LOGIN
 
Share Page:
Back

Volume 11 , Issue 6
November/December 1996

Pages 719-727


Maxillary Augmentation With a Microvascularly Anastomosed Fibula: A Preliminary Report

Wolfgang Bähr, MD, DMD


PMID: 8990632

The high resorption rate of nonvascularized bone grafts can be appreciably slowed with the use of endosseous implants and implant-supported prostheses. In cases of extreme atrophy, graft fixation with implants is hardly possible. Especially in the presence of compromised overlying soft tissues, the consolidation of such a graft can also present problems. Improved results can be obtained through use of revascularized bone grafts. Such a method using an anastomosed fibula graft to augment the maxilla is illustrated by a clinical case. After harvesting the graft, the side to come into contact with the alveolar crest is denuded of periosteum, and cuneiform ostectomies are made into the graft to facilitate its adaptation to the maxillary arch. The graft is anastomosed to the facial vessels through an intraoral route and can be placed in such a way as to simultaneously correct any existing crossbite. In contrast to an iliac graft, the implants can be placed bicortically in a fibular graft. (INT J ORAL MAXILLOFAC IMPLANTS 1996;11:719–727)

Key words: bone graft, implant, ridge augmentation


Full Text PDF File | Order Article

 

 
Get Adobe Reader
Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site.
Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.

 

© 2014 Quintessence Publishing Co, Inc JOMI Home
Current Issue
Ahead of Print
Archive
Author Guidelines
About
Accepted Manuscripts
Submission Form
Submit
Reprints
Permission
Advertising
Quintessence Home
Terms of Use
Privacy Policy
About Us
Contact Us
Help