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Advanced residual ridge resorption: surgical management
1Department of Oral and Maxillofacial Surgery, Mayo Medical School, Mayo Clinic, Rochester, Minnesota 55905.
The International Journal of Prosthodontics
|March 1, 1993
Summary
Osseointegration has revolutionized bone grafting for severe jaw resorption, offering successful reconstructions where other methods failed. This technique supports both the bone graft and prosthesis for improved patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Bone Grafting Techniques
Background:
- Advanced residual ridge resorption presents significant challenges in oral reconstruction.
- Traditional methods for severe jaw resorption often yield disappointing results.
- Osseointegration offers a promising solution for complex reconstructive cases.
Purpose of the Study:
- To discuss the application of osseointegrated implants in conjunction with various bone grafting techniques for maxillary and mandibular reconstruction.
- To highlight the success of osseointegration in cases with severe residual ridge resorption.
Main Methods:
- Utilizing osseointegrated implants to support bone grafts and prostheses.
- Employing onlay bone grafts for maxillary and mandibular reconstruction.
- Implementing nasal and/or antral inlay bone grafts for maxillary augmentation.
Main Results:
- Osseointegration has transformed the success rates for patients with severe jaw resorption.
- Various grafting techniques, including onlay and inlay grafts, are effectively supported by osseointegrated implants.
- Improved functional and aesthetic outcomes are achievable for previously untreatable cases.
Conclusions:
- Osseointegration provides a reliable foundation for bone grafts in advanced residual ridge resorption.
- Maxillary and mandibular reconstructions benefit significantly from implant-supported grafting procedures.
- The discussed techniques offer viable solutions for complex dental reconstructions.