M. Fukuda et al., Placement of endosteal implants combined with chin bone onlay graft for dental reconstruction in patients with grafted alveolar clefts, INT J OR M, 27(6), 1998, pp. 440-444
Citations number
15
Categorie Soggetti
Dentistry/Oral Surgery & Medicine
Journal title
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
Endosteal implants were inserted into grafted alveoli after particulate can
cellous bone and marrow grafting in seven patients with cleft lip or palate
in conjunction with simultaneous chin bone onlay grafting. In these patien
ts, the alveolar bone height of the bony bridge was insufficient when evalu
ated by both computed tomographic and periapical radiographic images. The a
ge at first implant surgery ranged from 14 to 28 years. Although four of th
e seven patients had an uneventful course, three had wound dehiscence, and
in all but one of them the exposed chin bone underwent partial or total nec
rosis. Ultimately all seven implants integrated into the bone, and the alve
olar bone height was increased in all but one patient. The results indicate
that chin bone onlay grafting with simultaneous implant insertion is usefu
l in patients with cleft lip or palate with insufficient alveolar bone heig
ht.