Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology - 03/04/19

Doi : 10.1016/j.coms.2019.01.005

Len Tolstunov, DDS, DMD ^a,^b,^c,^⁎ , John F. Eric Hamrick, DMD ^d,^e, Vishtasb Broumand, DMD, MD ^f,^g, Dekel Shilo, DMD, PhD ^h,^i,^j, Adi Rachmiel, DMD, PhD ^h,^i,^j
^a Oral and Maxillofacial Surgery Private Practice, San Francisco, CA, USA
^b Oral and Maxillofacial Surgery, University of the Pacific, School of Dentistry, San Francisco, CA, USA
^c Oral and Maxillofacial Surgery, University of California San Francisco, School of Dentistry, San Francisco, CA, USA
^d Private Periodontal Practice, Greenville, SC, USA
^e Department of Periodontics, Medical University of Southern Carolina, School of Dentistry, Greenville, SC, USA
^f Oral and Maxillofacial Surgery Private Practice, Phoenix, AZ, USA
^g Department of Oral and Maxillofacial Surgery, University of Florida College of Dentistry, Gainesville, FL, USA
^h Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel
ⁱ Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
^j Rambam Health Care Campus, 8 Ha’Aliyah Street, PO Box 9602, Haifa 3109601, Israel

^∗Corresponding author. 1 Daniel Burnham Court, Suite 366C, San Francisco, CA 94109, USA.1 Daniel Burnham CourtSuite 366CSan FranciscoCA94109USA

Résumé

Bone deficiency is the major obstacle in implant dentistry. Guided bone regeneration (GBR) with particulate bone and barrier membranes has been the primary surgical technique used to regenerate alveolar bone for dental implant therapy. This procedure has been used in implant dentistry for more than 30 years and continues to be developed and refined for more predictable surgical outcomes. This article reviews GBR and alternative ride expansion procedures and reviews the use of various particulate graft materials. Alveolar distraction osteogenesis, used as an augmentation technique, is also presented.

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Keywords : Guided bone regeneration, Alveolar ridge split, Block grafting, Osteoperiosteal flap, Distraction osteogenesis, Bone augmentation, Ridge expansion