Severe pathologic resorption of the mandible may result in weakening of the jaw, unstable dentures, abnormal functions of mastication and speech, and a marked reduction of the facial and vertical dimension. This clinical report describes the rehabilitation of a severely resorbed mandible treated with mini dental implants and an iliac bone graft. A bone graft harvested from the iliac crest was used for the reconstruction of a severely resorbed mandible in a female patient aged 59 years. Six months after graft remodeling, four mini dental implants were inserted. The patient was prostheticaly rehabilitated using an implant retained denture. This treatment was considered to be a beneficial treatment choice in the maintenance of satisfactory functional and esthetic results in patients with severely atrophied alveolar ridges.
Sreenberghe D, I N, M B. The re habilitation of the severely resorbed maxilla by simul taneous placement of autogenous bone grafts and implants: A 10 year evaluation. Clin Oral Investig. 1997;1:102–8.
2.
Chiapasco M, Gatti C, Gatti F. Immediate loading of dental implants placed in severly resorbed edentulous mandibles reconstructed with autogenous calvarial grafts. Clin Oral Implants Res. 2007;18:13–20.
3.
Lizuka T, Smolka W, Hallemann W, Merickse Stern R. Extensive augmentation of the alveolar ridge using autogenous calvarial split bone grafts for dental reha bilitation. Clin Oral Implants Res. 2004;15:607–15.
4.
Bell RB, Blakey GH, White RP, Hillebrand DG, Molina A. Staged reconstruction of the severely atrophic mandible with autogenous bone graft and endosteal implants. J Oral Maxillofac Surg. 2002;60(10):1135–41.
5.
Verhoeven JW, Cune MS, Terlou M, Zoon MAOW, Putter C. The combined use of endosteal implants and iliac crest onlay grafts in the severely atrophic mandible: a longitudinal study. Int J Oral Maxillofac Surg. 1997;26(5):351–7.
6.
Moses O, Nemcovsky CE, Langer Y, Haim T. Severely resorbed Mandible treated with iliac crest autogenous bone graft and dental implants: 17-year follow up. J Oral Maxillofac Implants. 2007;22:1017–21.
7.
Meij H, J B, RM B, RJ B, A J, JM O, et al. The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach. Int J Oral Maxillofac Surg. 2005;34(2):152–7.
8.
Misch CM, Misch CE, Resnik RR, Ismail YH. Recon struction of maxillary alveolar defects with mandibular symphisis grafts for dental implants: a preliminary procedural report. Int J Oral Maxillofac Surg. 1992;7:360–6.
9.
Misch CM, Misch CE. The repair of localized severe ridge defects for implant placement using mandibular bone grafts. Implant Dent. 1995;4:261–7.
10.
Jemt T, Lekholm U. Measurements of buccal tissue volumes at single-implant rstorations after local bone grafting in maxillas: a 3 year clinical prospective study case series. Clin Implant Dent Relat Res. 2003;5:63–70.
11.
Keller EE, Tolman DE, Eckert S. Surgical prosthodon tic reconstruction of advanced maxillary bone com promise with autogenous onlay block bone grafts and osseointegrated endosseous implants: a 12 year stu dy of 32 consecutive patients. Int J Oral Maxillofac Implants. 1999;14:197–209.
12.
Lekholm U, Wannfors K, Isaksson S, Adelsson B. Oral implants in combination with bone grafts. A 3 year retrospective multicenter study using the Branemark implants system. Int J Oral Maxillofac Surg. 1999;28:181–7.
13.
Bahat O, Fontanessi RV. Efficacy of implant place ment after bone grafting for three-dimensional recon struction of the posterior jaw. Int J Periodontics Res torative Dent. 2001;21:221–31.
14.
Raghoebar GM, Schoen P, Meijer HJA, Stellingsma K, Vissink A. Early loading of endosseous implants in the augmented maxilla: a 1 year postoperative study. Clin Oral Implants Res. 2003;14:697–702.
15.
Levin L, Nitzan D, Schwartz-Arad D. Success of dental implants placed in intraoral block bone grafts. J Perio dontol. 2007;78:18–21.
