title: Vertical bone augmentation procedures: basics and techniques in dental implantology.
abstract: An appropriate bony situation is essential for dental implant placement and bony support of soft tissues (pink esthetic). Loss of teeth often results in complex horizontal and vertical alveolar ridge defects. They demand advanced bone augmentation techniques for reconstruction. We present the different techniques and materials used in complex bone augmentation. Clinical cases show the application of the methods in the clinical setting. We present current techniques and materials used in complex bone augmentations. Clinical cases show the application of the methods in the clinical setting. Applied techniques include stabilized-guided bone regeneration (GBR), autologous local block augmentation, modified techniques such as Gellrich shell technique including piezosurgery, pelvic bone blocks, complex materials such as graft-derived bone blocks and their unique handling problems. Successful basic principles are reduction of cortical bone healing due to long remodeling time and possible late loss; extended application of materials with interconnecting porous system and particulate material resulting in fast healing analogous to cancellous bone; mechanical stabilization of the augmentation to allow bony healing in vertical defect situations. GBR and autologous bone blocks with minimal cortical thickness and a high volume of particulated material are most favorable techniques.
authors.affiliation: Clinic for Oral & Maxillofacial Surgery, University of Marburg, 35033, Marburg, Germany; ERC Advanced Investigator Grant Research Group at the Institute for Physiological Chemistry, University Medical Center of the Johannes Gutenberg University, Duesbergweg 6, Mainz, Mainz, 55128, Germany.
authors.forename: F G
authors.initials: FG
authors.lastname: Draenert
authors.forename: D
authors.initials: D
authors.lastname: Huetzen
authors.forename: A
authors.initials: A
authors.lastname: Neff
authors.forename: W E G
authors.initials: WE
authors.lastname: Mueller
mesh_terms: D000818:Animals; D016025:Bone Transplantation; D015921:Dental Implants; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans
chemical_list: D015921:Dental Implants
keywords: bone augmentation; dental implantology; dental implants