Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology

Len Tolstunov; John F Eric Hamrick; Vishtasb Broumand; Dekel Shilo; Adi Rachmiel

doi:10.1016/j.coms.2019.01.005

Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology

Oral Maxillofac Surg Clin North Am. 2019 May;31(2):163-191. doi: 10.1016/j.coms.2019.01.005.

Authors

Len Tolstunov¹, John F Eric Hamrick², Vishtasb Broumand³, Dekel Shilo⁴, Adi Rachmiel⁴

Affiliations

¹ Oral and Maxillofacial Surgery Private Practice, San Francisco, CA, USA; Oral and Maxillofacial Surgery, University of the Pacific, School of Dentistry, San Francisco, CA, USA; Oral and Maxillofacial Surgery, University of California San Francisco, School of Dentistry, San Francisco, CA, USA. Electronic address: tolstunov@yahoo.com.
² Private Periodontal Practice, Greenville, SC, USA; Department of Periodontics, Medical University of Southern Carolina, School of Dentistry, Greenville, SC, USA.
³ Oral and Maxillofacial Surgery Private Practice, Phoenix, AZ, USA; Department of Oral and Maxillofacial Surgery, University of Florida College of Dentistry, Gainesville, FL, USA.
⁴ Department of Oral and Maxillofacial Surgery, Rambam Medical Care Center, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel; Rambam Health Care Campus, 8 Ha'Aliyah Street, PO Box 9602, Haifa 3109601, Israel.

PMID: 30947846
DOI: 10.1016/j.coms.2019.01.005

Abstract

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.

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

Publication types

Review

MeSH terms

Alveolar Bone Loss / surgery*
Alveolar Process
Alveolar Ridge Augmentation / methods*
Bone Transplantation / methods*
Dental Implantation, Endosseous
Guided Tissue Regeneration, Periodontal / methods*
Humans
Osteogenesis, Distraction / methods