Table 1.
Reconstruction Strategy | Autologous Grafts | Autologous Free Tissue Flaps | Alloplastic Permanent Prostheses | Alloplastic Synthetic Grafts |
---|---|---|---|---|
Advantages | • Possess endogenous osteoinductive / osteoconductive factors • Consist of relatively simple procedure |
• Established as current gold standard • Result in vascularized tissue |
• Result in no donor site morbidity • Have capability of fully recapitulating defect geometry |
• Result in no donor site morbidity • Are available in different ceramic compositions |
Disadvantages | • Result in donor site morbidity • Lack vasculature • Are appropriate only for small defects |
• Result in donor site morbidity • Give rise to increased operation room time • Are technically demanding |
• Demonstrated to have high risk of infection • Often result in poor soft tissue integration • Carry potential risk of extrusion |
• Lack vasculature • Prediction of resorption rates is difficult |