LOGIN
 
Share Page:
Back

Volume 24 , Issue 1
January/February 2009

Pages 131136


Outcomes of Calvarial Bone Grafting for Alveolar Ridge Reconstruction

Rajesh Gutta, BDS, MS/Peter D. Waite, MPH, DDS, MD


PMID: 19344036

Purpose: This article describes a series of patients who underwent calvarial bone grafting (CBG) for reconstruction of extremely edentulous jaws for the purpose of implant placement. Materials and Methods: A retrospective review was conducted of all patients treated with split CBGs to the atrophic maxilla or mandible between 1999 and 2006. All patients were monitored for signs of infection, dehiscence, or other complications. The amount of augmentation was measured on panoramic radiographs. Results: A total of 15 reconstructed sites (eight maxillary, seven mandibular) in 13 consecutive patients with a mean preoperative height of 6 mm (range, 3 to 9 mm) were included in the study and followed for a mean of 32 months. Ten women and three men aged 40 to 88 years (mean, 63 years) underwent surgery. There were no complications associated with the bone harvesting technique, and all implants had primary stability at the time of placement. Two patients had graft exposure in the maxilla. Two implants were removed in one patient. On average, the gain in ridge height was 15 mm (range, 10 to 19 mm). A total of 53 implants were placed, with an average of four implants per patient. Conclusion: Split CBGs to the atrophic maxilla and mandible can restore optimal height to support and facilitate implant-based restorations. A prospective study with a longer follow-up period is required to evaluate the rate of resorption associated with split CBG. Immediate placement of implants at the time of grafting in the mandible shortens the treatment time. Int J Oral Maxillofac Implants 2009;24:131136. Key words: alveolar ridge resorption, cranial bone grafting, implant reconstruction


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