Table of Contents

1. Introduction

2. Consensus Statements on Ridge Augmentation and Review of the Literature
2.1. Consensus Statements and Treatment Guidelines Formulated at the 2008 ITI Consensus Conference
2.1.1. Consensus Statements
2.1.2. Treatment Guidelines
2.1.3. Treatment Outcomes
2.2. Literature Review
2.2.1. Included Studies
2.2.2. Patients with Partially Edentulous Jaws
2.2.3. Patients with Completely Edentulous Jaws
2.3. References of the Systematic Review

3. Preoperative Assessment and Planning
3.1. Anatomy
3.1.1. Bone Quality and Quantity for Implant Placement
3.1.2. Resorption Patterns in the Edentulous Maxilla and Mandible
3.1.3. Bone Situation at Adjacent Teeth
3.1.4. Periodontal Evaluation of Adjacent Teeth
3.1.5. Anatomical Limitations and Risks
3.2. Medical History
3.2.1. Risk Factors Jeopardizing the Success of Surgical and Restorative Treatment
3.2.2. Systemic Conditions Involving an Increased Risk of Medical Complications
3.3. Clinical Examination and Planning Aids
3.3.1. Study Casts and Diagnostic Wax-Up
3.3.2. Radiographic Examination and Planning
3.4. Alternatives to Staged Augmentation
3.4.1. Type of Edentulism and Defect Type

4. Methods for Ridge Augmentation
4.1. The GBR Principle
4.2. Flap Design and Surgical Access for Ridge Augmentation
4.3. Healing of Autologous Bone Block Grafts
4.4. Harvesting Autologous Bone from Intraoral Sites
4.4.1. Harvesting Bone from the Mandibular Ramus
4.4.2. Bone Harvesting from the Anterior Mandible (Chin)
4.5. Harvesting of Autologous Bone from Extraoral Sites
4.5.1. Iliac Bone Grafts
4.5.2. Calvarial Bone
4.5.3. Other Extraoral Sites
4.6. Bone Quality and Quantity
4.7. Biomaterials: Selection of Bone Substitutes and Membranes
4.8. Mixed Bone Grafts
4.9. Fixation of Block Grafts Using Plates and Screws
4.10. Prevention of Premature Graft Resorption
4.11. Simultaneous Versus Staged Augmentation
4.12. Surgical Planning for Ridge Augmentation in the Esthetic Zone
4.13. Augmentation Protocols
4.13.1. Dehiscence Defects and Fenestrations
4.13.2. Onlay Graft for Lateral Ridge Augmentation (Staged Procedure)
4.13.3. Ridge Splitting for Lateral Ridge Augmentation
4.13.4. Vertical Ridge Augmentation
4.13.5. Shell Technique for Vertical Augmentation
4.13.6. Interpositional Graft for Vertical Augmentation
4.13.7. Swinging Interpositional Graft for Vertical and Horizontal Augmentation
4.13.8. Interpositional Graft for Vertical Augmentation in the Maxilla (Le Fort I Level)
4.14. Guidelines for Selecting the Appropriate Augmentation Protocol
4.15. Wound Infection Prophylaxis and Antibiotics
4.16. Medications and Postoperative Care
4.17. Provisional Prostheses

5. Implant Placement in Augmented Sites and Treatment Outcomes
5.1. Implant Placement in Augmented Sites
5.1.1. Healing Time of Bone-Block and GBR Reconstructions
5.1.2. Re-entry Stage and Removal of Osteosynthesis Materials
5.2. Treatment Outcomes after Implant Placement
5.2.1. Implant Survival
5.2.2. Augmentative Effects of Different Materials and Techniques
5.2.3. Complication Rates of Different Materials and Techniques

6. Clinical Case Presentations
6.1. Autologous Block Graft and Guided Bone Regeneration (GBR) for Horizontal Ridge Augmentation in the Anterior Maxilla
6.2. Staged GBR with Allogeneic Particulate Grafting Material for Single-Tooth Replacement
6.3. Guided Bone Regeneration (GBR) with a Particulated Autologous Graft and an ePTFE-Reinforced Membrane for Vertical Augmentation of a Single-Tooth Edentulous Space in the Esthetic Zone
6.4. Autologous Block Graft and Guided Bone Regeneration (GBR) for Horizontal Ridge Augmentation in the Posterior Mandible
6.5. Autologous Iliac-Crest Graft for Anterior Blocks and Bilateral Sinus Floor Elevation in a Completely Edentulous Maxilla
6.6. Ridge Preservation and Implant Placement for a Fixed Dental Prosthesis After a Car Accident
6.7. Shell Technique for Horizontal and Vertical Maxillary Bone Augmentation in a Partially Edentulous Patient with Aggressive Periodontal Disease
6.8. Horizontal Augmentation with Iliac Bone Grafts in the Treatment of Non-Syndromic Oligodontia
6.9. Bilateral Horizontal Ridge Augmentation with Block Bone Grafts Using a Piezoelectric Device for Fixed Implant Restoration
6.10. Iliac and Calvarial Bone Blocks for Onlay Grafting of a Severely Resorbed Edentulous Maxilla
6.11. Iliac-Crest Block for Vertical and Horizontal Space Filling in the Anterior Maxilla
6.12. Le Fort I Interpositional Graft and Mandibular Sandwich Osteotomy for Maxillofacial Rehabilitation after Severe Periodontitis

7. Management of Complications

8. Conclusions


9. References

ITI International Team for Implantology
ITI Headquarters
Peter Merian-Strasse 88
4052 Basel

Phone +41 61 270 83 83
Fax +41 61 270 83 84

ITI International Team for Implantology | Peter Merian-Strasse 88 | 4052 Basel | Switzerland | Phone +41 61 270 83 83 | Fax +41 61 270 83 84 |