mohammad alsehimy

ABSTRACT :
Segmental continuity defects of the mandible may occur after trauma , infection or tumor resection surgery . Therefore , it was thought desirable to evaluate and compare the long-term results of the endosseous implants placed into grafted vascularized and nonvascularized bone for the reconstruction of anterior segmental defects of the mandible . Some patients underwent primary reconstruction by nonvascularized bone autografts , and the other patients by vascularized ones . All grafts were taken from the iliac crest of the same patients . Most grafts were further stabilized by means of endosseous titanium implants . It was found that primary mandibular reconstruction with vascularized or nonvascularized autogenous bone grafts supported by implants is a predictable treatment for mandibular continuity defects .