16.
Keller EF, Rockel NB, Desjardins RP, Tolman DE. Prosthetic-surgical reconstruction of the severely re sorbed maxilla with iliac bone grafting and tissue inte grated prosthesis. Int J maxillofac Implants. 1987;2:155–6.
17.
Shliephake H, Neukam FW, Wichmann M. Survival analysis of endosseous implants in bone grafts used for the treatment of severe alveolar ridge atrophy. J Oral Maxillofac Surg. 1997;55:1227–33.
18.
Bubalo M, Milović R, Lazić Z. Primena implantata kod pacijenata sa rascepom nepca.
19.
Shatkin TE, Shatkin S, Oppenheimer B, A O. Mini Dental Implants for long-term fixed and removable prosthetics: a retrospective analysis of 2514 implants placed over a five year period. Com pendium. 2007;28(2):36–41.
20.
Chiapasco M, Romeo E, Coggiolo A, Brusati R. Long - term outcome of dental implants placed in revascula rized fibula free flaps used for the reconstruction of maxillo-mandibular defects due to extreme atrophy. Clin Oral Impl Res. 2011;22:83–91.
21.
Keller EE. Reconstruction of the severely atrophic edentulous mandible with endosseous implants: a 10 years longitudinal study. J Oral Maxillofac Surg. 1995;53:305–20.
22.
Aparicio C, Parales P, Rangert B. Tilted implants as an alternative to maxillary sinus grafting: a clinical, ra diologic and periotest study. Clin Implant Dent Relat Res. 2001;3:39–49.
23.
Chiapasco M, Romeo E, Vogel G. Distraction osteo genesis for improvement of oral implant positioning: preliminary results. Int J Oral Maxillofac Implants. 2001;16:43–51.
24.
Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, UC B. Long-term stability of osseointegrated implan ts in augmented bone: a 5-year prospective study in partialy edentulous patients. International J of Perio dontics Restorative Dentistry. 2002;22:109–17.
25.
Chiapasco M, Gatti C. Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients. Int J Oral Maxillofac Implants. 2004;19:906–12.
26.
Misch CE, Dietsh F. Endosteal implants and iliac crest graft to restore severely resorbed totally edentulous maxillae–a retrospective study. J Oral Implantol. 1994;20(2):100–10.
Carlsson GE, Haraldson T. Fundamental aspects of mandibular atrophy. In: Warthington P, Branemark PI Advanced osseointegration surgery. 1992. p. 109–18.
29.
Stellingsma C, Vissink A, Meijer HJA, Kuper C, GM R. Implantology and the severely resorbed edentolous mandible. Crit Rev Oral Biol Med. 2004;15(4):240–8.
30.
Misch CE, Steigenga J, Barboza E, Misch-Dietsh F, Cianciola LJ, Kazor C. Short dental implants in poste rior partial edentulism: a multicenter retrospective 6 year case series study. J Periodontol. 2006;77:1340–7.
31.
Malo P, Araujo N, Rangert B. Short implants placed one-stage in maxillae and mandibles: a retrospective clinical study with 1 to 9 years of follow up. Clin Implant Dent Relat Res. 2007;9:15–21.
32.
Tolman DE. Reconstructive procedures with endosse ous implants in grafted bone. A reiew of the litera ture. Int J Oral Maxillofac Implants. 1995;10:275 94.
33.
Astrand P, Nord PG, Branemark PI. Titanium implants and onley bone graft to the atrophic edentolous maxi lla. Int J Oral Maxillofac Surg. 1996;25:25–9.
34.
Vermeeren JIJF, Wismeijer D, Waas MAJ. One step reconstruction of the severely resorbed mandible with onley bone grafts and endosteal implants. A 5 year follow-up. Int J Oral Maxillofac Surg. 1996;25:112–5.
35.
Chiapasco M, Abati S, Romeo E, Vogel G. Clinical outcome of autogenous bone blocks or guided bone regeneration with e PTFE membranes for the recon struction of narrow edentulous ridges. Clin Oral Im plants Res. 1999;10:278–88.
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