RECONSTRUCTION OF THE EXTREMELY RESORBED MANDIBLE WITH INTERPOSED BONE-GRAFTS AND PLACEMENT OF ENDOSSEOUS IMPLANTS - A PRELIMINARY-REPORT ON OUTCOME OF TREATMENT AND PATIENTS SATISFACTION
C. Stellingsma et al., RECONSTRUCTION OF THE EXTREMELY RESORBED MANDIBLE WITH INTERPOSED BONE-GRAFTS AND PLACEMENT OF ENDOSSEOUS IMPLANTS - A PRELIMINARY-REPORT ON OUTCOME OF TREATMENT AND PATIENTS SATISFACTION, British journal of oral & maxillofacial surgery, 36(4), 1998, pp. 290-295
During recent decades many surgical techniques have been developed to
enlarge the denture-bearing area of the mandible. Most of these techni
ques improved retention and stability of the lower dentures only tempo
rarily. Since the advent of endosseous implants to stabilize overdentu
res, combinations of augmentation procedures and placement of endosseo
us implants have been introduced to restore the severely resorbed mand
ible. Iri this study we describe the preliminary results of such a com
bined approach using sandwich osteotomy with an autogenous bone graft
(iliac crest) followed by placement of four endosseous implants in the
interforaminal region in 10 women. After a mean follow-up period of 3
1 months (range 19-57) several variables were measured including condi
tion of the peri-implant tissues, radiographic bone changes and patien
t satisfaction. The first results indicate that the technique describe
d offers a solid base for implant-stabilized overdentures: no implants
were lost, the periimplant tissues were in good condition, bone loss
was limited, and patients were satisfied. Future studies will evaluate
the permanence of these results.