Reconstruction of Mandibular Bone Defect Using a Titanium Mesh with Autogenous Particulate Cortical Bone Graft by an Intraoral Approach: A Case Report

구강내 접근으로 자가 분쇄 피질골과 Titanium Mesh를 이용한 광범위한 하악골 골결손부 재건: 증례보고

  • Choi, Seok-Tai (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 Project) ;
  • Leem, Dae-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, and Institute of Oral Bio-Science, Chonbuk National University, Brain Korea 21 Project)
  • 최석태 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21사업) ;
  • 임대호 (전북대학교 치의학전문대학원 구강악안면외과학교실, 구강생체과학연구소, BK21사업)
  • Received : 2012.08.16
  • Accepted : 2012.11.23
  • Published : 2012.11.30


The loss of mandibular continuity due to trauma, neoplasm, or infection results in major esthetic and biologic compromise. The reconstruction of the mandibular bone defect still poses a challenge to oral and maxillofacial surgeons. There have been a number of variety graft materials. Among them, free block bone graft with rigid fixation has been widely used. However, cases using free block bone grafts may lead to a marked invasion of the donor site, mal-union, and absorption of the block bone. In this respect, particulate cortical bone using a titanium mesh tray can be an effective alternative option in order to achieve a proper bone contour and good oral rehabilitation. We have developed an intraoral approach for the mandibular reconstruction method using a titanium mesh tray with autogenous particulate cortical bone graft.



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