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The International Journal of Oral & Maxillofacial Implants
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Int J Oral Maxillofac Implants 17 (2002), No. 4     15. Aug. 2002
Int J Oral Maxillofac Implants 17 (2002), No. 4  (15.08.2002)

Page 507-516


Microscopic Analysis of Reconstructed Maxillary Alveolar Ridges Using Autogenous Bone Grafts from the Chin and Iliac Crest
Matsumoto, Mariza Akemi / Filho, Hugo Nary / Francischone, Carlos Eduardo / Consolaro, Alberto
Purpose: The aim of this study was to histologically analyze the bone repair of maxillary areas reconstructed with autogenous bone grafts using 2 different donor sites, the ilium and the chin. Materials and Methods: Specimens were retrieved with trephine burs positioned transversely in augmented ridges 4 months after placement of the grafts. To analyze bone conditions, a histomorphometric study of ground sections was performed using a special template to identify 3 specific regions of the specimens: cortical bone, cancellous bone, and the region of transition between the alveolar ridge and the graft. Ten patients, 5 men and 5 women, with a mean age of 47 years (range 28 to 67) were evaluated. Results: Results indicated good incorporation of the grafts in this period, demonstrated by intense osteogenesis indicating an active remodeling process. Discussion: In both groups, the improvement in bone quality of the receptor site was evident, independent of the size of the reconstruction, although chin grafts presented better bone quality. Conclusions: From this study it was possible to conclude that a period of 4 months is sufficient for the placement of osseointegrated implants in reconstructed areas, where chin or iliac autogenous grafts have been used.