Reconstruction of Atrophied Posterior Mandible With Inlay Technique and Mandibular Ramus Block Graft for implant Prosthetic Rehabilitation

Purpose: To describe a successful clinical case of implant prosthetic rehabilitation in an atrophic posterior mandible reconstructed by inlay bone grafting after bone block harvesting from the mandibular ramus. Patients and Methods: A 55-year-old woman with an atrophied right posterior mandible underwent surgical inlay ridge augmentation under local anaesthesia using a block graft harvested from the ipsilateral mandibular ramus. Three months later 3 dental implants were inserted, and after an additional 4 months abutments were connected and a definitive fixed bridge inserted. Results: After it 24-month follow-up, 110 implant failure was recorded; the patient was functionally and esthetically satisfied. Conclusion: The inlay procedure in atrophic posterior mandible, associated with mandibular ramus graft harvesting, may be considered an effective, minimally invasive and well-tolerated procedure for implant prosthetic rehabilitation. (C) 2009 American Association of Oral and Maxillofacial Surgeons