title: Horizontal alveolar ridge augmentation using autologous press fit bone cylinders and micro-lag-screw fixation: technical note and initial experience.
abstract: BACKGROUND
  The use of autologous block bone grafts for horizontal alveolar ridge augmentation in dental implantology is a common surgical procedure. Typically, bone grafts are individually moulded.
  
  
  OBJECTIVE
  The aim of this paper is to introduce an innovative procedure in lateral bone augmentation, where the recipient side is adjusted to the graft, not vice versa as in common procedures. Our initial clinical experience of twenty-five consecutive cases is presented.
  
  
  METHODS
  Adjusted trephine drills were used to harvest partly cylindrical grafts from the retromolar region of the mandible. After preparing the recipient site with accurately fitting grinding drills, the bone grafts were transplanted.
  
  
  RESULTS
  The horizontally compromised alveolar ridges were successfully augmented and treated with dental implants. No major complication occurred during transplantation, the healing period, and subsequent implant therapy in our experimental setting with 25 patients and 38 augmentation procedures. One out of twenty-five patients presented with temporary dysaesthesia of the inferior alveolar nerve.
  
  
  CONCLUSIONS
  The new method presented is an effective treatment option for horizontal alveolar ridge augmentation prior to single implant installation. Further studies should evaluate the donor site morbidity and long-term outcome on a larger population.
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany. Electronic address: philipp.streckbein@uniklinikum-giessen.de.
authors: Philipp
authors: P
authors: Streckbein
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany.
authors: Christopher
authors: C
authors: Kähling
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany.
authors: Jan-Falco
authors: JF
authors: Wilbrand
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany.
authors: Christoph-Yves
authors: CY
authors: Malik
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany.
authors: Heidrun
authors: H
authors: Schaaf
authors: Department of Cranio-Maxillo-Facial Surgery (Head: Prof. Dr. Dr. H.-P. Howaldt), University Hospital Gießen, Justus Liebig University, Klinikstraße 33, 35385 Gießen, Germany.
authors: Hans-Peter
authors: HP
authors: Howaldt
authors: IZI - Institute for Postgraduate Education in Dental Implantology (Head: Dr. Dr. R. Streckbein), Auf dem Schafsberg, 65549 Limburg, Germany.
authors: Roland
authors: R
authors: Streckbein
mesh_terms: D000328:Adult; D000368:Aged; D000540:Alveolar Ridge Augmentation / Q000295:instrumentation / Q000379:methods*; D064592:Autografts / Q000637:transplantation*; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D003758:Dental Implantation, Endosseous / Q000379:methods; D019250:Dental Implants, Single-Tooth; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D008904:Miniaturization; D020858:Tissue and Organ Harvesting / Q000295:instrumentation; D060053:Transplant Donor Site / Q000601:surgery; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult
keywords: Alveolar ridge augmentation; Autologous bone graft; Bone reconstruction; Horizontal bone defect; Press fit; Trephine drill