Minimal invasiveness in vertical ridge augmentation

Periodontol 2000. 2023 Feb;91(1):126-144. doi: 10.1111/prd.12479. Epub 2023 Jan 26.

Abstract

Vertical ridge augmentation is one of the most challenging procedures in implant dentistry because of the advanced skills required by the operator and the fact that bone augmentation is aimed outside the bony contour, in an environment of reduced blood supply. What is more, the flap management required to ensure soft tissue closure frequently leads to associated comorbidities in terms of swelling and hematomas. For these reasons, and even if autologous onlay block grafts are still the gold standard, new techniques and biomaterials have favored the development of potentially less invasive approaches. The present work evaluates the most recent strategies in vertical ridge augmentation to reduce invasiveness and complications, including diagnostic/treatment planning considerations, surgical techniques, digital tools (eg, customized titanium meshes/membranes or bone blocks), and future trends in the field of tissue engineering and cell therapy.

Keywords: dental implants; guided bone regeneration; systematic search; vertical bone augmentation.

Publication types

  • Review

MeSH terms

  • Alveolar Ridge Augmentation* / methods
  • Biocompatible Materials
  • Bone Regeneration
  • Bone Transplantation / methods
  • Dental Implantation, Endosseous / methods
  • Dental Implants*
  • Humans

Substances

  • Dental Implants
  • Biocompatible Materials