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Volume 29 , Issue 6
November/December 2009
Pages 635-641

Autogenous Bone Grafting in a Patient on Long-Term Oral Bisphosphonate Therapy: Case Report

Ahmed El-Halaby, DDS/Jeffery Becker, DDS, MSD/Nabil F. Bissada, DDS, MSD

PMID: 20072741
DOI: 10.11607/prd.00.0889

A 66-year-old patient was referred to the Periodontal Clinic at Case Western Reserve University for implant placement in the mandibular left first molar area. The patient reported a history of oral bisphosphonate intake for the last 7 years for the treatment of osteoporosis. Autogenous bone block grafting was planned to augment the ridge before implant placement. The surgery was performed under local anesthesia, and the implant was successfully placed 8 months after ridge augmentation. Healing was uneventful postoperatively, and the buccolingual width of the ridge increased significantly, allowing placement of a 5-mm-diameter dental implant. The patient showed proper healing of both the donor site and the recipient site, in spite of the long-term oral bisphosphonate therapy, with no resulting osteonecrosis of the jawbone. (Int J Periodontics Restorative Dent 2009;29:635–641.)

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