Minimal invasiveness in vertical ridge augmentation

Author:

Urban Istvan12,Montero Eduardo34,Sanz‐Sánchez Ignacio34,Palombo David4,Monje Alberto15ORCID,Tommasato Grazia6,Chiapasco Matteo6

Affiliation:

1. Department of Periodontics and Oral Medicine University of Michigan Ann Arbor Michigan USA

2. Private Practice Budapest Hungary

3. ETEP (Etiology and Therapy of Periodontal and Peri‐Implant Diseases) Research Group University Complutense Madrid Spain

4. Section of Postgraduate Periodontology University Complutense Madrid Spain

5. Department of Periodontology Universitat Internacional de Catalunya Barcelona Spain

6. Unit of Oral Surgery, Department of Biomedical, Surgical, and Dental Sciences, A.O. Santi Paolo & Carlo, Dental Clinic University of Milan Milan Italy

Abstract

AbstractVertical ridge augmentation is one of the most challenging procedures in implant dentistry because of the advanced skills required by the operator and the fact that bone augmentation is aimed outside the bony contour, in an environment of reduced blood supply. What is more, the flap management required to ensure soft tissue closure frequently leads to associated comorbidities in terms of swelling and hematomas. For these reasons, and even if autologous onlay block grafts are still the gold standard, new techniques and biomaterials have favored the development of potentially less invasive approaches. The present work evaluates the most recent strategies in vertical ridge augmentation to reduce invasiveness and complications, including diagnostic/treatment planning considerations, surgical techniques, digital tools (eg, customized titanium meshes/membranes or bone blocks), and future trends in the field of tissue engineering and cell therapy.

Publisher

Wiley

Subject

Periodontics

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