Prevalence of infection with the use of β-tricalcium phosphate as a bone graft substitute during Le Fort I osteotomy M. Ragaey, J.E. Van Sickels International.

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Presentation transcript:

Prevalence of infection with the use of β-tricalcium phosphate as a bone graft substitute during Le Fort I osteotomy M. Ragaey, J.E. Van Sickels International Journal of Oral and Maxillofacial Surgery Volume 46, Issue 1, Pages 62-66 (January 2017) DOI: 10.1016/j.ijom.2016.10.001 Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions

Fig. 1 CBCT obtained immediately postoperative showing the interpositional β-TCP on the lateral and anterior walls of the maxillary osteotomy. International Journal of Oral and Maxillofacial Surgery 2017 46, 62-66DOI: (10.1016/j.ijom.2016.10.001) Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions

Fig. 2 CBCT obtained at 6 months postoperative for a patient who underwent Le Fort I advancement with the use of β-TCP as a bone substitute in the osteotomy. The β-TCP has been completely resorbed and complete bone healing has occurred. International Journal of Oral and Maxillofacial Surgery 2017 46, 62-66DOI: (10.1016/j.ijom.2016.10.001) Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions

Fig. 3 β-TCP wedges can easily be carved to fit the osteotomy gaps using a No. 15 Bard Parker blade. International Journal of Oral and Maxillofacial Surgery 2017 46, 62-66DOI: (10.1016/j.ijom.2016.10.001) Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions

Fig. 4 β-TCP placed in the osteotomy gap near the piriform aperture of a large maxillary advancement. International Journal of Oral and Maxillofacial Surgery 2017 46, 62-66DOI: (10.1016/j.ijom.2016.10.001) Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions

Fig. 5 (a) Large maxillary advancement with smaller setback, which ultimately ended in a non union. (b) Five months later, the patient showed non union with a 4-mm relapse of the maxilla. International Journal of Oral and Maxillofacial Surgery 2017 46, 62-66DOI: (10.1016/j.ijom.2016.10.001) Copyright © 2016 International Association of Oral and Maxillofacial Surgeons Terms and Conditions