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Nonfixated inlay graft for anterior localized mandibular defect
Adir Cohen1, Amir Lavi2, Michael Alterman1
1Attending Surgeon, Department of Oral and Maxillofacial Surgery, Hadassah Medical Center, Jerusalem, Israel.
Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
|September 29, 2019
Summary
This study presents a novel technique for anterior mandibular vertical bone defects, using wedged inlay grafts without fixation. The method offers a simpler surgical approach for dental implant rehabilitation.
Area of Science:
- Oral and Maxillofacial Surgery
- Periodontology
- Dental Implantology
Background:
- Vertical bone defects in the anterior mandible present challenges for dental implant restoration.
- Common causes include periodontal disease, postextraction atrophy, trauma, and orthodontic treatment.
- Ridge augmentation is often necessary before implant placement.
Observation:
- Four cases of localized vertical osseous deficits in the anterior mandible were treated.
- A technique utilizing the defect's margins to wedge inlay grafts via a vestibular approach was employed.
- No additional fixation or distraction hardware was required.
Findings:
- The described technique successfully addressed vertical bone deficits.
- Favorable outcomes were achieved in all four treated cases.
- The method simplified surgical manipulation compared to traditional techniques.
Implications:
- This technique offers a potentially less complex surgical solution for anterior mandibular vertical bone augmentation.
- It may improve functional and aesthetic outcomes for dental implant rehabilitation in challenging defects.
- Further research could validate this approach for broader clinical application.
