Proximal Tibial Bone Harvesting Under Local Anesthesia Without Intravenous Sedation in the Dental Office: A Case Report

Chen, Chun-Ming; Chen, Pai-Li; Wu, Chung-Wei; Huang, I-Yueh; Lee, Kun-Tsung

doi:10.1016/S1607-551X(08)70105-0

« PreviousKaohsiung Journal of Medical Sciences
Volume 24, Issue 2 , Pages 103-106, February 2008

Proximal Tibial Bone Harvesting Under Local Anesthesia Without Intravenous Sedation in the Dental Office: A Case Report

Chun-Ming Chen
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Pai-Li Chen
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Chung-Wei Wu
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
I-Yueh Huang
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Kun-Tsung Lee
- Department of Family Dentistry, Kaohsiung Medical University Hospital and College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- Address correspondence and reprint requests to: Dr Kun-Tsung Lee, Department of Family Dentistry, Kaohsiung Medical University, 100 Tzyou 1^st Road, Kaohsiung 807, Taiwan

Received 19 April 2007; accepted 11 June 2007.

Maxillary sinus enlargement often occurs in the maxillary posterior edentulous area and reduces the available bone height for implantation. Therefore, maxillary sinus lift and bone graft procedures are necessary to provide sufficient available bone. Autogenous bone grafting is the best base for implant osseointegration. Recently, tibial bone has been recognized as an alternative extraoral donor site. We present a case in which we used a proximal tibia bone graft for maxillary sinus augmentation under local anesthesia without sedation in the dental office. During a 4-year postoperative follow-up, gait was not disturbed and the scar on the donor site remained unremarkable.

Key Words: autogenous bone grafting , intravenous sedation , local anesthesia , proximal tibial bone , sinus lifting

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