J Korean Assoc Maxillofac Plast Reconstr Surg.  2008 May;30(3):266-275.

Clinical usages of ramal autogenous bone grafts in dental implant surgery

• Kim KW
• Lee EY

Abstract

Dental endosseous implants require sufficient alveolar bone volume and quality for complete bone coverage and initial stability. But, atrophy or resorption of alveolar bone height and width according to patient's age and period of tooth loss can prevent ideal implant placement. Bone graft procedure has been proposed before or simultaneously with the placement of dental implants in patients with insufficient alveolar bone volume. While allografts, xenografts, and alloplastic bone grafts have been proposed and studied for alveolar ridge augmentation, the use of autogenous bone grafts represents the 'gold standard' for bone augmentation procedures. Conventional bone grafts are usually harvested from distant sites such as the ilium or ribs. Recently there is a growing use of intraoral bone grafts from intraoral donor sites such as mandibular symphysis, mandibular ramus and maxillary tuberosity. We recommend that the mandibular ramus is a safe autogenous bone graft donor site for bone harvesting with low morbidity. We report various effective autogenous bone graft procedures from mandibular ramus for the implant placement on various atrophic alveolar ridges.

Keyword

Dental implant; Autogenous bone graft; Mandibular ramus

MeSH Terms

Alveolar Ridge Augmentation
Atrophy
Dental Implants
Humans
Ilium
Ribs
Tissue Donors
Tooth Loss
Transplantation, Heterologous
Transplantation, Homologous
Transplants
Dental Implants