title: Computed tomography and computer-aided design for locating available palatal bone for grafting: two case reports.
abstract: Autologous bone graft is considered the gold standard for oral and maxillofacial rehabilitation. The purpose of these case reports is to present the palate as a donor site in the oral and maxillofacial region. A surgical technique of palatal bone grafting with computer-aided design is proposed. Computed tomography and three-dimensional study with a software program (Simplant) were used to evaluate bone quality and quantity at the palatal donor site and also provide a preoperative planning tool for placement of implants. This software was also used to determine the amount of bone needed for the implant site. A palatal marginal incision was made and a full-thickness flap was elevated from the central incisor region to the premolar region. A bone trephine was used to harvest corticocancellous palatal blocks. No swelling or hematomas were found at any donor sites. Simplant software can map the bone within a defined palatal area and provide important information about the quality and quantity of bone in the donor area.
authors.forename: Oliver
authors.initials: O
authors.lastname: Rodriguez-Recio
authors.forename: Cristian
authors.initials: C
authors.lastname: Rodriguez-Recio
authors.forename: Lorena
authors.initials: L
authors.lastname: Gallego
authors.forename: Luis
authors.initials: L
authors.lastname: Junquera
mesh_terms: D000540:Alveolar Ridge Augmentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D017076:Computer-Aided Design; D003758:Dental Implantation, Endosseous / Q000379:methods*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D021362:Palate, Hard / Q000000981:diagnostic imaging*; D012984:Software; D025321:Surgery, Computer-Assisted; D020858:Tissue and Organ Harvesting; D014057:Tomography, X-Ray Computed; D055815:Young Adult