British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 6 , Pages 477-479, September 2008

Cranial bone grafting and simultaneous implants: a submental technique to reconstruct the atrophic mandible

  • Rajesh Gutta

      Affiliations

    • Department of Oral & Maxillofacial Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas – 78229, USA
    • Tel.: +1 205 934 5334; fax: +1 205 975 6671.
    • Corresponding Author InformationCorresponding author. MSC 7908, Dept of Oral & Maxillofacial Surgery, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX – 78229, USA. Tel.: +1 210 567 3460.
  • ,
  • Peter D. Waite

      Affiliations

    • Department of Oral & Maxillofacial Surgery, University of Alabama at Birmingham, 419 SDB, 1919, 7th Avenue South, Birmingham, Alabama – 35294, USA
    • Tel.: +1 205 934 5334; fax: +1 205 975 6671.

Accepted 11 November 2007. published online 03 January 2008.

Abstract 

Results after treatment of severe maxillary and mandibular atrophy (Cawood classes V and VI) are often unsatisfactory and unpredictable. Reconstruction of such severely resorbed edentulous jaws represents a challenge. In maxillofacial surgery, bone grafts from the skull (split calvarial bone grafts) are commonly used for reconstruction of large bone defects of the midface. In the 1990s, various authors reported alveolar-ridge augmentation using calvarial bone grafts. This is the first report of its kind describing an extraoral approach for cranial bone grafting with simultaneous implant placement to the atrophic mandible.

Keywords: Cranial bone graft, Ridge augmentation, Dental implants, Bone graft

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PII: S0266-4356(07)00489-5

doi:10.1016/j.bjoms.2007.11.008

British Journal of Oral and Maxillofacial Surgery
Volume 46, Issue 6 , Pages 477-479, September 2008