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Ridge augmentation in implant dentistry.

Young-Kyun Kim1,2,3, Jeong-Kui Ku4,5

  • 1Editor-in-Chief of J Korean Assoc Oral Maxillofac Surg, Seongnam, Korea.

Journal of the Korean Association of Oral and Maxillofacial Surgeons
|July 2, 2020
PubMed
Summary

Dental implant success requires adequate bone volume. Ridge augmentation techniques, using bone substitutes or autogenous bone, can address insufficient bone height and width, but require careful patient consent due to potential complications.

Keywords:
Autogenous boneComplicationsRidge augmentation

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Regenerative Medicine

Background:

  • Successful dental implant placement requires sufficient bone height and width.
  • Insufficient bone volume presents challenges in achieving ideal implant pathways and avoiding anatomical structures.
  • Vertical and horizontal ridge augmentation are common procedures to address bone deficiencies.

Purpose of the Study:

  • To summarize current evidence-based literature on ridge augmentation techniques for dental implants.
  • To discuss the selection of bone substitute materials, including autogenous bone.
  • To emphasize principle-based surgical approaches and patient consent for ridge augmentation procedures.

Main Methods:

  • Review of current evidence-based literature.
  • Integration of authors' clinical experience.
  • Discussion of bone substitute materials and graft procedures.
  • Focus on minimizing complications in ridge augmentation surgery.

Main Results:

  • Effective one-wall reconstruction remains challenging due to poor blood supply and graft instability.
  • Selection of appropriate bone substitutes, such as autogenous bone, is advantageous.
  • Principle-based surgical techniques are crucial for minimizing complications.
  • Patient consent is essential, acknowledging potential disadvantages and unpredictable prognosis.

Conclusions:

  • Ridge augmentation is a viable option for patients with insufficient bone for dental implants.
  • Careful selection of bone graft materials and adherence to surgical principles are key to successful outcomes.
  • Informed patient consent is paramount due to the inherent risks and uncertainties associated with the procedure.