Volume 2, Issue 3

Pages 113–7

Open accessPDF
CASE REPORT

Reconstruction of Severely Atrophic Mandible by Installing Dental Implants Using the Modified “Tent Pole” Technique: Case Report

Rodrigo Tavares de Sáa, ... Giovanni Gasperinif more
a Rodrigo Tavares de Sá

DDS, MS; Department of Oral and Maxillofacial Surgery, Clinical Hospital, Federal University of Goiás, Goias, Brazil. Corresponding author. Hospital das Clinicas, Universidade Federal de Goiás Av. 1º Avenida, S/n, Setor Leste Universitário, Goiânia-Goiás, CEP: 74605─02012973, Brazil. Phone: +556232698252. E-mail: rodrigo.tavares.sa@gmail.com

b Lincoln Lara Cardoso

DDS, MS; Department of Oral and Maxillofacial Surgery, Clinical Hospital, Federal University of Goiás, Goias, Brazil. lincolnbuco@gmail.com

c Italo Cordeiro de Toledo

DDS, MS, PhD; Department of Oral and Maxillofacial Surgery, Emergency Hospital of Aparecida de Goiânia, Goias, Brazil. italobuco@gmail.com

d Luis Gustavo Jaime Paiva

DDS, MS, PhD; Department of Oral and Maxillofacial Surgery, Emergency Hospital of Aparecida de Goiânia, Goias, Brazil. lg.jp@hotmail.com

e Guilherme Romano Scartezini

DDS, MS, PhD; Department of Oral and Maxillofacial Surgery, Emergency Hospital of Aparecida de Goiânia, Goias, Brazil. g_scartezini@yahoo.com.br

f Giovanni Gasperini

DDS, MS; PhD; Department of Oral and Maxillofacial Surgery, Clinical Hospital, Federal University of Goiás, Goias, Brazil. gasperinibuco@gmail.com

September 30, 2018

DOI: 10.23999/j.dtomp.2018.3.3 

J Diagn Treat Oral Maxillofac Pathol 2018;2:113−7.

Under a Creative Commons license

HOW TO CITE THIS ARTICLE

Sá TR, Cardoso LL, Toledo IC, Paiva LGJ, Scartezini GR, Gasperini G. Reconstruction of severely atrophic mandible by installing dental implants using the modified “tent pole” technique. J Diagn Treat Oral Maxillofac Pathol 2018;2(3):113−17.

 

Summary

Patients who use full dental prostheses for long periods of time usually experience bone resorption in the alveolar process and in keratinized mucosa. This can cause instability, low prosthetic retention, and subsequent loss of function. Treating a patient with a severely atrophic mandible is quite challenging due to the low bone height and thickness, potentially impairing rehabilitation, aesthetics, and functional recovery. Several techniques are used to reconstruct major vertical defects for the installation of dental implants. Among these is the “tent pole” technique, which features low morbidity and generally produces good results in the form of increased height of the alveolar ridge bone. Herein we describes a patient with a severely atrophic mandible, reconstructed using a plate and dental implants. We employed a modified “tent pole” technique using an autogenous graft of the iliac crest and without use of platelet-rich plasma concentrate. Our results indicate that the modified tent pole technique using the iliac crest graft, and without use of platelet-rich plasma, is a safe and effective method for achieving mandibular reconstruction while restoring function, aesthetics, and the patients’ quality of life.