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Vertical and Horizontal Ridge Augmentation
Istvan Urban DMD, MD, PhD
- Assistant Professor, Graduate Program Implant Dentistry, Loma Linda University
- Private practice, emphasis in implant reconstructive surgery, Budapest, Hungary
Vertical and horizontal augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications. Patient selection, patient preparation for surgery, precise surgical techniques and post-operative management are the key factors in reducing the rate of bone graft complications.
To predictably achieve successful bone augmentation angiogenesis, clot stability and space maintenance should be employed. In an attempt to achieve wound closure and hence graft stability, the buccal mucosa are often broadly released. This often results in a severe apical translocation of the mucogingival line, loss of vestibule and keratinized mucosa (KM).
The detailed surgical anatomy of the floor of the mouth, the Modified Lingual Flap as well as the technique for protecting the mental nerve will be presented in detail.
Recent research of the Sausage Technique™ as well as minimally invasive soft tissue reconstruction will be presented.
Utilizing these procedures may lessen the need of harvested autogenous bone and may generally lead to decreased morbidity, and therefore increased patient comfort and satisfaction associated with these regenerative procedures.
At completion of this presentation, participants should be able to:
- Understand the biology of the incorporation of the bone grafts
- Describe the surgical anatomy of the floor of the mouth
- Identiry the surgical principles of ridge augmentation surgery
- Apply the surgical principles of the reconstruction of the vestibule and keratinized tissue after ridge augmentation.
AGD Subject Code: 692
Topics: Istvan Urban, vertical, horizontal, ridge augmentation