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Volume 22 , Issue 6
November/December 2007

Pages 10171021

Severely Resorbed Mandible Treated with Iliac Crest Autogenous Bone Graft and Dental Implants: 17-Year Follow-up

Ofer Moses, DMD/Carlos E. Nemcovsky, DMD/Yair Langer, DMD/Haim Tal, DMD, PhD

PMID: 18271386

Severe bone atrophy in the mandible may result in weakening of the jaw, unstable dentures, and dysfunction of the inferior alveolar nerve. These conditions were diagnosed in a 65-year-old woman who presented with a severely resorbed mandible. The interforaminal region of the mandible was augmented with an onlay graft harvested from the iliac crest. Four dental implants stabilized the graft by anchoring it inferiorly to the residual mandibular basal bone. Implants later served as abutments for a fixed 12-unit implant-supported prosthesis. The patient was followed for 17 years, during which the mandibular prosthesis was replaced twice. Despite the initial questionable prognosis, oral rehabilitation was successful, with no detectable clinical signs of bone loss over the 17-year follow-up period. Int J Oral Maxillofac Implants 2007;22:10171021

Key words: dental implants, iliac bone graft, mandibular severe resorption

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