Block Grafts: Complete Decortications Necessary?

Posted in advice Bone Grafting Regenerative Products

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Anon. asks:
I am going to do a cortico-cancellous block graft in the anterior mandible. Is complete decortications of the recipient site absolutely necessary? Or can I just drill some holes at the recipient site through the cortical bone into the cancellous bone? I do not want to compromise the chance for success of the graft. When I first learned how to do block grafts, decortications was routine. Now some approaches are more conservative. What is everybody doing and what recommendations do you have.

One Response to Block Grafts: Complete Decortications Necessary?

  1. Dr. MM says:

    complete decortication is not necessary, holes through the corical plate are sufficient, primary closure is a must. good luck