Le Fort I osteotomy and calvarial bone grafting for dental implants

Rev Stomatol Chir Maxillofac. 2010 Apr;111(2):63-7. doi: 10.1016/j.stomax.2009.09.013. Epub 2010 Mar 25.

Abstract

Introduction: We present a reconstruction technique for atrophied maxilla which combines a Le Fort I osteotomy and calvarial bone grafting. This retrospective study was carried out to evaluate bone volume increase and the possibility to insert dental implants.

Patients and methods: Bone volume increase was assessed in 56 patients using preoperative and 6-month postoperative computed axial tomography (CAT). The implant rate success and the type of prosthesis were evaluated.

Results: The average increase at the first molar level was 10.2mm vertically and 8.2mm transversally. No infection was reported. The implant success rate was 97.9% and a prosthetic rehabilitation was performed in all patients (55% with removable bar-supported prostheses, and 45% with fixed prostheses).

Discussion: The technique is adapted to atrophied maxilla reconstruction for dental implant rehabilitation. The implant success rate was similar to that of other bone augmentation techniques.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Alveolar Bone Loss / diagnostic imaging
  • Alveolar Bone Loss / surgery
  • Alveolar Ridge Augmentation / methods*
  • Bone Density
  • Bone Transplantation / methods*
  • Dental Implantation, Endosseous*
  • Dental Prosthesis, Implant-Supported*
  • Dental Restoration Failure
  • Female
  • Humans
  • Male
  • Maxilla / diagnostic imaging
  • Maxilla / surgery
  • Middle Aged
  • Osteotomy, Le Fort / methods*
  • Parietal Bone / surgery
  • Radiography
  • Retrospective Studies
  • Young Adult