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The Poncho Lamina Technique: A Protocol for Hard and Soft Tissue Augmentation in Atrophic Ridges Receiving Adjacent
Alexander Tzovairis1, Marius Leretter2, Bart Vandenberghe3
1Private Practice, 1040 Brussels, Belgium.
Medicina (Kaunas, Lithuania)
|November 25, 2023
Summary
This study introduces a novel, less-invasive biphasic protocol for bone and soft tissue augmentation in dental implant therapy, reducing treatment time and invasiveness. The new method achieved optimal soft tissue and significant bone gains in early results.
Area of Science:
- Oral and Maxillofacial Surgery
- Periodontology
- Dental Implantology
Background:
- Current guidelines for bone and soft tissue augmentation in implant therapy recommend staged surgical workflows.
- These traditional methods are often lengthy, invasive, and can lead to scar tissue formation.
Observation:
- A novel, fast, and less-invasive biphasic protocol was developed using a cortical barrier on healing screws, replaced by customized abutments in an early second stage.
- Two case studies, one in the maxilla and one in the mandible, involved four implants.
Findings:
- Postoperative results at 4 months showed optimal soft tissue configuration, adequate cervical profile, and sufficient supracrestal complex height.
- Significant bone gains were confirmed using cone-beam computed tomography (CBCT) data, including alveolar width measurements and 3D bone volume segmentation.
Implications:
- This biphasic protocol offers a potentially faster and less invasive alternative to traditional staged procedures in regenerative implant therapy.
- The findings suggest improved aesthetic and functional outcomes with reduced patient morbidity.

