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Osseointegrated implants in cranial bone grafts for mandibular reconstruction
1Tampa Bay Craniofacial Center, FL.
The Journal of Craniofacial Surgery
|January 1, 1993
Summary
This study demonstrates successful mandibular reconstruction using Brånemark osseointegrated implants and cranial bone grafts for anterior mandible defects. The staged approach resulted in a satisfactory oral rehabilitation and functional outcome.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Reconstructive Surgery
Background:
- Mandibular discontinuity defects present significant reconstructive challenges.
- Osseointegrated implants offer a viable solution for restoring function and aesthetics.
- Cranial bone grafts provide a suitable autogenous material for augmentation.
Observation:
- A staged surgical protocol was employed for mandibular reconstruction.
- Brånemark osseointegrated implants were utilized in conjunction with cranial bone grafts.
- An adoption plate facilitated initial fragment stabilization during the healing phase.
Findings:
- The two-stage procedure successfully reconstructed the anterior mandible defect.
- Osseointegrated implant placement was followed by genial area contouring with bone grafts.
- The adoption plate was removed upon implant fixture placement.
- The patient achieved a full course of oral rehabilitation with a satisfactory outcome.
Implications:
- This technique highlights a successful method for managing complex mandibular defects.
- Osseointegrated implants combined with autogenous bone grafts provide predictable results.
- The staged approach ensures stability and optimal conditions for implant osseointegration and functional restoration.