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Indications for Simultaneous Implantation and Bone Augmentation Using the Allograft Bone Ring Technique.

Robert J Miller, Randi J Korn, Ross J Miller

    The International Journal of Periodontics & Restorative Dentistry
    |April 2, 2020
    PubMed
    Summary

    This study introduces a new method for dental bone augmentation using a custom bone graft ring. This technique allows for simultaneous implant placement and bone regeneration, improving outcomes for deficient jawbone sites.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Periodontology
    • Dental Implantology

    Background:

    • Dental implant therapy frequently necessitates bone augmentation for stable placement and predictable results.
    • Guided bone regeneration (GBR) traditionally uses barrier membranes to direct tissue growth in sites with insufficient bone volume.
    • GBR and implant placement can be performed in one or two surgical stages.

    Purpose of the Study:

    • To present a novel simultaneous approach for dental bone augmentation and implant placement.
    • To describe the use of a custom-milled cancellous allograft bone ring stabilized by the dental implant.
    • To outline indications for this technique, including sinus deficiencies and various bone wall defects.

    Main Methods:

    • Utilizing a custom-milled cancellous allograft bone ring for bone augmentation.
    • Stabilizing the allograft bone ring through graft preparation and the apical threads of the dental implant.
    • Performing simultaneous implant placement with bone augmentation in a single surgical procedure.

    Main Results:

    • The described method facilitates simultaneous implant placement and bone augmentation.
    • The custom bone ring provides stability and promotes regeneration in deficient sites.
    • The technique is applicable to sinus augmentation and defects with one to four bone walls.

    Conclusions:

    • A novel simultaneous approach using a custom allograft bone ring offers a predictable method for bone augmentation and dental implant placement.
    • This technique simplifies treatment by combining bone regeneration and implant surgery into one stage.
    • The method is suitable for a range of bone deficiencies, enhancing treatment options for complex implant cases.