A two-stage procedure for reimplantation of autogenous freeze-treated mandibular bone.

A one-stage procedure for reimplantation of autogenous freeze-treated unaugmented mandibular bone is at risk of infection and slow union from dehiscence of intraoral incisions. A two-stage method is described, which attempts to overcome these problems. Reimplantation of bone is delayed until intraoral healing has taken place. The bone segment is augmented with autogenous cancellous bone chips to improve its reactivity and potential for union. In addition, nerve reanastomosis is undertaken. Two clinical cases with successful outcomes are described.