Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

Mandibular Block Autografts for Alveolar Ridge Augmentation Mandibular Block Autografts for Alveolar Ridge Augmentation

Author(s):

Michael A Pikos, DDS

Date Added:

1/1/2005


Summary:

Reconstruction of alveolar ridge deficiencies requires bone augmentation before implant placement. Osseous defects occur as a result of trauma, prolonged edentulism, congenital anomalies, periodontal disease, and infection, and they often require hard and soft tissue reconstruction. Autogenous bone grafts have been used for many years for ridge augmentation and are still considered the gold standard for jaw reconstruction. The use of autogenous bone grafts with osseointegrated implants originally was discussed by Bra°nemark and colleagues, who often used the iliac crest as the donor site. Other external donor sites include calvarium, rib, and tibia. For repair of most localized alveolar defects, however, block bone grafts from the symphysis and ramus buccal shelf offer advantages over iliac crest grafts, including close proximity of donor and recipient sites, convenient surgical access, decreased donor site morbidity, and decreased cost.

This article reviews indications, limitations, presurgical evaluation, surgical protocol, and complications associated with mandibular block autografts harvested from the symphysis and ramus buccal shelf for alveolar ridge augmentation. The author draws from 14 years of experience with more than 500 mandibular block autografts.



Related Articles
The Bio-Derm Ridge Plumping Technique for Pontic Site Development

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Author(s): Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS
View Article>>
Socket Augmentation: Rationale and Technique

Socket Augmentation: Rationale and Technique
This article presents the rationale behind socket augmentation for future implant placement and describes a technique that has shown to not only facilitate tooth extraction with minimal damage to the surrounding anatomic structures, but also to improve alveolar bone quality and quantity.

Author(s): Hom-Lay Wang, DDS, MSD, PhD;Koichi Kiyonobu, DDS, PhD; Rodrigo F. Neiva, DDS
View Article>>
The safety of bone allografts used in dentistry

The safety of bone allografts used in dentistry
Recent media reports concerning “stolen body parts” have shaken the public’s trust in the safety of and the use of ethical practices involving human allografts. The authors provide a comprehensive review of the safety aspects of human bone allografts.

Author(s): Dan Holtzclaw, DDS, MS;Nicholas Toscano, DDS, MS;Lisa Eisenlohr, PhD; Don Callan, DDS
View Article>>
Related Videos
Bone Augmentation & Bioengineering in the Clinical Implant Practice Premium Member Content

Bone Augmentation & Bioengineering in the Clinical Implant Practice
This webinar will introduce efficient and predictable bone graft solutions as well as bioactive modifiers that can be immediately incorporated into clinical practice.

Presented By:: Maurice Salama, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Modern Bone Augmentation Techniques: An Alternative Donor Site Premium Member Content

Modern Bone Augmentation Techniques: An Alternative Donor Site
In this lecture, Dr. Glickman will give the participants an alternative bone block harvesting site that is in the same area as the anterior maxillary teeth, eliminating the need for a second site surgery. This also provides a site that is painless and easily accesible therefore allowing the patients to have the gold standard of bone grafting rather than settling for treatment options with a more more variable outcome.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Modern Approach of Full Arch Immediate Loading Premium Member Content

Modern Approach of Full Arch Immediate Loading
In Immediate loading, the survival rate is often based on the follow-up of the osseointegration, but without aesthetic appreciation... The main goal is to achieve osseointegration and aesthetics in order to get long term stability. For this goal we need to obtain both, bone formation and gum thickness, as any failure in one of the 2 factors, will induce the loss of the second factor. This presentation will show my statistics about more than 1100 full arch loaded immediately since 14 years (> 7700 implants)

Presented By:: Alain Simonpieri, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Growth Factors; The Next Step in Achieving Ideal Regeneration Premium Member Content

Growth Factors; The Next Step in Achieving Ideal Regeneration
The aim of dentistry is to provide esthetics and function for our patients. Using hard and soft tissue regeneration techniques we have the ability to rebuild what has been lost to disease or trauma. Whether we are regenerating lost tissue around teeth or developing an ideal implant site, growth factors are a powerful asset that help make regenerative procedures more predictable while reducing patient morbidity. This webinar review regeneration techniques and will discuss the popular growth factors available today and demonstrate their clinical use.

Presented By:: Avi Schetritt, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique Premium Member Content

Fibrin-Guided Bone Regeneration: Guidelines of a Simple, Predictable, & Low Risk Technique
This lecture is focused on an effective regenerative approach, but at low knowledge. The goal is to provide a new skill in favor of well-established techniques. The Fibrin Sealant (FS) is an additional clot of human origin. It has adhesive, sealant and inductive action stimulating hard and soft-tissue regeneration. The FS, mixed with bone chips and biomaterials, allows a better handling of the graft that, becoming plastic and moldable, adapts perfectly to bony defects without dispersion of granules. It’s effective also on wound protection achieving a faster healing of soft-tissue. This approach is excellent in the socket preservation and in the peri-implant regeneration on "closed" sites where the implants are inside the defects.

Presented By:: Vincenzo Foti, MD, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone Premium Member Content

Simultaneous Autogenous Block Grafting and Implant Placement: A Predictable and More Efficient Method to Augment the Buccal Bone
This lecture will give you all the necessary guidelines and surgical pearls associated with simultaneous bone block and immediate implant placement as well as deal with any complications should they arise.

Presented By:: Howard Gluckman, BDS, MChD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register