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sdj-10053

Evaluation of different modalities of intraorally harvested bone graft in oral and maxillofacial reconstructive surgery

*Suha N Aloosi & **Waleed Jaleel

*College of Dentistry, University of Sulaimani

**College of Medicine, University of Sulaimani

DOI: https://doi.org/10.17656/sdj.10053

Abstract

Objectives: Although the iliac crest is most often used in major jaw reconstruction for dental implants and other maxillofacial reconstructive surgeries it has the disadvantages of higher costs, alteration of ambulation, and the need for hospitalization and general anesthesia. , bone grafts harvested from the maxilla and mandible offer several benefits. This study was conducted to the quality and the quantity of intraorally harvested bone graft from different sites, and assessing the suitability of each donor site for the selected recipient site.

Material and Method:
Twenty-two patients (27 bone graft donor sites) (5 of them with bilateral alveolar reconstruction), of both sexes (9 males and 17 females), were operated on by harvesting intraoral bone grafts from different sites used in different reconstructive surgeries. Specific intraoral donor sites were used for specific type of surgery according to the feasibility and need. Preoperative and intraoperative evaluation of the recipient defect size and selecting proper intraoral donor sites was the paramount parameter in our study.

Results:
The success rate was 96.2% in a follow-up period of 6-18 months, the patients were evaluated for bone graft stability, ability to insert the dental implant, stability of the implant, stability in orthognathic surgery, and the satisfactory aesthetic and functional results, all the patient had satisfactory results and only one case of particulates cortical bone had developed fibrous union ,

Conclusion:
Intraoral bone graft can successfully be used for treating small and selected facial and alveolar defect with minimal complications in the donor sites, patients report minimal discomfort and morbidity and all complications were temporary. Types of fixation, prompt graft adaptation were the most important factors for success. Symphysis of the mandible has the advantage of easy access and visibility and can easily be done under local anesthesia. However, for reconstruction of a bigger bony defect, an extraoral bone.

Keyword: Intra-oral donor site, bone graft, reconstructive surgery

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