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Implanto-orthognathic reconstructive surgery. A preliminary report

K W Bütow¹, J G Duvenage

¹Department of Maxillo-Facial and Oral Surgery, University of Pretoria, South Africa.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery

|December 1, 1993

Summary

Implanto-orthognathic reconstructive surgery (IORS) combines orthognathic procedures, bone grafts, and implants for alveolar ridge reconstruction. Osseointegrated compression screw implants (OCSI) simplify this process, potentially avoiding a second surgical stage.

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Area of Science:

Oral and Maxillofacial Surgery
Dental Implantology
Reconstructive Surgery

Background:

Atrophic mandibular or maxillary alveolar ridges present challenges for dental prosthetics.
Traditional reconstructive methods can be complex and require multiple surgical interventions.

Purpose of the Study:

To describe a combined surgical technique for alveolar ridge reconstruction.
To highlight the suitability of osseointegrated compression screw implants (OCSI) in this context.

Main Methods:

Implanto-orthognathic reconstructive surgery (IORS) integrates orthognathic procedures, interpositional bone grafts, and transmucoperiosteal implant placement.
The technique involves specific maxillary and mandibular surgical steps.

Main Results:

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Osseointegrated compression screw implants (OCSI) can be placed transmucoperiosteally during the primary reconstructive surgery.
This approach may eliminate the need for a second-stage intervention for implant exposure.

Conclusions:

IORS offers a comprehensive approach to reconstructing atrophic alveolar ridges.
The use of OCSI streamlines the implanto-orthognathic reconstructive surgery process, improving efficiency.