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Related Experiment Videos

Interventions for replacing missing teeth: bone augmentation techniques for dental implant treatment.

M Esposito1, M G Grusovin, H V Worthington

  • 1School of Dentistry, University of Manchester, Oral and Maxillofacial Surgery, Higher Cambridge Street, Manchester, UK, M15 6FH. espositomarco@hotmail.com

The Cochrane Database of Systematic Reviews
|January 27, 2006
PubMed
Summary

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Bone augmentation techniques for dental implants vary in effectiveness. While some bone substitutes show promise, evidence for major bone grafting and specific augmentation procedures remains inconclusive, highlighting the need for further research.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Dental Implantology

Background:

  • Adequate bone volume is crucial for dental implant stability and success.
  • Bone augmentation procedures are essential for patients with insufficient bone for implant placement.
  • A range of materials and surgical techniques exist for bone augmentation in dentistry.

Purpose of the Study:

  • To compare the success, function, morbidity, and patient satisfaction of different bone augmentation techniques for dental implants.
  • To determine the necessity and optimal timing of augmentation procedures.
  • To identify the most effective augmentation technique for specific clinical indications, including major bone defects, extraction sockets, and fenestrated implants.

Main Methods:

  • A systematic review of randomized controlled trials (RCTs) was conducted.

Related Experiment Videos

  • Searches included Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE, and EMBASE, with hand-searched journals and company contact.
  • Data extraction and quality assessment were performed independently by two reviewers; results were analyzed using random-effects models.

    • Main Results:

    • Thirteen RCTs involving 330 patients were included.
    • No meta-analysis was possible due to the heterogeneity of techniques evaluated.
    • Studies examined vertical/horizontal augmentation, implants in extraction sockets, and fenestrated implants, with varying outcomes reported.

    Conclusions:

    • Major bone grafting for severely resorbed mandibles may not be clinically justified.
    • Bone substitutes show potential for sinus lifts, and both guided bone regeneration and distraction osteogenesis can augment bone vertically, though efficiency comparisons are lacking.
    • The necessity and efficacy of augmentation for immediate implants in extraction sockets and around fenestrated implants remain unclear; some techniques showed improved soft tissue outcomes or bone regeneration, but clinical benefit is uncertain.