors.lastname: Huang
authors.forename: Kun-Tsung
authors.initials: KT
authors.lastname: Lee
mesh_terms: D000772:Anesthesia, Local; D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous; D006801:Humans; D008297:Male; D008875:Middle Aged; D013516:Oral Surgical Procedures, Preprosthetic; D013977:Tibia / Q000601:surgery*; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014182:Transplantation, Autologous