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Volume 7 , Issue 3
Fall 1992

Pages 360-366

Reconstruction of Maxillary Alveolar Defects With Mandibular Symphysis Grafts for Dental Implants: A Preliminary Procedural Report

Craig M. Misch, DDS/Carl E. Misch, DDS, MDS/Randy R. Resnik, DMD/Yahia H. Ismail, DMD, PhD

PMID: 1289262

Partially edentulous patients with alveolar defects contraindicating implant placement were treated with bone grafts obtained from the mandibular symphysis. Complications encountered were minor and uneventful. Evaluation 4 months after surgery revealed minimal graft resorption, thus implant placement was possible in all potential sites. Advantages of the symphysis graft include easy access, availability of greater quantities of bone over other intraoral donor sites, low morbidity, no hospitalization, minimal discomfort, no alteration in ambulation, and no cutaneous scar. Compared with other bone regenerative methods for implant placement, a superior quality of bone was found and a shorter healing period is required. Results of this preliminary clinical investigation demonstrate that chin grafts offer a viable alternative for reconstruction of alveolar defects prior to dental implant placement. (INT J ORAL MAXILLOFAC IMPLANTS 1992;7:360366.) Key words: alveolar defect, autogenous graft, dental implants, mandibular symphysis

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