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Surgical solutions to prosthetic problems

D G Smiler1

  • 1Center of Dental Implants of Southern California, Encino.

The Journal of Dental Symposia
|August 1, 1993
PubMed
Summary

Bone grafting procedures like sinus lifts and split cortical grafts can augment jawbone height, enabling dental implant placement. These techniques address limitations posed by the maxillary sinus and inferior alveolar canal for better implant outcomes.

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Dental implantology update·1995

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Bone Grafting Techniques

Background:

  • Dental implant placement in the mandible and maxilla is often restricted by insufficient bone height.
  • Anatomical structures such as the maxillary sinus, nasal floor, and inferior alveolar canal limit bone availability.
  • Lack of adequate bone volume compromises the stability and success of endosseous implants.

Purpose of the Study:

  • To review and discuss surgical grafting procedures for maxillary and mandibular bone augmentation.
  • To enable the placement of endosseous dental implants in areas with limited bone height.
  • To describe techniques for increasing bone volume in the anterior and posterior maxilla.

Main Methods:

  • Discussion of the sinus lift and graft procedure for maxillary augmentation.
  • Explanation of the split cortical (or sandwich) graft technique.
  • Description of the onlay graft procedure for anterior and posterior maxilla.
  • Detailing the repositioning and protection of the neurovascular bundle.

Main Results:

  • These surgical grafting procedures effectively add bone to the maxilla.
  • The described techniques allow for the placement of endosseous implants in previously unsuitable areas.
  • Protection of the neurovascular bundle is crucial for successful implant surgery.

Conclusions:

  • Surgical bone grafting techniques provide viable solutions for overcoming bone height limitations in dental implantology.
  • Sinus lifts, split cortical grafts, and onlay grafts are effective for maxillary and mandibular augmentation.
  • These procedures facilitate predictable endosseous implant placement, improving treatment options for patients.

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