Long term ridge augmentation with rib graft

Mandible vertical height correction using lingual bone-split pedicle onlay graft technique

“…12 The sources of bone had grafted as reported by Davis 8 and Ewers and Haerle 12 were different, which Davis used an autogenous rib as a bone sources and Ewers and Haerle used an autogenous bone which taken from the part of the mandible and placed like a visor, therefore it might be the reason why the rate of bone resorption as reported by Davis 31 found higher then given by Ewers and Haerle. 8 Mandible bone resorption in the anterior region in this case leads the difficulty in the complete denture prosthetic rehabilitation. An augmentation of the anterior region was proofed to be possible using lingual bone split pedicle onlay graft technique.…”

“…Various types of transoral onlay bone grafting techniques in the mandible have been tried. [8][9]12,15 Davis et al 31 have reported the use of autogenous transoral onlay rib grafting. In long term follow-up, these authors reported of excessive resorption of 30% to 50% of the bone had been grafted.…”

“…In long term follow-up, these authors reported of excessive resorption of 30% to 50% of the bone had been grafted. 8 Ewers and Haerle in year 1980 reported an absolute elevation of the ridge in which the mandible had osteotomized vertically and displaced like a visor. The fiveyear results of 10 patients observed were reported.…”

“…Various surgical reports of ridge augmentation in the mandible by Davis et al, 8 Sander and Cox 9 Ewers and Haerle, 12 Tideman et al, 15 Schettler, 18 had shown its superiority in achieving an augmented ridge and denture stability. The complexity of the surgical methods as had been presented by some authors, therefore applying another simple modification of surgical technique in improving the vertical height of the anterior part of atrophic mandible was thought to be useful.…”

“…Some articles have documented the clinical versatility and outcome of sulcus extension surgery [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] and those techniques till now days still uses as a basic surgical knowledge for any sulcus extension surgery. Review study from Hillerupp et al 20 concluded that lowering of the floor of the mouth provide a substantial benefit to patients with denture problem due to alveolar ridge atrophy.…”