Reconstruction of the severely atrophic mandible using autologous calvarial bone graft: an " inverted sandwich" graft technique and dental rehabilitation with fixed implant-supported prostheses.
A new technique is described for outpatient dental rehabilitation of a severely atrophic mandible. Calvarial bone graft fixed to the mandible through an extraoral approach was used to treat a 47 year-old woman with class VI mandibular atrophy. 5 months later, six endosseous dental implants were placed between the mental foramina and rehabilitation was completed using a fixed implant-supported prostheses. After 8 years, the denture remains stable on the implants and no bony changes have been noted. This technique is an efficient option for treating patients with a severe mandibular atrophy.
Cuesta Gil
Matías
M
Department of Oral and Maxillofacial Surgery, General Hospital of Ciudad Real, C/Tomelloso s/n, 13005 Ciudad Real, Spain.
Bucci
Tommaso
T
Duarte Ruiz
Blanca
B
Riba García
Francisco
F
D016301:Alveolar Bone Loss / Q000473:pathology / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001284:Atrophy; D016025:Bone Transplantation / Q000379:methods*; D002508:Cephalometry; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention / Q000379:methods; D003824:Denture, Complete; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D008336:Mandibular Diseases / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D013516:Oral Surgical Procedures, Preprosthetic / Q000379:methods*; D016896:Treatment Outcome
D015921:Dental Implants