The development of microvascular technigues enabling the use of free vascularized bone grafts represents an important advance in the treatment of maxillary defects. The advantages of the fibula are that they offer an abundant supply of tubed bicortical bone for reconstruction of segment defects across the midline, it allows the possibility of subsequent insertion of dental implants. The fibula is considered as the best donor site for long-span reconstruction and offers several advantages compared with ilium, scapula, and radius. The ossointegration has revolutionized the dental rehabilitation, in auddition the use of three dimensional computed tomography and biomodels had made the planning and execution of complex craniomaxillofacial cases more precise. Due to tbe high long term succes (rate of prosthetics restorations with implants more than 90%) inmediate or delayed implants. This tech...

The development of microvascular technigues enabling the use of free vascularized bone grafts represents an important advance in the treatment of maxillary defects. The advantages of the fibula are that they offer an abundant supply of tubed bicortical bone for reconstruction of segment defects across the midline, it allows the possibility of subsequent insertion of dental implants. The fibula is considered as the best donor site for long-span reconstruction and offers several advantages compared with ilium, scapula, and radius. The ossointegration has revolutionized the dental rehabilitation, in auddition the use of three dimensional computed tomography and biomodels had made the planning and execution of complex craniomaxillofacial cases more precise. Due to tbe high long term succes (rate of prosthetics restorations with implants more than 90%) inmediate or delayed implants. This tech...

The calcifying odontogenic cyst (COC) is rare and represents <1% of all odontogenic cysts, it belongs to the lesions known as “ghost cell tumors”, these are a family of lesions that vary in clinical presentation of cyst or solid neoplasia, in their behavior biological from benign to locally aggressive or metastatic, this diversity has generated extensive debate on the classification, terminology, management and prognosis of these pathologies. We present the clinical case of a 17-year-old male patient with a diagnosis of calcifying odontogenic cyst associated with a complex odontoma located in the posterior region of the maxilla, in the literature there are only 27 reported cases of (COC) in that area, he was treated by surgical enucleation, curettage, rotation of the buccal fat pad and placement of titanium mesh to reconstruct the anterior wall of the maxillary sinus. The clinical...