Rehabilitation of the Resorbed Maxilla and Mandible Using Autogenous Bone Grafts and Osseointegrated Implants

This study reviews 29 consecutively treated patients who underwent a variety of autogenous alveolar augmentation procedures to their resorbed maxilla or mandible followed by delayed placement of Brånemark dental implants. One additional patient had frozen femoral head allogenic bone as a graft. A suggested treatment protocol is outlined for rehabilitation of the resorbed maxilla and mandible without the need to compromise the basic biologic principles of osseointegration proposed by Brånemark. A total of 114 implants were placed in the grafted areas. Twelve implants were removed from three patients. This represents a success rate of 100% in the mandible and 86% in the maxilla. As a result of this treatment, 28 patients wear fixed implant-supported prostheses, and two patients wear overdentures. Keywords: allogenic, autogenous, bone grafting, delayed graft, implant placement, mandible, maxilla, osseointegration, titanium implant