The Use of Autogeneous Mandibular Bone Block Grafts for Reconstruction of Alveolar Defects

Overview

Journal Ann Maxillofac Surg

Date 2015 Sep 22

PMID 26389038

Citations 6

Authors

Dogan Dolanmaz

Alparslan Esen

Gulsun Yildirim

Ozgur Inan

Affiliations

Soon will be listed here.

Abstract

Objective: Purpose of this retrospective study was to evaluate outcomes autogenous bone block grafts obtained from mandible for different indications. The healing of the donor and recipient sites in the postoperative period, morbidity and the resorption of the graft were investigated.

Patients And Methods: Twenty-nine patients grafted with mandibular bone block graft were participated in the present study. Grafting was applied in these patients for three indications; reconstruction of alveolar cleft, lateral crest augmentation before dental implantation and sinus floor augmentation. All operations were performed under local anesthesia and in some cases sedation was used as well.

Results: Minimal exposure of the block graft occurred in three alveolar cleft patients. Secondary epithelization was achieved in all cleft patients with no symptoms of infection. In one patient infection was seen in donor site 1-week after the operation. The region was curetted and antibiotics administrated again. Two patients showed an infection of recipient site, after 4 weeks the grafts were removed. In all the patients, as the screw head became apparent until 1 thread, amount of the resorption were considered <1.5 mm.

Conclusion: The usage of mandibular block grafts is a simple and effective treatment modality for reconstruction of different types of alveolar defects and it also reduces cost of treatment.

Citing Articles

L- shape symphyseal autogenous bone block for alveolar ridge augmentation in anterior maxilla and mandible, a prospective single arm clinical study.

Said Ahmed W, Arafa A BMC Oral Health. 2025; 25(1):326.

PMID: 40025501 PMC: 11871662. DOI: 10.1186/s12903-025-05601-6.

Evaluation of the Success of Autogenous Block Grafting in Atrophic Maxillary and Mandibular Ridges Prior to and After Implant Placement.

Narde J, Ganapathy D, Pandurangan K Cureus. 2024; 16(2):e53829.

PMID: 38465098 PMC: 10924432. DOI: 10.7759/cureus.53829.

Use of a Lateral Sinus Bony Window as an Intraoral Donor Site for Guided Bone Regeneration in Wide Post-Extraction Defects.

Park W, Kang P, Park W, Han J Medicina (Kaunas). 2022; 58(12).

PMID: 36556988 PMC: 9782459. DOI: 10.3390/medicina58121785.

Utilizing Previously Grafted Sinus as Intraoral Donor Site for Successful Augmentation in Peri-Implant Osseous Defect: A Case Report.

Park W, Park J, Han J, Kang P Medicina (Kaunas). 2022; 58(5).

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Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge.

Baiju R, Charudev J, Roshna E, Antony A J Indian Soc Periodontol. 2022; 26(2):186-191.

PMID: 35321297 PMC: 8936007. DOI: 10.4103/jisp.jisp_125_21.

References

von Arx T, Kurt B . [Endoral donor bone removal for autografts. A comparative clinical study of donor sites in the chin area and the retromolar region]. Schweiz Monatsschr Zahnmed. 1998; 108(5):446-59. View

Boyne P, Sands N . Secondary bone grafting of residual alveolar and palatal clefts. J Oral Surg. 1972; 30(2):87-92. View

Sugg K, Rosenthal A, Ozaki W, Buchman S . Quantitative comparison of volume maintenance between inlay and onlay bone grafts in the craniofacial skeleton. Plast Reconstr Surg. 2013; 131(5):1014-1021. PMC: 4487985. DOI: 10.1097/PRS.0b013e31828e217a. View

Cordaro L, Amade D, Cordaro M . Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res. 2002; 13(1):103-11. DOI: 10.1034/j.1600-0501.2002.130113.x. View

Misch C, Misch C, Resnik R, Ismail Y . Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary procedural report. Int J Oral Maxillofac Implants. 1992; 7(3):360-6. View

