Edentulous mandible: clinical results of reconstruction with fresh frozen bone.
OBJECTIVE
The aim of this study was the clinical and radiological evaluation in severe mandibular atrophy (class V-VI Cadwood-Howell) of bone grafts with homologous fresh frozen bone (FFB) in patients with dysesthesia of the inferior alveolar nerve with or without transposition of the NAI in order to perform a proper implant-prosthetic rehabilitation.


METHODS
This article presents our experience in mandibular reconstructions performed in 12 patients with severe mandibular atrophy and dysesthesia performing onlay grafts with FFB and subsequent implant-prosthetic rehabilitation.


RESULTS
The surgical protocol of homologous bone graft in symptomatic patients with severe mandibular atrophy presented an excellent clinical outcome with disappearance of dysesthesia in all patients treated, good graft integration and a complete implant-prosthetic rehabilitation with loss of only 3 implants at the 24-36 month follow up visit.


CONCLUSIONS
Homologous bone grafting in patients with severe mandibular atrophy may be a viable therapeutic option in cases of prosthetic reconstruction in those symptomatic patients who cannot tolerate removable dentures, reducing intraoperative time, patient morbidity and the complications in common sites of autologous bone graft removal.
Department of Maxillo‑Facial Surgery, Civil Hospital, Brescia, Italy - ancastellani@libero.it.
A
A
Castellani
G
G
Bocchialini
U
U
Zanetti
D000368:Aged; D064591:Allografts; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D001284:Atrophy; D016025:Bone Transplantation / Q000379:methods*; D015925:Cryopreservation; D003758:Dental Implantation, Endosseous / Q000379:methods*; D005260:Female; D006801:Humans; D007085:Ilium; D007575:Jaw, Edentulous / Q000601:surgery*; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery*; D008340:Mandibular Nerve / Q000601:surgery; D008875:Middle Aged; D016067:Nerve Transfer; D009437:Neuralgia / Q000209:etiology; D009926:Organ Preservation; D016348:Osseointegration; D010292:Paresthesia / Q000209:etiology; D012189:Retrospective Studies; D061221:Trigeminal Nerve Injuries / Q000150:complications / Q000601:surgery