Vertical Alveolar Ridge Augmentation in Implant Dentistry A Surgical Manual

Vertical Augmentation of the Alveolar Ridge in Implant Dentistry: A Surgical Manual presents the main methods of vertical ridge augmentation in a clinically focused surgical manual. After an introductory section to the alveolar ridge and requirements for dental implants, sections are devoted to each procedure: guided bone regeneration, sinus lift, distraction osteogenesis, block grafting, and free bone flaps.

• Chapters written by international experts in each augmentation procedure
• Step-by-step instruction for each technique
• More than 1,100 clinical photographs and illustrations

The Editor

Len Tolstunov, DDS, DMD, is a Diplomate of the American Board of Oral and Maxillofacial Surgery, the American Board of Oral Implantology/Implant Dentistry, and the International Congress of Oral Implantologists. He is Assistant Clinical Professor in the Department of Oral and Maxillofacial Surgery at both the University of the Pacific and the University of California, San Francisco. He has published more than 30 articles in peer-reviewed journals and has lectured nationally and internationally on bone grafting, ridge-split procedure, and other implant dentistry and oral surgery topics. In addition to his responsibilities teaching at the two dental schools in San Francisco, he also maintains a full-time private practice in oral and maxillofacial surgery. To know more about Dr. Tolstunov, visit www.SForalsurgeon.com.

Contributors vii

Preface ix

Acknowledgments xi

Introduction xiii

Section I: Introduction

1 Introduction and Bone Augmentation Classification 3
Len Tolstunov

2 Applied Surgical Anatomy of the Jaws 7
Rabie M. Shanti and Vincent B. Ziccardi

3 Prosthetic Comprehensive Oral Evaluation in Implant Dentistry: Team Approach 14
Steven J. LoCascio

4 Orthodontic Therapy in Implant Dentistry: Orthodontic Implant Site Development 30
Ali Borzabadi-Farahani and Homayoun H. Zadeh

5 Radiographic Evaluation of the Alveolar Ridge in Implant Dentistry. Cone Beam Computed Tomography 38
Sanjay M. Mallya

6 Classification of Alveolar Ridge Defects in Implant Dentistry 52
Patrick Palacci

7 Alveolar Ridge Augmentation: An Algorithmic Approach 61
Alan S. Herford, Katina Nguyen, and Ayleen Rojhani

8 The Fourth Dimension of 3D Surgical Alveolar Ridge Reconstruction: Bone and Soft Tissue Grafting to Compensate for Dynamic Craniofacial Changes Associated with Aging 71
Oded Bahat, Richard Sullivan, Fereidoun Daftary, Ramin Mahallati, and Peter S. Wöhrle

Section II: Guided Bone Regeneration (GBR) with Particulate Graft for Vertical Alveolar Ridge Defects

9 Dental Implant Site Development with Particulate Bone Grafts and Guided Bone Regeneration 81
Flavia Q. Pirih and Paulo M. Camargo

10 Vertical Augmentation of the Alveolar Ridge with Titanium-Reinforced Devices (Protected Bone Regeneration) 93
Tetsu Takahashi and Kensuke Yamauchi

11 Pedicled Sandwich Plasty (Osteotomy) with Particulate Inlay Graft for Vertical Alveolar Ridge Defects 110
Rolf Ewers

12 Piezoelectric Surgery for Atrophic Mandible: Vertical Ridge Augmentation with Sandwich Osteotomy Technique and Interpositional Allograft 121
Dong-Seok Sohn

Section III: Subantral Grafting (Sinus Lift) for Vertical Ridge Augmentation in the Posterior Maxilla

13 Implant Diagnosis and Treatment Planning for the Posterior Edentulous Maxilla 135
Douglas E. Kendrick

14 Crestal Sinus Floor Elevation: Osteotome Technique 144
Michael Beckley and Len Tolstunov

15 Flapless Crestal Sinus Augmentation: Hydraulic Technique 152
Byung-Ho Choi

16 Piezoelectric Surgery for Atrophic Maxilla: Minimally Invasive Sinus Lift and Ridge Augmentation, Role of Growth Factors 161
Dong-Seok Sohn

17 Sinus Floor Elevation and Grafting: The Lateral Approach 178
Michael Beckley and Len Tolstunov

18 Posterior Maxillary Sandwich Osteotomy Combined with Sinus Floor Grafting for Severe Alveolar Atrophy 186
Ole T. Jensen

19 Management of Complications of Sinus Lift Procedures 194
Douglas E. Kendrick

Section IV: Alveolar Distraction Osteogenesis for Vertical Alveolar Ridge Augmentation

20 Distraction Osteogenesis for Implant Site Development: Diagnosis and Treatment Planning 201
Stephanie J. Drew

21 Alveolar Distraction Osteogenesis for Vertical Ridge Augmentation: Surgical Principles and Technique 222
Shravan Renapurkar and Maria J. Troulis

22 Management of Maxillary and Mandibular Post-Traumatic Alveolar Bone Defects with Distraction Osteogenesis Technique 229
Adi Rachmiel and Dekel Shilo

23 Management of Complications of Alveolar Distraction Osteogenesis Procedure 238
Stephanie J. Drew

Section V: Autogenous Block Bone Grafting for Vertical Alveolar Ridge Augmentation

24 Vertical Alveolar Ridge Augmentation with Autogenous Block Grafts in Implant Dentistry 274
Vishtasb Broumand, Arash Khojasteh, and J. Marshall Green III

Section VI: Free Bone Flaps and Osseointegrated Implants for Mandibular and Maxillary Alveolar Bone Reconstruction

25 Mandibular and Maxillary Alveolar Bone Reconstruction with Free Bone Flaps and Osseointegrated Implants 275
Edward I. Chang and Matthew M. Hanasono

Section VII: Soft Tissue Grafting for Implant Site Development

26 Soft Tissue Grafting for Implant Site Development: Diagnosis and Treatment Planning 285
Georgios A. Kotsakis, Suheil Boutros, and Andreas L. Ioannou

27 Soft Tissue Grafting Techniques in Implant Dentistry 291
Suheil Boutros and Georgios A. Kotsakis

28 Management of Complications Associated with Soft Tissue Grafting in Implant Dentistry 308
Fawad Javed, Suheil Boutros, and Georgios A. Kotsakis

Section VIII: Tissue Engineering of the Alveolar Complex

29 Alveolar Bone Augmentation via In situ Tissue Engineering 315
Robert E. Marx

30 Bone Marrow Aspirate: Rationale and Aspiration Technique 323
Dennis Smiler

31 Alveolar Complex Regeneration 335
Nelson Monteiro and Pamela C. Yelick

Index 343

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