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Localized ridge augmentation/preservation. A systematic review.

Joseph P Fiorellini1, Marc L Nevins

  • 1Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts, USA. joseph_fiorellini@hsdm.harvard.edu

Annals of Periodontology
|February 20, 2004
PubMed
Summary
This summary is machine-generated.

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Dental implants show high survival rates after guided bone regeneration (GBR) or distraction osteogenesis (DO). These success rates are comparable to implants placed in native bone, offering effective solutions for ridge augmentation.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Osseointegrated dental implants are effective but require sufficient bone volume for placement.
  • Insufficient bone volume can contraindicate implant placement, necessitating ridge enhancement therapies.
  • Guided bone regeneration (GBR) and distraction osteogenesis (DO) are established ridge augmentation techniques.

Purpose of the Study:

  • To evaluate dental implant survival rates in patients who underwent ridge augmentation or preservation techniques.
  • To compare implant survival and adverse effects between localized ridge preservation and implant placement without augmentation.

Main Methods:

  • A systematic review of the literature was conducted using MEDLINE and the Cochrane Oral Health Group Specialized Trial Register.

Related Experiment Videos

  • Hand searches of key dental implant and periodontology journals were performed for articles published up to April 2002.
  • Included studies reported dental implant survival rates following ridge therapy; technique descriptions alone were excluded.

    • Main Results:

    • Eighteen studies were included: 13 on GBR (1,741 patients) and 5 on DO (92 patients).
    • Predictable high implant survival rates were observed in sites treated with GBR or DO.
    • These survival rates were comparable to those of implants placed in native bone.

    Conclusions:

    • Guided bone regeneration and distraction osteogenesis demonstrate high and predictable dental implant survival rates.
    • The survival rates achieved with GBR and DO are similar to those of implants placed in native bone.
    • Ridge augmentation techniques like GBR and DO are viable options for patients with insufficient bone volume.