Tórus mandibular como enxerto ósseo autógeno para instalação de implantes osseointegrados: uma revisão sistemática
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Keywords

Implante Dentário, Enxerto Ósseo, Exostoses, Aumento do Rebordo Alveolar.

How to Cite

CRISTINA CIPRIANO DE CARVALHO, L., SOUSA, M. E. B. D., SOUSA, I. A. D., BRAZ, R. D. S., SILVA, A. K. D. S., & FIALHO, A. C. V. (2024). Tórus mandibular como enxerto ósseo autógeno para instalação de implantes osseointegrados: uma revisão sistemática. Brazilian Journal of Implantology and Health Sciences, 6(4), 1558–1570. https://doi.org/10.36557/2674-8169.2024v6n4p1558-1570

Abstract

Introduction: The loss of dental elements leads to alveolar changes through a progressive and
chronic process of bone resorption, affecting the installation of osseointegrated implants and
consequently their functional and aesthetic success, often requiring bone grafting in these
atrophic areas. The use of mandibular torus as an autogenous graft has an excellent prognosis
due to its properties that are compatible with the recipient area, in addition to having a
shorter clinical time and lower cost. Objective: To analyze the literature on the use of bone
graft derived from mandibular torus as a donor source for reconstruction of atrophic areas
with a view to installing osseointegrated implants. Methodology: An systematic review was
carried out in order to analyze the literature on the use of bone graft derived from mandibular
torus as a donor source for reconstruction of atrophic area aiming at the installation of
osseointegrated implants. Scientific articles without language restrictions were searched in
three electronic databases: PubMed, Google Scholar and VHL, using the descriptors ''Dental
Implant'', ''Bone Graft'', ''Exostoses'', ''Alveolar Ridge Augmentation '', searched using the
Boolean operator “AND''. Results: A total of 13 articles were included in the final analysis.
Twenty-four patients underwent removal of the mandibular torus and its use as an
autogenous graft to increase the alveolar ridge. No patient had surgical complications or
immunological rejection. Twenty-two patients were followed to confirm new bone formation,
through imaging exams and histological analysis, with bone formation with histological
characteristics and density similar to native bone. Finally, a total of nine implants were
installed in the bone graft region, without presenting failures in osseointegration or
pathological bone resorption. Conclusion: The use of the mandibular torus as an autograft is
viable for increasing the alveolar ridge, being a safe and effective alternative. Bone
neoformation and density after grafting presented characteristics similar to native bone,
contributing to future rehabilitation with osseointegrated implants.

https://doi.org/10.36557/2674-8169.2024v6n4p1558-1570
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References

Ganz SD. Mandibular tori as a source for onlay bone graft augmentation: A surgical

procedure. Practical Periodontics and Aesthetic Dentistry: PPAD 1997; 9(9),973–982; quiz

Bosshart DD, Schenk RK. Base biológica da regeneração óssea. In: 20 anos de regeneração

óssea guiada na implantodontia. São Paulo: Quintessence; 2010. Cap. 2, p. 15-45.

Peterson LJ, Ellis E III, Hupp JR, Tucker MR. Princípios de Cirurgia. 3ª edição. Rio de Janeiro:

Guanabara Koogan; 2013.

Alves RTC, Silva LA, Figueiredo ML, Ribeiro ED, Silva JSP, Germano AR. Intraoral autogenous

bone grafts in implantology: a retrospective study. Rev Cir Traumatol Buco-Maxilo-Fac

[Internet]. 2014 [cited 2024];14(4):09-16.

Puttaswamaiah RN, Galgali SR, Gowda VS. Exostosis: a donor site for autograft. Indian J Dent

Res. 2011;22(6):860-862.

Fragoso LNM, Silva RM, Flores NC, Lucena ALM, Florestino VGB, Almeida Neto LFA et al. Use

of mandibular torus for partial reconstrution of mandibular trophic jaw – case report.

Research, Society and Development 2020; 9(7): 1-17.

Karaca IKR, Ozturk DN, Akinci HO. Mandibular Torus Harvesting for Sinus Augmentation:

Two-Year Follow Up. Maxillofac. Oral Surgery 2019; 18(1) 61-4.

Neiva RF, Neiga GF, Wang HL. Utilization of mandibular tori for alveolar ridge augmentation

and maxillary sinus lifting: A case report. Quintessence Int 2006; 37(2): 131-7.

Monteiro HCC, Cecato RC. Levantamento de seio maxilar com osso particulado de torus

mandibular: relato de caso com análise histológica. ImplantNews. 2015:227-233.

Hassan KS, Al-Agal A, Abdel-Hady AI, Swelam WM, Elgazzar RF. Mandibular tori as bone

grafts: an alternative treatment for periodontal osseous defects - clinical, radiographic and

histologic morphology evaluation. J Contemp Dent Pract. 2015;16(3):192-200.

Redor MLS, Zhang R, Wongsirichat N, Srisatjaluk RL, Chaiyasamut T, Seriwatanachai

D. Physicochemical properties of torus mandibularis and palatinus indicate a source of

autogenous bone graft. Open Dentistry Journal. 2021;15(1):357-365.

Rastogi K, Verma SK, Bhushan R. Surgical removal of mandibular tori and its use as an

autogenous graft. BMJ Case Rep. 2013 Apr 18;2013:bcr2012008297.

Santhanakrishnan M, Rangarao S. Mandibular Tori: A source of autogenous bone graft. J

Indian Soc Periodontol 2014; 18:767-71.

Jeff Wang CW, Bruce Huang CH, Grossman SH, Pourati J. Vertical Ridge Augmentation With

Mandibular Lingual Torus Block Graft. J Oral Implantol. 2016;42(4):369-372.

Cantillo Pallares O, Benedetti Angulo G, Simancas Pallares M. Injerto óseo en bloque usando

como donante torus mandibular. Reporte de caso. Salud Uninorte [Internet].

;30(2):245-251

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Copyright (c) 2024 LARA CRISTINA CIPRIANO DE CARVALHO, MARIA EDUARDA BELCHIOR DE SOUSA, ISABELA ALENCAR DE SOUSA, RAYSSA DE SOUSA BRAZ, ANA KAROLINE DOS SANTOS SILVA, ANA CRISTINA VASCONCELOS FIALHO