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
Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports

Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports
In these reports, buccal bone plate regeneration was obtained through a flapless approach and immediate postextraction implant placement with a cancellous bone and collagen graft in the buccal gap.

Author(s): Alberto Maria Albiero, MD; Renato Benato, MD, DMD; Marco Degidi, MD, DDS
View Article>>
Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up

Post-Traumatic Treatment of Maxillary Incisors by Immediate Dentoalveolar Restoration with Long-Term Follow-Up
Replacing both missing maxillary interior teeth is particularly challenging, especially in compromised sockets. The case report describes the management of an 18-year-old female patient, who suffered avulsion of both maxillary central incisors at 7 years of age. The multidisciplinary implant technique, called Immediate Dentoalveolar Restoration (IDR), included extraction of the injured teeth and a single procedure for immediate implant placement and restoration of the compromised sockets after root fracture and peri-apical lesion development were detected during orthodontic treatment. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the 3-year follow-up period. The predictable esthetic outcomes and soft and hard tissue stability that can be achieved following IDR are demonstrated.

Author(s): José Carlos Martins da Rosa, DDS, MS;Ariadene Cristina Pertile de Oliveira Rosa, DDS, MSc; Carlos Eduardo Francishone, DDS, MSc, PhD; Mauricio de Almeida Cardoso, DDS, MSc, PhD; Ana Carolina Alonso, DDS; Leopoldino Capelozza Filho, DDS, MSc, PhD
View Article>>
A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization

A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization
A 45-year-old female patient presented to the clinic with a request to treat her deteriorating dentition that had been reconstructed 15 years ago with fixed restorations. Clinical examination revealed fixed partial dentures cemented to natural abutments in the maxilla, whereas telescopic restorations were cemented to natural abutments bilaterally in the mandible. The treatment plan included a whole-mouth rehabilitation utilizing natural teeth and implants. As the patient declined any surgical augmentation…

Author(s): Nitzan Bichacho, DMD;Rafi Lahav, MDT, Cobi J. Landsberg, DMD
View Article>>
Related Videos
Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR  - Part 2 of 6 Premium Member Content

Implant Therapy and Esthetic Considerations - Staged Implant Placement with Additional GBR - Part 2 of 6
Dr. Maurice Salama follows-up on a case of staged implant placement and describes the step-by-step surgical techniques required to ensure successful implant placement.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Partners in Synergy - The Webinar Event Augmentation Strategies in Implant Dentistry - Part 2 Premium Member Content

Partners in Synergy - The Webinar Event Augmentation Strategies in Implant Dentistry - Part 2
This lecture will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy.

Presented By:: Maurice Salama, DMD;Michael A Pikos, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Contemporary and Future Trends in Advanced Bone Augmentation Premium Member Content

Contemporary and Future Trends in Advanced Bone Augmentation
Synopsis; Modern grafting technologies are changing at a rapid pace. To stay current we must engage new technologies and research to better face the challenges of our diverse patient population. This presentation will focus on new strategies and technologies to manage both Vertical and Horizontal Deficiencies in the partially edentulous patient. New membrane technologies, bioactive modifiers and materials will be a focus.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations Premium Member Content

Titanium Mesh and rhBMP-2 in Ridge Augmentation: Options and Limitations
There are several advantages to using titanium mesh for space maintenance including strength, ease of use, low cost and biocompatibility. This webinar will discuss the use of rhBMP-2 for managing horizontal and vertical bone deficiencies with various scaffolds.

Presented By:: Craig M Misch, DDS, MDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge Premium Member Content

Advanced Bone Grafting Techniques: Part 1 - Autogenous Bone Blocks in the Reconstruction of the Atrophic Mandibular Ridge
This lecture will describe the use of autologous onlay block bone grafting for reconstruction of moderate to severe atrophic posterior mandibular alveolar ridge. This will include a discussion of the various options to this form of grafting, such as Short implants, Lingual positioning, nerve re-positioning, distraction osteogenesis, and GBR. The Mutli-Tier onlay Bone Graft Technique will be highlighted in this presentation. Additionally, a review of a recently submitted research paper of long term follow up of implants placed into autologous bone blocks harvested from the mandibular ramus, retromolar and sympheseal areas will be discussed. A description of surgical donor harvest sites in the mandible will also be performed as well as post op healing of these sites. Additional time will be spent reviewing causes of failure with bone blocks and implants placed into these sites.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Course
CE Hours: 1
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

Recognized Institutes


Contact Us | Privacy Policy | Terms of Use
©2015

Preferred Language: English Flag
Contact Us · Login · Register