Second Harvest of Mandibular Ramus Blocks in Bone Augmentation Procedures: A Case Letter

Initial intraoral aspect of superior and inferior dental prosthesis.

Figure 2 . (a) Initial tomographic aspect of mandibular ramus before harvesting procedures. (b) Tomographic aspect of mandibular ramus 14 days after harvesting procedures. (c) Tomographic aspect of mandibular ramus 6 months after harvesting procedures. Figure 3. Clinical aspects of first bone harvesting surgical procedures (a) and the block from the mandibular ramus (b). Figure 4. Fixation of an onlay block graft harvested from mandibular ramus. Figure 5. Clinical aspects of secondary bone harvesting surgical procedures (a) and the block from the mandibular ramus (b).

Histologic aspects of bone regeneration 8 months after the first harvesting procedures. One can observe the presence of osteocytes (arrows) and blood vessels (#), demonstrating the viability of bone tissue. In addition, the lamellar appearance of the tissue indicates bone remodeling.