Mandibular ridge reconstruction: A review of contemporary methods

Reconstruction can be very problematic in the case of mandibular alveolar bone loss, which can also hinder the implant restorative treatment. The aim of the study was to present current views on reconstructing the alveolar part of mandibular bone, which allows the insertion of implants and then the placement of denture. Based on the available literature, the efficacy of various techniques of filling of mandibular bone losses was described and compared. Reconstruction with autogenous bone block graft had been used as a gold standard. Recently, other techniques have appeared that offer better functional and esthetics results. They include reconstruction with allogeneic bone block graft, osteotomy allowing immediate insertion of implants, bone distraction, guided bone regeneration using titanium mesh (Ti-mesh), new techniques using scaffolds (biphasic calcium phosphate, poly-lactide-co-glycolide/tricalcium phosphate, bioresorbable polycaprolactone), Sonic Weld Technique® (Tuttlingen, Germany) using resorbable membrane and pins with polymer lactide acid (PLA), and the tent technique. These abovementioned techniques allow solving the problem of insufficient amount of bone for prosthetic treatment.