Milinkovic I, Cordaro L . Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Surg. 2014; 43(5):606-25. DOI: 10.1016/j.ijom.2013.12.004. View

Sindet-Pedersen S, Enemark H . Mandibular bone grafts for reconstruction of alveolar clefts. J Oral Maxillofac Surg. 1988; 46(7):533-7. DOI: 10.1016/0278-2391(88)90142-5. View

Zins J, Whitaker L . Membranous versus endochondral bone: implications for craniofacial reconstruction. Plast Reconstr Surg. 1983; 72(6):778-85. DOI: 10.1097/00006534-198312000-00005. View

Misch C . The harvest of ramus bone in conjunction with third molar removal for onlay grafting before placement of dental implants. J Oral Maxillofac Surg. 1999; 57(11):1376-9. DOI: 10.1016/s0278-2391(99)90882-0. View

10.

Ozaki W, Buchman S . Volume maintenance of onlay bone grafts in the craniofacial skeleton: micro-architecture versus embryologic origin. Plast Reconstr Surg. 1998; 102(2):291-9. DOI: 10.1097/00006534-199808000-00001. View

11.

Burchardt H . The biology of bone graft repair. Clin Orthop Relat Res. 1983; (174):28-42. View

12.

Sawaki M, Ueno T, Kagawa T, Kanou M, Honda K, Shirasu N . Dental implant treatment for a patient with bilateral cleft lip and palate. Acta Med Okayama. 2008; 62(1):59-62. DOI: 10.18926/AMO/30987. View

13.

Chen N, Glowacki J, Bucky L, Hong H, Kim W, Yaremchuk M . The roles of revascularization and resorption on endurance of craniofacial onlay bone grafts in the rabbit. Plast Reconstr Surg. 1994; 93(4):714-22; discussion 723-4. View

14.

Garcia-Garcia A, Somoza-Martin M, Gandara-Vila P, Saulacic N, Gandara-Rey J . Horizontal alveolar distraction: a surgical technique with the transport segment pedicled to the mucoperiosteum. J Oral Maxillofac Surg. 2004; 62(11):1408-12. DOI: 10.1016/j.joms.2004.07.004. View

15.

Isaksson S, Alberius P . Maxillary alveolar ridge augmentation with onlay bone-grafts and immediate endosseous implants. J Craniomaxillofac Surg. 1992; 20(1):2-7. DOI: 10.1016/s1010-5182(05)80187-8. View

16.

Boyne P, Sands N . Combined orthodontic-surgical management of residual palato-alveolar cleft defects. Am J Orthod. 1976; 70(1):20-37. DOI: 10.1016/0002-9416(76)90258-x. View

17.

JOHANSON B, Ohlsson A, Friede H, Ahlgren J . A follow-up study of cleft lip and palate patients treated with orthodontics, secondary bone grafting, and prosthetic rehabilitation. Scand J Plast Reconstr Surg. 1974; 8(1-2):121-35. DOI: 10.3109/02844317409084381. View

18.

Cordaro L, Torsello F, Morcavallo S, Mirisola di Torresanto V . Effect of bovine bone and collagen membranes on healing of mandibular bone blocks: a prospective randomized controlled study. Clin Oral Implants Res. 2011; 22(10):1145-1150. DOI: 10.1111/j.1600-0501.2010.02093.x. View

19.

Buser D, Dula K, Hirt H, Schenk R . Lateral ridge augmentation using autografts and barrier membranes: a clinical study with 40 partially edentulous patients. J Oral Maxillofac Surg. 1996; 54(4):420-32; discussion 432-3. DOI: 10.1016/s0278-2391(96)90113-5. View

20.

Hardesty R, Marsh J . Craniofacial onlay bone grafting: a prospective evaluation of graft morphology, orientation, and embryonic origin. Plast Reconstr Surg. 1990; 85(1):5-14; discussion 15. View