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Volume 8 , Issue 1
January/February 1993

Pages 61-67

Reconstruction of the Premaxilla With Autogenous lliac Bone in Combination With Osseointegrated Implants

Carlos Aparicio, MD, DDS, DLT, MS/Per-lngvar Brånemark, MD, PhD/Eugene E. Keller, DDS, MSD/Jordi Olivé, MD, DDS, DUPMF

The simultaneous use of autogenous bone grafts and osseointegrated implants has opened up new possibilities in the reconstruction of large tissue defects in the oral-maxillofacial region. In this paper, the successful rehabilitation of a patient who lost the premaxilla following a segmental osteotomy is described. The resulting oronasal communication and bony defect were restored by placing a bone graft from the iliac crest that was stabilized with two osseointegrated implants. A fixed prosthesis was fabricated to replace the missing anterior teeth. Esthetic and functional criteria were fulfilled. (INT J ORAL MAXILLOFAC IMPLANTS 1993;8:61—67.)

Key words: autologous graft, osseointegrated implants, premaxillary necrosis

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