Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Reconstruction of Severely Atrophied Mandible and Simultaneous Implant Insertion With an Inverted Sandwich Technique Publisher



Etemadi Sh M1 ; Tamizifar A2 ; Aghajani F3 ; Saei M3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Oral and Maxillofacial Surgery, Dental Implants Research Center, Dental Research Institute, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Oral and Maxillofacial Surgery, Shahrekord University of Medical Sciences, Shahrekord, Iran
  3. 3. School of Dentistry, Student Research Committee, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran

Source: Case Reports in Dentistry Published:2023


Abstract

Objectives. To reconstruct and rehabilitate a severely atrophied mandible. Case presentation. A 40-year-old female patient with the chief complaint of denture instability was admitted to our care. In our opinion, the optimum reconstructive method for their severely atrophied mandible (width of 4 mm) was bone grafting with an inverted sandwich technique. 2 split-thickness autogenous calvarial grafts were attained. 4 onlay bone blocks were prepared, placed with an inverted sandwich technique, and fixed with 8 lag screws. 4 implants (Osstem, 4×10 mm) were placed simultaneously, and an immediate post-operation cone beam computed tomography confirmed the proper placement of the grafts and implants. No complications were reported within 4 and 8 months following graft and implant placement. Final impressions for full dental rehabilitation were taken at the 8-month follow-up. Conclusion. Split-thickness calvarial grafts and simultaneous implant placement seem to be a very efficient and promising approach for major reconstruction of the mandible. However, further studies are recommended. © 2023 Milad Etemadi Sh et al.
Related Docs
View other Related Docs
1. Tooth Graft: An Umbrella Overview, European Journal of Dentistry (2024)
2. Clinical Performance of Implant Supported Mandibular Overdentures With Cantilever Bar and Stud Attachments: A Retrospective Study, Clinical Implant Dentistry and Related Research (2022)
3. Orthodontic Extraction of High-Risk Impacted Mandibular Third Molars in Close Proximity to the Mandibular Canal: A Systematic Review, Journal of Oral and Maxillofacial Surgery (2015)
4. Treatment Options for Oral Rehabilitation of the Atrophic Maxilla: A Literature Review, Avicenna Journal of Dental Research (2023)
5. Comparison of Full-Arch Mandibular Reconstruction With Dental Implants Using Completely Splinted or Segmentally Splinted Prostheses With Two Different Occlusal Schemes: A Finite-Element Analysis, Journal of Prosthodontics (2024)
6. Assessment of the Relationship Between Maximum Occlusal Force and Median Mandibular Flexure in Adults: A Clinical Trial Study, Journal of Indian Prosthodontic Society (2020)
7. One-Year Clinical and Radiographic Assessment of Fluoride-Enhanced Implants on Immediate Non-Functional Loading in Posterior Maxilla and Mandible: A Pilot Prospective Clinical Series Study, Clinical Oral Implants Research (2011)
8. The Effects of Splinting Periodontally Compromised Removable Partial Denture Abutments on Bone Stresses: A Three-Dimensional Finite Element Study, Journal of Dental Sciences (2010)
Experts (# of related papers)
View all Related Experts
Ramin Mosharraf (3)
Amirhossein Fathi (3)
Other Related Docs
9. Bone Loss-Related Factors in Tissue and Bone Level Dental Implants: A Systematic Review of Clinical Trials, Journal of the Korean Association of Oral and Maxillofacial Surgeons (2021)
10. Investigation of Peri-Implant Bone Healing Using Autologous Plasma Rich in Growth Factors in the Canine Mandible After 12 Weeks: A Pilot Study, Open Dentistry Journal (2011)
11. The Effect of Abutment Angulation and Crown Material Compositions on Stress Distribution in 3-Unit Fixed Implant-Supported Prostheses: A Finite Element Analysis, International Journal of Dentistry (2022)
12. Functional Treatment of Skeletal Class Ii Malocclusion Using Bone-Anchored Devices and Intermaxillary Elastics, Dental Hypotheses (2015)
13. A Comparative Study of Ridge Preservation Using Calcium Sulfate and Collagen Membrane With and Without Freeze-Dried Bone Allograft Following Tooth Extraction, Journal of Osseointegration (2018)
14. Mandibular Angle Augmentation, Integrated Procedures in Facial Cosmetic Surgery (2021)
15. The Use of Micro-Osteoperforation Concept for Accelerating Differential Tooth Movement, Journal of the World Federation of Orthodontists (2018)
16. Enhancing Oral Function: A Case Report on Mandibular Overdenture Utilization With Custom-Made Subperiosteal Implant, Journal of Prosthodontics (2024)
17. Dental Implants: Early Versus Standard Two-Stage Loading (Animal Study), Journal of Oral Implantology (2014)
18. Seven-Year Follow-Up of Spontaneous Bone Regeneration Following Segmental Mandibulectomy: Alternative Option for Mandibular Reconstruction, Dental Research Journal (2019)
19. Fabricating Dental Implants With Predesigned Structure, Emerging Technologies in Oral and Maxillofacial Surgery (2023)
20. The Anterior Palate As a Donor Site in Maxillofacial Bone Grafting: A Quantitative Anatomic Study, Journal of Oral and Maxillofacial Surgery (2005)
21. Retention of Implant-Supported Overdenture With Bar/Clip and Stud Attachment Designs, Journal of Oral Implantology (2013)
22. Evaluation of the Three-Dimensional Accuracy of Implant Impression Techniques in Two Simulated Clinical Conditions by Optical Scanning, International Journal of Oral and Maxillofacial Implants (2015)
23. The Effect of Implant Angulation and Splinting on Stress Distribution in Implant Body and Supporting Bone: A Finite Element Analysis, European Journal of Dentistry (2015)