Bone grafting and Le fort I osteotomy in cases of major atrophy of the maxilla

International audience; Major atrophies of the maxilla remain a challenge when reconstructions have to be performed to achieve an easy implant insertion. Many solutions have been proposed including onlay grafting and sinus lift procedures. The Le fort I procedure was proposed several times in the past but the reconstruction was carried out using cancellous bone or biomaterials. A new technique which combines the Le fort I procedure with bone grafting harvested from the parietal bone is discussed in this chapter.