Simultaneous placement of endosteal implants and mandibular onlay grafting for treatment of the atrophic mandible

McGrath, C. J. R.; Schepers, Serge; Blijdorp, Peter A.; Hoppenreijs, T.J.M.; Erbe, M.

doi:10.1016/s0901-5027(96)80026-9

Cited by 50 publications

(44 citation statements)

References 7 publications

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“…A surgical technique combining onlay grafting and placement of two endosteal implants in one procedure was described by MCGRATH et al 15 showing initially as well as on the long-term 12 predictable results with an implant success rate of 96% and an average overall bone resorption of 12% after a follow-up period of 6-7 years. All implants that were considered to have failed in this study had early dehiscence over the surgical site.…”

Section: Discussionmentioning

confidence: 99%

“…Instead of an incision made in the anterior mandible parallel to the alveolar crest with a slight curvature approximately 3 mm inferior to the crest, as described by MCGRATH et al 15 , we used a vertical incision in the midline of the mandible running from in between the sublingual carunculae, crossing the alveolar crest, into the labial fold. The rationale for this modification was that the anterior mandible receives its vascularization mainly from the lingual and labial mucoperiosteum, whereas there hardly run vessels from laterally.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical technique applied was a modification on the technique as developed by BLIJDORP and described by MCGRATH in 1996 15 . Patients were operated under general anaesthesia and admitted to the clinic varying from 3 to 6 days with an average of 4.1 days.…”

Section: Surgical Techniquementioning

confidence: 99%

“…Wound dehiscence might cause infection of the bone graft and eventually loss of the graft and implants. In order to avoid this complication we developed a surgical technique being a modification of the technique as described by MCGRATH in 1996 15 . The purpose of the present study was to assess the frequency of wound dehiscences and other postoperative complications, the extend of resorption of the initial graft, and the implant success rate applying this modified technique.…”

mentioning

confidence: 99%

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The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach

Meij

Blankestijn

Berns

et al. 2005

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach

Meij

Blankestijn

Berns

et al. 2005

International Journal of Oral and Maxillofacial Surgery

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“…With both onlay or interposed bone grafts, hydroxyapatite can be used as a filler, alongside autologous bone, to achieve the desired volume and contour for the augmented mandible (Haers et al, 1991;McGrath et al, 1996). Complications that are experienced with the use of hydroxyapatite are migration, displacement, and dehiscence of hydroxyapatite particles that can cause mucosal erosions (Kent et al, 1986).…”

Section: Grafting Proceduresmentioning

confidence: 99%

Implantology and the Severely Resorbed Edentulous Mandible

Stellingsma

Vissink

Meijer

et al. 2004

Critical Reviews in Oral Biology & Medicine

140

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ABSTRACT:Patients with a severely resorbed edentulous mandible often suffer from problems with the lower denture. These problems include: insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. Dental implants have been shown to provide a reliable basis for fixed and removable prostheses. This has resulted in a drastic change in the treatment concepts for management of the severely resorbed edentulous mandible. Reconstructive, preprosthetic surgery has changed from surgery aimed to provide a sufficient osseous and mucosal support for a conventional denture into surgery aimed to provide a sufficient bone volume enabling implants to be placed at the most optimal positions from a prosthetic point of view. The aim of this paper is to review critically the literature on procedures related to the severely resorbed edentulous mandible and dental implant treatment. The study includes the transmandibular implant, (short) endosseous implants, and reconstructive procedures such as distraction osteogenesis, augmentation of the mandibular ridge with autogenous bone, and bone substitutes followed by the placement of implants. The number of patients participating in a study, the follow-up period, the design of the study, the degree of mandibular resorption, and the survival rate of the dental implants all are considered evaluation parameters. Although numerous studies have described the outcome results of dental implants in the edentulous mandible, there have been few prospective studies designed as randomized clinical trials that compare different treatment modalities to restore the severely resorbed mandible. Therefore, it is not yet possible to select an evidence-based treatment modality. Future research has to be focused on long-term, detailed follow-up clinical trials before scientificaly based decisions in treating these patients can be made. This will contribute to a higher level of care in this field.

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Sandwich osteotomy of the atrophic posterior mandible prior to implant placement

Mavriqi

Baca

Demiraj³

2015

Clinical Case Reports

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show abstract

Simultaneous placement of endosteal implants and mandibular onlay grafting for treatment of the atrophic mandible

Cited by 50 publications

References 7 publications

The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach

The combined use of two endosteal implants and iliac crest onlay grafts in the severely atrophic mandible by a modified surgical approach

Implantology and the Severely Resorbed Edentulous Mandible

Sandwich osteotomy of the atrophic posterior mandible prior to implant placement

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