Reconstruction of atrophic alveolar edentulous ridge with autologous mandibular symphysis block bone graft for future implant placement
Keywords:
alveolar ridge, block graft, bucco-lingual, corticocancellous, dental implantAbstract
Alveolar ridge resorption after a tooth loss due to disease, atrophy or trauma is a common phenomenon. Often in clinical practice, the loss of a tooth does not coincide with replacement by a dental implant, therefore it is often required that we perform hard tissue ridge augmentation to increase bone volume prior to dental implant placement and restoration so that the implants can be inserted in ideal bucco-lingual and mesio-distal position with good axial inclination and to reshape soft tissue contour. This study demonstrated the amount of resorption of Symphysis Block graft which helps to harvest adequate bone in future to compensate resorption for future implant placement. The accurate graft resorption and required graft harvest was assessed with Cone Beam CT. Five patients underwent harvesting of corticocancellous bone from Mandibular symphysis region for Reconstruction of atrophic alveolar ridge. A tension free closure was obtained. Periosteal scoring was done and flap was closed tension free. We assessed the preoperative available bone and the defect in horizontal and vertical dimensions in the anterior region and evaluated the amount of bone graft necessary to augment the defect.
Downloads
References
Antonio D'Addonia et al: Intramembranous autogenous osseous transplants in aesthetic treatment of alveolar atrophy. Journal of Periodontology, Vol.27 (2001) 149-161.
Bernhard Pommer et al: New safety margins for chin bone harvesting based on the course of the mandibular incisive canal In CT. Clinical Oral Implants Research, Vol.19 (2008) 1312-1316.
Bradley.S.McAllister et al: Bone augmentation techniques. Journal of Periodontology, March 2007, Vol.78, No.3, 377-396.
Cameron. Y.S et al: Immediate load and esthetic zone considerations to replace maxillary incisor teeth using a new zirconia implant abutment in the bone grafted anterior maxilla. Journal Of Oral Implantology. Vol.34 (2008) 259-267.
Craig. M.Misch et al: Use of a surgical template for autolgous bone grafting of alveolar defects. Journal of Prosthodontics (1999) vol.8, 47-52.
Daniel Buser et al: Localized Ridge augmentation with autografts and barrier membranes. Journal of Periodontology 2000, Vol.19, 151-163.
David. C.Hatcher et al: Cone beam CT for pre-surgical assessment of implant sites. CDA Journal, Vol.31, No.11 (2003) 825-833.
Devorah Schwartz et al: Intraoral autogenous block onlay bone grafting for extensive reconstruction of atrophic maxillary alveolar ridges, Journal of Periodontology, Vol.76 (2005) 636-641.
Devorah Schwartz et al: Multitier technique for bone augmentation using intraoral autogenous bone blocks. Implant Dentistry. Vol.16, No.1 (2007) 5-12.
Domos.N.Mardas et al: Clinical outcomes of implants following lateral bone augmentation systematic assessment of available options (barrier membranes, bone grafts, split osteotomy). Journal of Clinical Periodontology (2008) Vol.35, 173-202.
Dong-Soek Sohn et al: Piezoelectric osteotomy for intraoral harvesting of bone blocks. International Journal of Periodontics Restorative Dentistry (2007). Vol.27, No.2, 1-7.
Emeka Nkenke et al: Morbidity of harvesting chin grafts: a prospective study. Clinical Oral Implants Research, Vol.12 (2001) 495-502.
Eratalay.K.Demiralp et al: Localized edentulous ridge augmentation with upside down osteotomy prior to implant placement. Dental Traumatology 2004; 20:300-304.
Fedrico Brugnami et al: Local intraoral autologous bone harvesting for dental implant treatment: alternative sources and criteria of choice. Keio Journal of Medicine; 58 (1):24-28.
Gerry M.Raghebar et al: Maxillary bone grafting for insertion of endosseous Implants: results after 13-14 months. Clinical Oral Implant Research, Vol.12 (2001) 279-286.
Gerry M.Raghebar et al: Morbidity of chis bose harvesting. Clinical Oral Implant Research, Vol.12 (2001) 503-507,
Gustavo Rabelo et al: Retrospective study of bone grafting procedures before implant placement. Implant Dentistry, Vol. 19, No.4 (2010) 342-350.
Hadi Antoun et al: A prospective randomized study comparing two techniques of bone augmentation: onlaygraft alone or associated with membrane. Clinics of Oral Implantology and Research, Vol.12, 2001, 632-639.
Hamdan.S.Galmadi et al: Current concepts in alveolar bone augmentation: A critical appraisal. Saudi Dental Journal, Vol.19, No.2 (2007) 74-90.
