By Karl-Erik Kahnberg
This e-book explores the opportunity of bone grafting recommendations to rehabilitate the maxilla throughout the placement of dental implants. As implant dentistry turns into more and more good confirmed and complicated, this e-book can help skilled surgeons to contain implant ideas as a part of more difficult reconstructions within the top jaw.Starting with a recap on ideas of bone biology, the e-book then considers implant integration in general bone and with bone grafts. Grafting approaches are offered depicting quite a few bone harvest websites, by means of onlay and inlay grafting strategies. methods to sinus lifting, segmental osteotomy and distraction osteogenesis for augmentation protocols are supplied.
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Additional resources for Bone Grafting Techniques for Maxillary Implants
28 Patient with loss of teeth in the left posterior maxilla. 27 Two-stage procedure. 29 Panoramic X-ray shows inadequate bone volume beneath sinus on the left side. 30 Sinus lifting with bone graft from the iliac crest. The graft is immobilized with osteosutures. The bone window is used as an onlay graft. 31 Uncomplicated healing of the soft tissues. 32 Radiograph showing the bone graft in position. 33 Tomograph showing the amount of bone augmentation. 34 Clinical view after four months healing.
28 Implants in place in the upper jaw. 29 Radiograph of bone graft and implants. 30 Bone graft and implants after healing for six months. 31 Prosthetic reconstruction after one year. 32 Graft with osteosutures. 33 A defect in the alveolar process in the right posterior maxilla after trauma. 34 The clinical situation. 36 Postoperative radiograph showing demineralized bone graft. The implants seem to be without support. 35 Onlay block graft from the hip connected to the residual bone by means of the implants.
1999) have reported that by using this technique, between 3–5 mm of bone augmentation can be achieved prior to implant installation. The residual bone volume should be thick enough to allow for impaction to create a residual height of between 8–10 mm. This method is technique-sensitive and there is a risk that the bony ﬂoor of sinus will fracture in an unexpected way and cause complications, such as a tear of the sinus membrane. 58 Impaction of alveolar bone with the osteotome technique. 4 Maxillary osteotomy with interpositional bone graft Where there has been severe or total atrophy of the alveolar process in the edentulous maxilla it is necessary to graft the entire maxilla thus reconstructing the alveolar process as a whole.
Bone Grafting Techniques for Maxillary Implants by Karl-Erik Kahnberg