Combined use of bone grafts and Brånemark fixtures in the treatment of severely resorbed maxillae.

Bone grafts from the hip in combination with Brånemark self-tapping fixtures have been used to rehabilitate patients with extremely resorbed maxillae. Experiences and results from the first ten consecutive cases have been analyzed to form the basis for further use of the method. Eight of 57 fixtures placed have been lost to date. Surgical complications, including exposure of the bone transplant, have occurred in three patients. The method should be used with caution, and cases should be meticulously chosen to exclude those who do not have proper motivation to endure the long-lasting and demanding surgical and prosthetic procedures required. The combined use of implants and transplants should not be used routinely until a long-term evaluation of the method and results has been made.