Autogenous cancellous bone grafting is a common procedure in implant surgery. A satisfactory amount of autogenous cancellous bone graft can be obtained to reconstruct a severely atrophic maxilla. The most commonly used site for harvesting sufficient bone is the extraoral region, i. e., the iliac crest; however, open harvesting in this area usually results in many postoperative complications. To minimize these complications, tibial bone is used as an alternative source of sufficient bone. Tibial

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... bone can be harvested with the patient under local anesthesia and intravenous sedation, without general anesthesia. A curette is used to harvest the graft at the lateral slope of the tibial tuberosity, there by obtaining 5g of autogenous bone. Advantages of this technique include a shorter operation time and less blood loss than conventional procedures. No major postoperative complications occurred with this technique.