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Hellenic Archives of Oral & Maxillofacial Surgery (2019) 3, 113-117

Le Fort I osteotomy and interpositional bone grafts for the severely resorbed maxilla: A case report
​

Vassilios A. BOUSDRAS, Colin HOPPER
 
Department of Oral and Maxillofacial Surgery, University College London Hospitals, London, UK (Head: Professor C. Hopper)

SUMMARY: Bone grafting for reconstruction of severe alveolar atrophy in the maxilla has been the method of choice for many years. Onlay grafting is mainly used to repair defects in the alveolar process, or to increase the width of a thin alveolar process. Grafting is performed either by means of sinus lifting procedures, or local augmentation for single teeth, or by means of more extensive procedures, like maxillary osteotomy with interpositional bone grafts. The severe alveolar resorption in the maxilla is often combined with an increasing sagittal dis- crepancy between the jaws, which to some extent can be corrected by a maxillary osteotomy.
This case highlights successful jaw bone augmentation and implant osseointegration, following Le Fort I maxillary osteotomy and autogenous interpositional bone grafts obtained from iliac crest.
KEY WORDS: Autogenous graft, iliac crest, resorbed jaw, maxillary osteotomy.

​Hellenic Archives of Oral & Maxillofacial Surgery (2019) 3, 113-117

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Boyne PJ, James RA: Grafting of the maxillary sinus floor with autoge- nous marrow and bone. J Oral Surg 38:613-616, 1980
Cawood J, Howell RA: Classification of the edentulous jaws. Int J Oral Maxillofac Surg 17:232-236, 1988
Cawood JI, Stoelinga PJW, Brouns JA: Reconstruction of a severely re- sorbed (Class VI) maxilla. A two-step procedure. Int J Oral Max- illofac Surg 23:219-225, 1994
Jensen J, Sindet-Pedersen S, Oliver AJ: Varying treatment strategies for reconstruction of maxillary atrophy with implants. Results in 98 patients. J Oral Maxillofac Surg 8:38-45, 1994
Jensen J, Krantz-Simonsen E, Sindet-Pedersen S: Reconstruction of the severely resorbed maxilla with bone grafting and osseointegrated implants: A preliminary report. J Oral Maxillofac Surg 48:27-32, 1990
Farrell CD, Kent JN, Guerra LR: One stage inter-positional bone graft- ing and vestibuloplasty of the atrophic maxilla. J Oral Surg 34:901- 906, 1976
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Kahnberg K-E, Nilsson P, Rasmusson L: Le Fort I osteotomy with inter- positional bone grafts and implants for rehabilitation of the se- verely resorbed maxilla: A 2 stage procedure. Int J Oral Maxillofac Implants 14:571-578, 1999
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Triannual medical Journal - The official publication of the Hellenic Association of Oral and Maxillofacial Surgery. ISSN 1108-829​X, ISSN (electronic) 2241-5939
Hellenic Archives of Oral and Maxillofacial Surgery (HAOMS Journal) © 2021 by Hellenic Association of Oral & Maxillofacial Surgery on behalf of HAOMS Journal's Authors is licensed under Attribution-NonCommercial 4.0 International. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc/4.0/
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        • HAOMS (2019) 3, 103-111
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        • HAOMS (2019) 3, 119-126
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      • Vol.19, Issue 3 >
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