Computer Planning and Bone Density Evaluation of Jaws Reconstructed With Bone Grafts From Living Donors

Abstract

Bone augmentation to reconstruct atrophic jaws provides the base for sufficient functional and aesthetic implant-supported oral rehabilitation. Although autografts are the standard procedure for bone grafting, the use of homolog bone provides a reasonable alternative because it is safe, cheap, and available in adequate amount. Five patients were grafted with femur bone derived from living donors, and in 2 of them, 16 implants were inserted after 6 months. Pearson χ test was used to investigate the difference in bone density (BD) between native and grafted bone and between peri-implant and bone far from fixtures. The BD of the grafted bone is about double that of the native bone. Peri-implant BD is higher than BD far from fixtures, demonstrating that implant loading increase BD. Computed tomography is a valuable and accurate preoperative and follow-up method to obtain information about bone quality and quantity (ie, volume of available bone). Femur graft has a high density that improves under loading, thus suggesting that early implant loading should be performed whenever possible. However, a larger implant series and a longer observation period are mandatory to have a stronger support to these preliminary data.

Revisión bibliográfica de Implantología Bucofacial del año 2011: segunda parte

“…Dentro de sus desventajas destacamos la morbilidad del sitio donante, disponibilidad limitada, alteración del perfil del mentón, cicatrices, lesiones nerviosas, recesión gingival y molestias postoperatorias e infección, especialmente cuando se extrae de zonas extraorales (cresta ilíaca, calota craneal, fémur, peroné, tibia, etc.) (49,(54)(55)(56).…”