Clinical protocol selection for alveolar ridge augmentation at sites exhibiting slight, moderate, and severe horizontal ridge deficiencies

Vargas, Sarah M.; Pfaff, Aaron S; Bumpers, April P; Wagner, Jennah C.; Retrum, Joseph K; Colamarino, Aaron N; Bunting, Megan E; Wilson, James P.; McDaniel, Carsen R; Herold, Robert W.; Stancoven, Brian W; Lincicum, Adam R

doi:10.1002/cap.10239

Cited by 4 publications

(3 citation statements)

References 59 publications

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“…Variable treatment planning is possible for the proposed implant site in cases with horizontal alveolar bone defects, according to the remaining alveolar bone if there is insufficient spongy bone surrounded by cortical bone for a narrow implant, ridge splitting, spreading, or even distraction osteogenesis cortical lamina technique using autogenous bone considered as one of the reliable augmentation techniques in this situations 1,2 .…”

Section: Introductionmentioning

confidence: 99%

The impact of computer-aided design and manufacturing on the time required for cortical lamina harvesting and positioning for augmentation of atrophic ridges (Randomized clinical trials)

Abo Zekry,

aly,

Shaker

et al. 2024

Egyptian Dental Journal

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Background: When considering computed tomography and the advancement of planning software, it is clear that the digital era has fused with maxillofacial surgery, and computer-aided technology is playing a crucial role in treatment planning to get the best possible outcome with safety and precision. Bone augmentation using autogenous cortical lamina technique is a long procedure, so this study intended to evaluate the duration of surgery operation using a printed casespecific polymer guide VS the conventional technique.Patient and methods: A total of fourteen cases participated in this investigation, seven patients with narrow ridges (control group) cortical lamina from the chin area were harvested and fixed by hand on, whereas the rest of the cases underwent the same operation utilizing computer-aided two case-specific guides(for lamina harvesting and second guide for positioning). Results:The mean operation duration (min.) in the intervention group was (149.57±27.26), in comparison to (153.86±32.15) in the control group, with no significant difference between groups (p=0.793) Conclusion:This study demonstrated the effectiveness of computer-assisted bone grafting for augmenting atrophic ridges however, with insignificant effect on the operation time.

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Section: Introductionmentioning

confidence: 99%

The impact of computer-aided design and manufacturing on the time required for cortical lamina harvesting and positioning for augmentation of atrophic ridges (Randomized clinical trials)

Abo Zekry,

aly,

Shaker

et al. 2024

Egyptian Dental Journal

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“…Bone grafting is a common procedure in dental medicine used in various situations. Some common clinical dental medical procedures in which bone grafts are needed are dental implants, ridge augmentation, sinus lift, socket preservation, and periodontal surgery [3][4][5][6][7][8]. Dental implants are artificial tooth roots that are placed into the jawbone to support dental prosthetics, such as crowns, bridges, or dentures.…”

Section: Introductionmentioning

confidence: 99%

“…Ridge augmentation is a procedure in which bone grafts are used to rebuild and restore the height and width of the jawbone ridge. This procedure may be performed to create a suitable foundation for dental implants or to improve the appearance of the gumline [8]. The maxillary sinuses are air-filled spaces located above the upper jawbone.…”

Section: Introductionmentioning

confidence: 99%

Bone Grafts in Dental Medicine: An Overview of Autografts, Allografts and Synthetic Materials

Ferraz

2023

Materials

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This review provides an overview of various materials used in dentistry and oral and maxillofacial surgeries to replace or repair bone defects. The choice of material depends on factors such as tissue viability, size, shape, and defect volume. While small bone defects can regenerate naturally, extensive defects or loss or pathological fractures require surgical intervention and the use of substitute bones. Autologous bone, taken from the patient’s own body, is the gold standard for bone grafting but has drawbacks such as uncertain prognosis, surgery at the donor site, and limited availability. Other alternatives for medium and small-sized defects include allografts (from human donors), xenografts (from animals), and synthetic materials with osteoconductive properties. Allografts are carefully selected and processed human bone materials, while xenografts are derived from animals and possess similar chemical composition to human bone. Synthetic materials such as ceramics and bioactive glasses are used for small defects but may lack osteoinductivity and moldability. Calcium-phosphate-based ceramics, particularly hydroxyapatite, are extensively studied and commonly used due to their compositional similarity to natural bone. Additional components, such as growth factors, autogenous bone, and therapeutic elements, can be incorporated into synthetic or xenogeneic scaffolds to enhance their osteogenic properties. This review aims to provide a comprehensive analysis of grafting materials in dentistry, discussing their properties, advantages, and disadvantages. It also highlights the challenges of analyzing in vivo and clinical studies to select the most suitable option for specific situations.

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Morphological and Radiological Aspects of Mandibular Bone Remodelling After Activated Chitosan Implantation

Chelpanova

2024

Act. Probl. of the Modern Med.

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Introduction. Bone regeneration remains a complex and challenging area for modern medicine. This study aims to provide a comprehensive understanding of the dynamics of bone tissue remodeling after defect creation and filling with chitosan-based osteoplastic material. While osteoplastic materials are widely used clinically, and chitosan offers unique properties, its impact on maxillofacial bone regeneration, particularly the underlying mechanisms and dynamics, is not fully understood and requires further clarification and detailed investigation. Aim: this study aims to determine and compare the morphological, radiological, and lectin-histochemical characteristics of osteoregeneration after the transplantation of activated chitosan (Chitosan-A) into an experimental defect in the rabbit mandible. Materials and methods. The study was carried out on mature male rabbits aged 6-7 months, weighing 2.5-3 kg. The control group included animals with a bone tissue defect that healed under a blood clot. The experimental group consisted of rabbits in which the bone defect was filled with activated chitosan (Chitosan-A). The post-traumatic state of bone tissue in the defect area was monitored over a period of 84 days using the following methods: bone defect modeling, assessment of jaw macrostructure, radiographic examination, radiovisiography, microscopic analysis of bone sections, and lectin-histochemical analysis of decalcified bone sections. Results. Examination of the macrostructure of the experimental bone defect in the rabbit mandible, following the implantation of chitosan activated with acetic acid (Chitosan-A) into the defect cavity, revealed extensive regenerative changes associated with injury recovery. These findings correlated with data obtained from radiographic and radiovisiographic examinations. Microscopic analysis of bone sections demonstrated a staged progression of regenerative changes and provided insights into the composition of the regenerate. Conclusions. The use of Chitosan-A was shown to modulate tissue development and remodeling throughout the experiment. Bone density in the experimental group approached normal levels, being only 10.2% lower than in the control group at the end of the study. Microscopic examination revealed bone tissue remodeling with incomplete geometry of newly formed osteons and residual traces of the Chitosan-A material.

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Clinical protocol selection for alveolar ridge augmentation at sites exhibiting slight, moderate, and severe horizontal ridge deficiencies

Cited by 4 publications

References 59 publications

The impact of computer-aided design and manufacturing on the time required for cortical lamina harvesting and positioning for augmentation of atrophic ridges (Randomized clinical trials)

The impact of computer-aided design and manufacturing on the time required for cortical lamina harvesting and positioning for augmentation of atrophic ridges (Randomized clinical trials)

Bone Grafts in Dental Medicine: An Overview of Autografts, Allografts and Synthetic Materials

Morphological and Radiological Aspects of Mandibular Bone Remodelling After Activated Chitosan Implantation

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