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Use of Human Perivascular Stem Cells for Bone Regeneration

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Digital Evaluation of Vertical Ridge Augmentation with the Modified Shell Technique Using a Xenogeneic Bone Lamina: A

Arndt Happe¹, Sarah M Blender¹, Ralph G Luthardt¹

¹Department of Prosthetic Dentistry, Center of Dentistry University of Ulm, 89081 Ulm, Germany.

Journal of Clinical Medicine

|November 25, 2023

Summary

This study presents a modified shell technique for vertical bone augmentation using a porcine xenograft. The novel approach successfully achieved significant vertical ridge height increase, providing adequate bone for dental implants.

Keywords:

3D evaluation Boolean operation CBCT bone lamina modified shell technique vertical bone augmentation

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Area of Science:

Oral and Maxillofacial Surgery
Regenerative Dentistry
Dental Implantology

Background:

Vertical ridge augmentation is crucial for dental implant success but technically challenging.
Traditional methods often involve autogenous bone grafts, which have limitations.
A novel modification of the shell technique using a porcine xenograft was investigated.

Observation:

Cone beam computed tomography (CBCT) scans were used to analyze six patients with single-tooth class 5 defects.
A modified shell technique replaced cortical bone plates with a partially demineralized porcine xenograft lamina.
The augmentation utilized the xenograft in combination with particulate bone from the mandibular ramus.

Findings:

The modified shell technique resulted in a mean vertical ridge height gain of 8.97 mm (range: 7–11.3 mm).
The mean grafted volume, including the xenograft, was 382.59 mm³.
The xenograft contributed significantly to the augmented bone volume.

Implications:

This modified shell technique offers a viable alternative for vertical bone augmentation in the anterior maxilla.
The use of porcine xenograft demonstrates potential for predictable bone regeneration in implant dentistry.
Sufficient bone volume was achieved for successful single-tooth implant restorations.