Rehabilitation of Severely Atrophied Mandible Using Free Iliac Crest Bone Grafts and Dental Implants: Report of Two Cases

2007 ◽  
Vol 33 (3) ◽  
pp. 122-126 ◽  
Author(s):  
Orhan Güven

Abstract The purpose of this study was to reveal the improvement in facial esthetics and maintenance of mastication in severely atrophied mandibles with inadequate alveolar ridges in 2 patients. Bone graft harvested from iliac crest was used for the reconstruction in the first case, followed by the application of 2 dental implants after 6 months. A free iliac bone graft and 2 dental implants were also used simultaneously with a 1-stage surgery in the second case; the patient had previously had a mandibular reconstruction with a rib graft. Both of the patients achieved remarkably functional and esthetic improvements after treatment. Free iliac bone graft is considered to be a favorable alternative for the maintenance of satisfactory functional and esthetic results in patients with severely atrophied alveolar ridges.

1985 ◽  
Vol 99 (3-4) ◽  
pp. 214-223 ◽  
Author(s):  
J. M. Fredrickson ◽  
S. C. Man ◽  
R. E. Hayden

Author(s):  
MARIA PESSOLE BIONDO SIMÕES ◽  
ALEXANDRE CONTIN MANSUR ◽  
SILVANIA KLUG PIMENTEL

ABSTRACT Lumbar and para-iliac hernias are rare and occur after removal of an iliac bone graft, nephrectomies, retroperitoneal aortic surgery, or after blunt trauma to the abdomen. The incidence of hernia after the removal of these grafts ranges from 0.5 to 10%. These hernias are a problem that surgeons will face, since bone grafts from the iliac crest are being used more routinely. The goal of this article was to report the technique to correct these complex hernias, using the technique of fixing the propylene mesh to the iliac bone and the result of this approach. In the period of 5 years, 165 patients were treated at the complex hernia service, 10 (6%) with hernia in the supra-iliac and lumbar region, managed with the technique of fixing the mesh to the iliac bone with correction of the failure. During the mean follow-up of 33 months (minimum of 2 and maximum of 48 months), there was no recurrence of the hernias.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Ammar Belal ◽  
Bassil Monther ◽  
Wael Alzarif

Introduction. The use of bone grafts is a common procedure after excision and reconstruction of the mandible, although it is rare in children and adolescents due to incomplete growth, which means a long transition period until reaching an appropriate age for implants or more predictable outcomes. Case Report. This article describes a 9-month follow-up of the use of a flexible denture above a bone graft taken from the anterior iliac crest for adolescent patients with resected mandible due to ameloblastoma. Taking into account prosthetic considerations, radiography, and clinical observation, no complications were seen with the graft. Conclusion. It is safe to use a flexible denture as a prosthetic over an iliac bone graft block during the healing period.


2016 ◽  
Vol 4 (4) ◽  
pp. 709-713 ◽  
Author(s):  
Florian Bllaca ◽  
Ervin Toci

BACKGROUND: Iliac bone grafts are used to augment alveolar ridges followed by subsequent dental implants in completely edentulous patients. In Albania the information about these issues is scarce.AIM: To describe the procedure of iliac bone grafts augmentation of alveolar ridges and evaluate the survival rate of dental implants in completely edentulous patients in Albania.SUBJECTS AND METHODS: Seven totally edentulous patients (three males, average age 45.9 years) presenting at Durrës Regional Hospital during 2008-2015 and seeking a solution to their problem through implantation procedures were included in the study. Patients were thoroughly examined, evaluated and the best augmentation procedure, using iliac crest bone grafts, and dental implantation technique was chosen. The number of dental implants placed was recorded and their survival rate was calculated.RESULTS: The most common intervention site was maxillae (in 71.4% of cases). Dental implants were installed six months after augmentation, all fixed on the very stable augmented alveolar ridge. On average between 20%-30% of bone grafts, volume was resorbed. Of 37 implants settled, 36 of them or 97.3% survived.CONCLUSION: Iliac bone grafts are a suitable augmentation source of bone in a patient suffering from complete edentulism in Albania. The survival rate of dental implants is very satisfactory.


2007 ◽  
Vol 53 (10) ◽  
pp. 633-637
Author(s):  
Yoshio YAMASHITA ◽  
Mitsuhiro TSUJI ◽  
Masahito SHIGEMATSU ◽  
Kiyo YAMANAKA ◽  
Koichiro IHARA ◽  
...  

2015 ◽  
Vol 41 (3) ◽  
pp. 276-283 ◽  
Author(s):  
Marcus Gerressen ◽  
Dieter Riediger ◽  
Ralf-Dieter Hilgers ◽  
Frank Hölzle ◽  
Nelson Noroozi ◽  
...  

Iliac crest is still regarded as one of the most viable source of autogenous graft materials for extensive sinus floor elevation. Three-dimensional resorption behavior has to be taken into account in anticipation of the subsequent insertion of dental implants. We performed 3-dimensional volume measurements of the inserted bone transplants in 11 patients (6 women and 5 men; mean age = 2.3 years) who underwent bilateral sinus floor elevation with autogenous iliac crest grafts. In order to determine the respective bone graft volumes, cone-beam computerized tomography studies of the maxillary sinuses were carried out directly after the operation (T0), as well as 3 months (T1) and 6 months (T2) postoperatively. The acquired DICOM (Digital Imaging and Communications in Medicine) data sets were evaluated using suitable analysis software. We evaluated statistical significance of graft volumes changes using a linear mixed model with the grouping factors for time, age, side, and sex with a significance level of P = .05. 38.9% of the initial bone graft volume, which amounted to 4.2 cm3, was resorbed until T1. At T2, the average volume again decreased significantly by 18.9 % to finally reach 1.8 cm3. The results show neither age nor side dependency and apply equally to both sexes. Without functional load, iliac bone grafts feature low-volume stability in sinus-augmentation surgery. Further clinical and animal studies should be done to detect the optimal timing for implant placement.


1988 ◽  
Vol 34 (7) ◽  
pp. 1366-1381 ◽  
Author(s):  
Masaroh MATSUURA ◽  
Kanichi SETO ◽  
Norihiko TAKADA ◽  
Soichiro YOSHINO ◽  
Junichi SATO ◽  
...  

2020 ◽  
Vol 9 (10) ◽  
pp. e8169109175
Author(s):  
Camila Fernanda Vasconcelos ◽  
Andressa Bolognesi Bachesk ◽  
José Henrique Santana Quinto ◽  
Willian Pecin Jacomacci ◽  
Caio Cesar Santos Patron Luiz ◽  
...  

Comminuted jaw fractures represent a challenge in terms of treatment. The advancement of fixation techniques and materials has contributed to the surgeon providing faster treatment and less complication. Even so, cases that present severe mandibular fragmentation require additional therapies, such as the use of bone grafts and dental implants, in order to recover function, aesthetics and anatomy of the mandible. This work aims to report a case of comminuted mandibular body fracture, which was treated with reconstruction, initially by rigid internal fixation, and secondly, by iliac bone graft and implant-supported oral rehabilitation. Although studies in the literature demonstrate that autogenous grafts show significant resorption, they are still considered the gold standard, and allow an ideal basis for obtaining osseointegration of dental implants. Thus, we concluded that the use of the autogenous bone graft coming from the iliac crest and rehabilitation with implants can be a satisfactory option for functional and aesthetic repair of patients who presented high impact fractures, and developed significant bone defects.


Sign in / Sign up

Export Citation Format

Share Document