title: Histomorhological and clinical evaluation of maxillary alveolar ridge reconstruction after craniofacial trauma by applying combination of allogeneic and autogenous bone graft.
abstract: A variety of techniques and materials for the rehabilitation and reconstruction of traumatized maxillary ridges prior to dental implants placement have been described in literature. Autogenous bone grafting is considered ideal by many researchers and it still remains the most predictable and documented method. The aim of this report is to underline the effectiveness of using allogeneic bone graft for managing maxillofacial trauma. A case of a 30-year-old male with severely atrophic maxillary ridge as a consequence of complex craniofacial injury is presented here. Augmentation procedure in two stages was performed using allogeneic and autogenous bone grafts in different areas of the osseous defect. Four months after grafting, during the implants placement surgery, samples of both sectors were withdrawn and submitted to histological evaluation. On the examination of the specimens, treated by hematoxylin and eosin staining, the morphology of integrated allogeneic bone grafts was revealed to be similar to the autologous bone. Our clinical experience shows how the allogeneic bone graft presented normal bone tissue architecture and is highly vascularized, and it can be used for reconstruction of severe trauma of the maxilla.
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Francesco Saverio
authors.initials: FS
authors.lastname: De Ponte
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Falzea
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Runci
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Enrico Nastro
authors.initials: EN
authors.lastname: Siniscalchi
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Floriana
authors.initials: F
authors.lastname: Lauritano
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Ennio
authors.initials: E
authors.lastname: Bramanti
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Cervino
authors.affiliation: Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, AOU Policlinico "G. Martino", Via C. Valeria 98100 Messina, Italy. Electronic address: acromarco@yahoo.it.
authors.forename: Marco
authors.initials: M
authors.lastname: Cicciu
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005151:Facial Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous
keywords: Bone transplantation; Facial reconstruction; Maxillofacial injuries