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Soft tissue expansion before vertical ridge augmentation: Inflatable silicone balloons or self-filling osmotic tissue
Prasad Vijayrao Dhadse1, Ramareddy Krishnarao Yeltiwar2, Manohar Laxmanrao Bhongade1
1Department of Periodontics, Sharad Pawar Dental College (DMIMSU), Sawangi (M), Wardha, Maharashtra, India.
Journal of Indian Society of Periodontology
|September 12, 2014
Summary
Periodontal plastic surgery can reconstruct deficient alveolar ridges for dental implants. Soft tissue expansion using tissue expanders offers a promising method to generate sufficient soft tissue for predictable ridge augmentation and implant success.
Area of Science:
- Periodontal Plastic Surgery
- Dental Implantology
- Tissue Engineering
Background:
- Reconstructing deficient alveolar ridges for dental implants presents significant challenges.
- Current methods often involve autogenous bone grafting or guided bone regeneration (GBR), which can lead to complications like graft exposure or loss.
- Flap transfer techniques may compromise tissue integrity and color match.
Purpose of the Study:
- To evaluate the clinical efficacy of soft tissue expansion (STE) techniques for alveolar ridge augmentation.
- To compare different types of tissue expanders for their ability to generate sufficient soft tissue.
- To assess the potential of STE in improving predictable outcomes for dental implant placement.
Main Methods:
- Review and comparison of distinct soft tissue expander types (inflatable silicone balloons, self-filling osmotic expanders).
- Focus on the generation of excess soft tissue prior to reconstructive surgery.
- Assessment of tissue expansion techniques for alveolar ridge augmentation.
Main Results:
- Soft tissue expansion (STE) can overcome disadvantages associated with traditional reconstructive methods.
- STE provides a predictable method for generating adequate soft tissue for ridge augmentation.
- This excess tissue is a prerequisite for successful dental implant placement.
Conclusions:
- Soft tissue expansion is a promising technique for predictable alveolar ridge augmentation.
- Tissue expanders offer an effective solution for achieving sufficient soft tissue volume.
- STE facilitates successful esthetic and functional rehabilitation with dental implants.

