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Vertical ridge augmentation: what is the limit?

C Tinti1, S Parma-Benfenati, G Polizzi

  • 1Department of Periodontology, University of Ferrara Dental School, Italy.

The International Journal of Periodontics & Restorative Dentistry
|June 1, 1996
PubMed
Summary
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This study demonstrates significant vertical bone growth exceeding 4mm on partially edentulous ridges using autogenous bone grafts and titanium-reinforced Gore-Tex augmentation membranes (TR-GTAM). Successful bone regeneration averaged 4.95mm, highlighting a viable technique for ridge augmentation.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Periodontology
  • Regenerative Dentistry

Background:

  • Partially edentulous ridges present challenges for dental implant placement.
  • Vertical bone augmentation is crucial for successful prosthetic rehabilitation.

Purpose of the Study:

  • To evaluate the potential for significant vertical bone apposition exceeding 4mm on partially edentulous ridges.
  • To assess the efficacy of autogenous bone grafts combined with titanium-reinforced Gore-Tex augmentation membranes (TR-GTAM) for ridge augmentation.

Main Methods:

  • Six partially edentulous patients received dental implants (Branemark System).
  • Autogenous bone grafts were placed around exposed implant threads.
  • Titanium-reinforced Gore-Tex augmentation membranes (TR-GTAM) were used to cover the grafts.

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  • Histologic biopsies were performed after a 12-month healing period.

    • Main Results:

    • An average vertical bone augmentation of 4.95mm was achieved.
    • In 4 out of 5 cases with intact membranes, bone regeneration filled the space, with 3 cases showing over 5mm of new bone.
    • The single case with membrane exposure resulted in no significant regenerative tissue.

    Conclusions:

    • Autogenous bone grafting combined with TR-GTAM is a predictable method for achieving substantial vertical bone augmentation.
    • Maintaining membrane integrity is critical for successful bone regeneration in this technique.
    • This approach offers a viable solution for enhancing bone volume in atrophic alveolar ridges.