Bone Graft Harvesting from Regional Sites

Sittitavornwong, Somsak; Gutta, Rajesh

doi:10.1016/j.coms.2010.04.006

Cited by 69 publications

(55 citation statements)

References 36 publications

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“…In addition, due to tight attachments of the masseter and buccal muscle and close proximity of the facial artery at this level make this caudal horizontal cut difficult to see and manage with the conventional instrumentation. Before ultrasonic surgery was introduced, in conventional technique, authors recommended making grooves at inferior osteotomy line instead of full cortical cut to avoid damaging IAN [3]. IAN complications of harvesting bone from ramus and symphysis using conventional instrumentation are variable in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…With regard to postoperative trismus after ramus bone harvesting, using conventional techniques, Sittitavornwong S & Gutta R [3] reported that the rate seems to be high (60%) but transient and can be lasted 3-4 weeks to resolve. In this study only two patients had trismus after surgery (10%) that lasted 2 weeks to resolve.…”

Section: Discussionmentioning

confidence: 99%

“…This graft can provide adequate bone volume up to 3-tooth and even 4-tooth edentulous site for grafting [3]. According to study done by Gungormus M & Yavuz MS [6], the average bone volume that could be harvested from anterior part of the ascending ramus was 2.36 mL, and average surface area was 495.1 mm.…”

mentioning

confidence: 99%

“…Typical intraoral donor sites for alveolar ridge augmentation are the ascending ramus, the mandibular body, symphysis and maxillary tuberosity. The advantages of harvesting intraoral autogenous bone for grafting include increased bone quality, easy access, close proximity of the donor and recipient sites, low morbidity, performed on outpatient basis and free from cutaneous scarring [3]. Mandibular ramus area is one of the most preferred donor sites with certain advantages among intraoral sites [4].…”

mentioning

confidence: 99%

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Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Süer¹,

Yaman²

2014

JDODT

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Successful osseointegration of the dental implants requires sufficient bone volume surrounding implant site. The mandibular ramus is considered reliable donor site for reconstructing alveolar ridge defects prior to dental implant placement. The aim of this study was to present the clinical efficiency of using ultrasound surgery for harvesting mandibular ramus bone graft. 20 patients (10 male, 10 female; mean age 47.5 ± 11.4years) with insufficient bone volume, who underwent autogenous bone grafting prior to implant placement, were presented. The grafts were harvested from the ascending ramus along with the external oblique ridge using an ultrasound surgical device (Piezosurgery, Mectron, Italy) from 20 donor sites and used to augment alveolar ridge atrophies. After waiting 4 to 5 months for healing grafted sites, 48 dental implants were inserted. Clinical parameters such as inferior alveolar nerve (IAN) damage, complications at donor and recipient site, the size of the graft and implant placement at the proper site were evaluated retrospectively. Mean graft length was 20.1mm (SD=2.73), and mean graft width was 12mm (SD=2.47). Of 20 recipient sites, 20 healed uneventfully, and of 20 donor sites 18 healed uneventfully. Only one patient had transient altered sensitivity of the lower lip.Ultrasound surgery allowed precise and smooth bone cutting with better intraoperative visibility. Specially angulated tip of the devise made inferior horizontal cut easier and safer. The results of this study suggest that the use of ultrasound surgery is an effective method for harvesting bone grafts from mandibular ramus with avoidance of any major complication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Süer¹,

Yaman²

2014

JDODT

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“…The form of bone needed is dictated by the size and the shape of the defect. 12 When large volume of bone is required, various authors have proposed iliac or calvarial bone grafts. However, complication and morbidity rates at the extraoral donor sites are relatively high when compared to intraoral harvesting procedures.…”

mentioning

confidence: 99%

Multidisciplinary treatment for a young patient with severe bone loss from a trauma: A case report

Süer¹,

Korkmaz²

2017

Yeditepe J Dent

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SUMMARYThe maxillofacial area is one of the most injury susceptible regions through road accidents, interpersonal violence, sports and falls. Due to high survival rates for implant supported restorations, many clinicians prefer dental implants for replacing missing teeth. The final success of dental implants placed in the esthetic zone depends on the available volume of hard and soft tissues. Autogenous bone grafts for the alveolar bone deficiencies still be the gold standard. For many years, practitioners have been using symphysis, ramus, tuberosity or the iliac crest for the alveolar ridge reconstruction and enhancement. The advantageous of using mandibular ramus area, as donor site is that provides denser bone quality with minimal resorption, easy access, minimal morbidity and no need for hospitalization. Herein, the 17-year-old patient was presented with recurrent fistula over tooth number 11, which were traumatized during soccer game two years ago. This case reports describes multidisciplinary esthetic rehabilitation of trauma patient with excessive alveolar bone loss in the anterior maxilla utilizing autogenous ramus bone graft and connective tissue graft.

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Autogenous Bone Block Transplantation in the Anterior Maxilla

Hernández–Alfaro¹,

Ragucci²

2020

Bone Augmentation by Anatomical Region

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Bone Graft Harvesting from Regional Sites

Cited by 69 publications

References 36 publications

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Multidisciplinary treatment for a young patient with severe bone loss from a trauma: A case report

Autogenous Bone Block Transplantation in the Anterior Maxilla

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