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Background: To develop a systematic review by assessing and comparing the different complications that occurs
in bone graft surgery using the mandibular body, ramus and symphysis as donor sites.
Material and Methods: In order to respond to the following question, a systematic review was developed: does the
use of intraoral mandibular body and ramus as donor sites in bone graft surgery, produce fewer and less severe
complications in comparison to the use of the mandibular symphysis in patients that present bone resorption that
needs augmentation using autologous grafts? The review was carried out between January 1990 and 2015, during
which only clinical essays with a minimum follow-up period of six months were included.
Results: The initial search yielded a total of 2912 articles, of which 6 were finally selected. In total, 259 graft surgeries
were performed; 118 using the mandibular body and ramus as donor sites, and 141, the symphysis. The most
frequent complications that arose when using the mandibular symphysis were temporary sensory alterations in the
anterior teeth (33.87%), followed by sensory alterations of the skin and mucosa (18.57%). As for the mandibular
body and ramus donor sites, the most frequent complications relate to temporary sensory alterations of the mucosa
(8.19%) and to minor postoperative bleeding (6.55%).
Conclusions: The analyzed results show a higher prevalence and severity of complications when using mandibular
symphysis bone grafts, producing more discomfort for the patient. Therefore, it would be advisable to perform
further clinical essays due to the lack of studies found
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