title: Growth factor-mediated vertical mandibular ridge augmentation: a case report.
abstract: Posterior vertical alveolar ridge deficiencies are challenging defects to treat predictably and often require autogenous bone-harvesting procedures. Traditional treatment modalities, eg, guided bone regeneration, distraction osteogenesis, and autogenous grafts, present with a number of potential complications and limited success when used to restore vertical ridge height. Recent advances in recombinant growth factor technology may provide viable, alternative therapies for the treatment of significant alveolar ridge deficiencies. This proof-of-principle case report examines the utility and effectiveness of using a composite graft of freeze-dried bone allograft and recombinant human platelet-derived growth factor BB in conjunction with an overlying titanium mesh to regenerate well-vascularized bone in a significant posterior mandibular ridge defect prior to implant placement. The important role of the overlying periosteum as a possible key source of osteogenic cells during growth factor-enhanced regenerative procedures is emphasized.
authors.affiliation: Department of Oral Medicine, Infection, and Immunity, Division of Periodontology, Harvard School of Dental Medicine, Boston, Massachusetts 02115, USA. kevin_guze@hsdm.harvard.edu
authors.forename: Kevin A
authors.initials: KA
authors.lastname: Guze
authors.forename: Emilio
authors.initials: E
authors.lastname: Arguello
authors.forename: David
authors.initials: D
authors.lastname: Kim
authors.forename: Myron
authors.initials: M
authors.lastname: Nevins
authors.forename: Nadeem Y
authors.initials: NY
authors.lastname: Karimbux
mesh_terms: D000328:Adult; D064591:Allografts; D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000077214:Becaplermin; D001861:Bone Regeneration; D016025:Bone Transplantation / Q000379:methods*; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging / Q000601:surgery*; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery; D010521:Periosteum / Q000166:cytology; D020574:Proto-Oncogene Proteins c-sis / Q000627:therapeutic use*; D011859:Radiography; D013526:Surgical Mesh; D014025:Titanium; D014716:Vertical Dimension
chemical_list: D020574:Proto-Oncogene Proteins c-sis; D000077214:Becaplermin; D014025:Titanium