Reconstruction of the Premaxilla With Autogenous lliac Bone in Combination With Osseointegrated Implants

The simultaneous use of autogenous bone grafts and osseointegrated implants has opened up new possibilities in the reconstruction of large tissue defects in the oral-maxillofacial region. In this paper, the successful rehabilitation of a patient who lost the premaxilla following a segmental osteotomy is described. The resulting oronasal communication and bony defect were restored by placing a bone graft from the iliac crest that was stabilized with two osseointegrated implants. A fixed prosthesis was fabricated to replace the missing anterior teeth. Esthetic and functional criteria were fulfilled. Keywords: autologous graft, osseointegrated implants, premaxillary necrosis