Oral and Maxillofacial Surgery

Case of the Month

October, 2000


The patient is a 34 y.o.female referred for maxillary reconstruction with bone grafting prior to implant placement.


The patient had no known drug allergies, history of hospitalizations or operations. Oral examination revealed a Class II incisor relationship.There was a history of orthodontic treatment as a teenager. Panoramic radiographic findings revealed tooth # 31 had undergone root canal therapy. The patient had a mandibular removal partial denture. A fixed partial denture involved teeth #'s 11 - 13 - 15. Porcelain fused to metal crowns were noted on teeth #'s 2, 6, 7, 8, 9, 10, 22, 27, and 31. Alveolar ridge atrophy was noted in the right posterior maxilla.


Plan / Treatment:

Right Anterior Iliac Crest

Particulate Marrow
Cancellous Bone

Hydroxyapatite(HA) and PMCB

Osteotomy Sites

Bone Flap rotated into Sinus

HA and PMCB in Sinus

Corticocancellous Onlay Graft

Post-operative X-Ray

Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery
  • Dr. Joe Polio Orthopedic Surgery
  • Dr. Tom Keen General Dentistry
  • Dr. Greg Adams Periodontist

 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-270-926-4107
 fax: 1-270-926-4166
 url: www.srt-psc.com


Last Modified :October 2, 2000

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