Ilara Zerba et al: Fate of monocortical blocks grafted in the human maxilla: a histological and histomorphometric study. Clinical Oral Implants Research, Vol.14 (2003) 750-756.
Joseph.A.Loenetti et al: Localized maxillary ridge augmentation with a block autograft for dental implant placement: Case reports. Implant Dentistry. Vol.12. No.3, 2003, 217-226.
Kaing et al: Assessment of bone grafts placed within an Oral and Maxillofacial training programme for implant rehabilitation. Australian Dental Journal (2011), Vol.56 406-411.
Kyung-Choon Oh et al: The influence of perforating the autogenous block bone and the recipient bed is dogs. Part I: a radiographic analysis. Clinical Oral Implant Research, Vol.22 (2011) 1298-1301.
Lakshman Dene et al: Ridge expansion and immediate implant placement in the esthetic zone. New York State Dental Journal, March 2010, 28-31.
Lars Andersson et al: Patient self-evaluation of intra oral bone grafting treatment to the maxillary frontal region. Dental Traumatology 2008; 24: 164-169.
Luca Cordaro et al: Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clinics of Oral Implantology and Research, Vol.13, 2002, 103-111.
Luca Cordaro et al: Mandibular bone harvesting for alveolar reconstruction and implant placement: subjective and objective cross-sectional evaluation of donor and recipient site upto 4 years. Clinical Oral Implant Research, Vol.22 (2011) 1320-1326.
Luca Cordaro et al: Reconstruction of the moderately atrophic edentulous maxilla with mandibular bone grafts. Clinical Oral Implants Research. (2012) 1-8.
Mario Rocuzzo et al: Vertical alveolar ridge augmentation by means of a titanium methand autogenous bone grafis. Clinical Oral Implants Research, Vol.15 (2004) 73-81.
Michael.A.Pikos et al: Atrophic posterior maxilla and mandible alveolar ridge reconstruction mandibular block autografts. Alpha Omegan, Vol.58, No.3 (2005) 34-45.
Michael.A.Pikos et al: Mandibular block autografts for alveolar ridge augmentation. Atlas of Oral and Maxillofacial Surgery Clinics of North America, Vol.13 (2005) 91-107.
Mohammed Selim et al: Evaluation of volumetry and density of mandibular symphysis bone grafts by three dimensional computed tomography. Traumatology (2009) Vol.25, 475-479. Dental
Nicholas Toscano et al: The art of block grafting, A review of the surgical protocol for reconstruction of alveolar ridge deficiency. The Journal of Implant and Advanced Clinical Dentistry. Vol.2 (2010) 45-65.
Omar Al-Ani et al: Safe zone for bone harvesting from the interformainal region of the mandible. Clinical Oral Implants Research, Vol.5 (2012) 1-7.
Parag.M.Khatri et al: Autogenous mandibular symphysis bone grafting for the reconstruction of severe alveolar ridge atrophy for the anterior single tooth endosseous implant- A case report. JIDA. Vol.5 No.7 July 2007.
Patrick J.Louis et al: Bone grafting the mandible. Oral and Maxillofacial Surgery Clinics of North America Vol.23 (2011) 209-227.
Ricardo Gapski et al: Management of incision design in symphysis graft procedures: A review of literature. Journal of Oral Implantology. No.3, Vol.27 (2001) 134-143.
Rita.A.Hiti et al: Guided bone regeneration in the oral cavity: A Review. The Open Pathology Journal 2011, Vol.5, 33-45.
Robert.J.Miller et al: Revised maxillofacial anatomy. The mandibular symphysis 3D. The international Journal of Dental Implants and Biomaterials, Vol.3 (2006) 1-7.
Rocchietta et al: Clinical outcomes of vertical bone segmentation to enable dental implant placement: a systematic review. Journal of Clinical Periodontology (2008) vol.35, 203-215.
Stephen Lundgeren et al: Strategies in reconstruction of reconstruction of atrophic maxilla with autogenous bone grafts and endosseous implants. Periodontology 2000, Vol.47, 2008, 143-161.
Stephen.T.Chen et al: Consensus statements and recommended clinical procedures regarding surgical techniques. The International Journal of Oral and Maxillofacial Implants, Vol.24 (2009) 272-278.
Thomas Von Arx et al: Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membraner clinical study with 22 patients. Clinical Oral Implant Research, Vol.17 (2006) 359-366.
Thomas von Aux et al: Neurosensory distur following bone harvesting in the symphysis prospective clinical study, Vol.16 (2005) 432-499
Weijs et al: Early secondary closure of alveolar clefs with mandibular symphyseal bone grafts and beta calcium phosphate. International Journal of Oral and Maxillofacial Surgery, 2010; 39: 424-429.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
