Allogenic versus autogenic iliac bone grafting in atrophic anterior mandible

  • Abbas Karimi Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  • Hamid Mahmood Hashemi Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  • Farnoosh Razmara Department of Oral and Maxillofacial Surgery, Craniomaxillofacial Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Mandibular atrophy, Vertical ridge augmentation, Autograft, Allograft, Interpositional bone graft


Aim: Bone grafting plays a pivotal role in reconstruction of atrophic ridge in dental implants.This study made a comparison of the efficacy of allogenic and autogenic (iliac) bone grafting using  the same technique (interpositional bone grafting) in increasing the mandibular anterior height. Materials and Methods: Ten partially edentulous patients who required vertical bone augmentation of the anterior mandible (having a residual ridge with 10 to 12 mm) were randomly  allocated to autograft (iliac) and allograft groups. The heights of ridges were measured at three points (Right, Left, and Middle) using preoperative panoramic radiography three and six months  following grafting. Results: The heights of ridges increased in all patients, but there was no significant difference between the two groups. Conclusion: This study indicated autograft and allograft had similar effects on vertical augmentation.


1.Misch CM: Autogenous bone: is it still the gold standard? Implant Dent. 2010.19(5):361
2. Branemark P-I, Lindstrom J, Hallen O: Reconstruction of the defective mandible, Scand J Plast Reconstr Surg .1975;9(2):116–128
3. Breine U, Branemark PI: Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants, Scand J Plast Reconstr Surg .1980;14(1):23–48
4. Das Neves, F.D., Fones, D., Bernardes, S.R., Do Prado, C.J. & Neto, A.J. Short implants – an analysis of longitudinal studies. The International Journal of Oral and Maxillofacial Implants.2006;21(1): 86–93
5. Jensen SS, Broggini N, Hjorting-Hansen E, et al.: Bone healing and graft resorption of autograft, anorganic bovine bone and β-tricalcium phosphate. A histologic and histomorphometric study in the mandibles of minipigs, Clin Oral Implants Res .2006; 17(3):237–43
6. Chen, S.T., Wilson Jr., T.G. and Hammerle, C. Immediate or Early Placement of Implants Following tooth Extraction: Review of Biologic Basis, Clinical Procedures, and Outcomes. The International Journal of Oral & Maxillofacial I mplants .2004;19 suppl, 12-25
7. Kurkcu M, Oz IA, Koksal F, et al.: Microbial analysis of the autogenous bone collected by bone filter during oral surgery: a clinical study, J Oral Maxillofac Surg .2005;63(11):1593–98
[8] Lekholm U, Zarb GA: Patient selection and preparation.In Branemark P-I, Zarb GA, Albrektsson T, editors: Tissue-integrated prostheses: osseointegration in clinical dentistry, Chicago, 1985,199–209.
9. Nkenke E, Schulze-Mosgau S, Radespiel M: Morbidity of harvesting of chin grafts: a prospective study, Clin Oral Implants Res.2001;12(5):495–502.
[10] Zimmermann KA, Leblanc JM, Sheets KT, Fox RW, Gatenholm P. Biomimetic design of a bacterial cellulose/hydroxyapatite nanocomposite for bone healing applications. Materials Science and Engineering C. 2011; 31(1):43–49
11.Merli M, Bernardelli F, Esposito M. Horizontal and vertical ridge augmentation: a novel approach using osteosynthesis microplates, bone grafts, and resorbable barriers. International Journal of Periodontics and Restorative Dentistry. 2006;26(6):581–87
12. Rosenquist B. Implant placement in combi- nation with nerve transpositioning: experiences with the first 100 cases. The International Journal of Oral & Maxillofacial Implants .1994;9(5):522–31
13. Herford AS, Lu M, Akin L, Cicciù M. Evaluation of a porcine matrix with and without platelet-derived growth factor for bone graft coverage in pigs. The International Journal of Oral & Maxillofacial Implants .2012;27(6):1351–58
14. Simion M, Jovanovic SA, Tinti C, Benfenati SP. Long-term evaluation of osseointegrated implants inserted at the time or after vertical ridge augmentation: a retrospective study on I23 implants with 1–5 year follow-up. Clinical Oral Implants Research .2001;12(1):35–45
15. Fu JH, Oh TJ, Benavides E, Rudek I, Wang HL. A randomized clinical trial evaluating the efficacy of the sandwich bone augmentation technique in increasing buccal bone thickness during implant placement surgery: I. Clinical and radiographic parameters. Clinical Oral Implants Research .2014; 25(4):458–67
16. Marchetti C, Trasarti S, Corinaldesi G, Felice P. Interpositional bone grafts in the posterior mandibular region: a report on six patients. The International Journal of Periodontics and Restorative Dentistry .2007;27(6):547–55
17. Schettler D, Holtermann W. Clinical and experimental results of a sandwich-technique for mandibular alveolar ridge augmentation. J Maxillofac Surg.1977;5(3):199–202
18. Nóia CF, Ortega-Lopes R, Mazzonetto R, Chaves Netto HD. Segmental osteotomy with interpositional bone grafting in the posterior maxillary region. Int J Oral Maxillofac Surg .2012;41(12):1563–65
19.Jensen OT, Kuhlke L, Bedard JF, White D. Alveolar segmental sandwich osteotomy for anterior maxillary vertical augmentation prior to implant placement. J Oral Maxillofac Surg. 2006;64(6):290–96
20. Cordo L, Terheyden : ITI treatment guide,Ridge Augmentation Procedures in Implaant Patients:A staged Approach,Vol 7,pp 54-55. Berlin: Quintessence Publishing,2009
21. ricchio G, Lundgren S: Donor site morbidity in two different approaches to anterior iliac crest bone harvesting, Clin Implant Dent Relat Res. 2003; 5(3):161–169
22. Hahn M, Dover MS, Whear NM, Moule I: Local bupivacaine infusion following bone graft harvest from the iliac crest, Int J Oral Maxillofac Surg .1996;25(5):400–401
23. Hoard MA, Bill TJ, Campbell RL: Reduction in morbidity after iliac crest bone harvesting: the concept of preemptive analgesia, J Craniofac Surg .1998;9(5):448–451
[24] Motamedian, S.R., Khojasteh, M. and Khojasteh,A. Success Rate of Implants Placed in Autogenous Bone Blocks versus Allogenic Bone Blocks: A Systemic Literature Review. Annals of Maxillofacial Surgery 2016, 6(1), 78-90.
25. Draenert, F.G., Huetzen, D, Neff, A. and Mueller, Vertical Bone Augmentation Procedures: Basics and Techniques in Dental Implantology. Journal of Biomedical Materials Research Part A .2014;102(5): 1605-13.
26.Felice P, Marchetti C, Piattelli A, Pellegrino G, Checchi V, Worthington H, Esposito M. Vertical ridge augmentation of the atrophic posterior mandible with interpositional block grafts: bone from the iliac crest versus bovine anorganic bone. Results up to delivery of the final prostheses from a split-mouth, randomised controlled clinical trial. Eur J Oral Implantol .2008;1(3):183–98
27. Razmara F, Mahmoodhashemi H, Zahraei Sh, Mahmoudhashemi A. Vertical Ridge Augmentation of Atrophic Anterior Mandible with Autogenic Tibia Grafts Compared Allogenic Grafts. International Journal of Clinical Medicine 2018;9(7):580-89
How to Cite
Karimi A, Mahmood Hashemi H, Razmara F. Allogenic versus autogenic iliac bone grafting in atrophic anterior mandible. J Craniomaxillofac Res. 5(4):157-163.
Original Article(s)