Use of rhBMP-2 to reconstruct a severely atrophic mandible: a modified approach.

Abstract:

:This study reports the case of a patient with a severely resorbed mandible who was treated without a bone graft, using short implants, internal rigid fixation, rhBMP-2 and β-tricalcium phosphate. A 76-year-old woman, with a severely resorbed mandible (less than 3mm), reported a history of nearly 25 years of complete edentulism and consecutive treatment failures, with total bilateral exposed inferior alveolar nerves and complete bone resorption of the inferior border in some areas. The treatment of choice was the placement of a 2.0mm thick unilock bone plate (MatrixMandible, Synthes Maxillofacial, Paoli, PA, USA), to reinforce the mandible. Eight short implants with a regular platform (Nobel Biocare, Goteborg, Sweden) were placed: three on the external oblique line on both sides and two on the symphysis. In order to augment mandible height and coat the exposed thread of the anterior implants, rhBMP-2 (Infuse Bone, Meditronic Sofamor Danek, Memphis, TN, USA) and β-tricalcium phosphate (Cerasorb; Curasan, Kleinostheim, Germany) were used. Four 1.3 mmL miniplates were placed to support the graft. 14 months after surgery, the patient was satisfied and had excellent function without complications.

authors

Lopes NM,Vajgel A,de Oliveira DM,de Santana Santos T,Wassall T

doi

10.1016/j.ijom.2012.05.017

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1566-70

issue

12

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(12)00219-6

journal_volume

41

pub_type

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