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Alternative intraoral donor sites to the chin and mandibular body-ramus
David Reininger1, Carlos Cobo-Vázquez2, Benjamin Rosenberg3
1DDS, Master in Oral Surgery and Implantology. Instructor Professor, Departament of Oral and Maxillofacial Surgery, Universidad de los Andes.
Background:
Provide a review of alternative intraoral donor sites to the chin and body-ramus of the mandible that bring fewer complications and that may be used to regenerate small and medium defects.
Material And Methods:
A review was conducted using the search engine PUBMED and looking manually into scientific journals.
Results:
From the 35 articles included, 6 corresponded to the coronoids, 3 corresponded to the zygomatic body, 5 corresponded to the anterior maxillary sinus wall, 3 corresponded to the zygomatic alveolar process, 2 corresponded to the incisive fossa, 2 corresponded to the anterior nasal spine, 2 corresponded to the palatal region, 5 corresponded to the tuberosity, and 7 corresponded to the palatal and mandibular tori.
Conclusions:
Although there are few complications described when using alternative intraoral donor sites, the main problem with these types of grafts is their scarce bone volume, with only the zygomatic body, anterior sinus wall, and palate sites being able to be used in medium defects. More clinical trials are necessary in order to evaluate the behavior of the alternative donor sites over time. Key words:Grafting, autologous bone, autografts, mandible, maxilla, palate hard, zygoma.
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