Calvarial bone grafts in severe maxillary atrophy: preprosthetic surgery with sedation

PURPOSE:This is a technique report of cranial bone harvesting for severe maxillary atrophy without general anesthesia.MATERIALS:A patient of Class VI by Cawood and Howell underwent 2 extensive bilateral sinus lifts with 5 cortical blocks with sedation only.RESULTS:The reconstruction made possible the placement of 8 Brånemark implants. The operation was performed as a day-hospital with a faster clinical and social recovery.CONCLUSIONS:This technique, by avoiding general anesthesia, makes calvarial bone grafting more comfortable for the patient and comparable to an intraoral harvest with less complications.