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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2015 December;64(6):309-21
language: English, Italian
Edentulous mandible: clinical results of reconstruction with fresh frozen bone
Castellani A., Bocchialini G., Zanetti U. ✉
Department of Maxillo‑Facial Surgery, Civil Hospital, Brescia, Italy
AIM: The aim of this study was the clinical and radiological evaluation in severe mandibular atrophy (class V-VI Cadwood-Howell) of bone grafts with homologous fresh frozen bone (FFB) in patients with dysesthesia of the inferior alveolar nerve with or without transposition of the NAI in order to perform a proper implant-prosthetic rehabilitation.
METHODS: This article presents our experience in mandibular reconstructions performed in 12 patients with severe mandibular atrophy and dysesthesia performing onlay grafts with FFB and subsequent implant-prosthetic rehabilitation.
RESULTS: The surgical protocol of homologous bone graft in symptomatic patients with severe mandibular atrophy presented an excellent clinical outcome with disappearance of dysesthesia in all patients treated, good graft integration and a complete implant-prosthetic rehabilitation with loss of only 3 implants at the 24-36 month follow up visit.
CONCLUSION: Homologous bone grafting in patients with severe mandibular atrophy may be a viable therapeutic option in cases of prosthetic reconstruction in those symptomatic patients who cannot tolerate removable dentures, reducing intraoperative time, patient morbidity and the complications in common sites of autologous bone graft removal.