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Istvan Urban - Vertical 2: The Next Level of Hard and Soft Tissue Augmentation

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Istvan Urban - Vertical 2: The Next Level of Hard and Soft Tissue Augmentation
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Vertical 2: The Next Level of Hard and Soft Tissue Augmentation
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In the author's bestselling first book, Vertical and Horizontal Ridge Augmentation: New Perspectives, published by Quintessence in 2017 and translated into 12 languages, the guided bone regeneration (GBR) technique was described in detail. This new publication, Vertical 2: The Next Level of Hard and Soft Tissue Augmentation, is a continuation of that book but at a more advanced level. Now, the author delves into the details where the devil lives, and shares information that has never been revealed before on the topic of vertical ridge augmentation. It is important to read this book armed with the knowledge from the first book as you will need it on this second journey with him.
A major part of this book comprises full-color, step-by-step images of patient cases. At times, reading it is like watching a surgical video, where the author 'stops the video' to discuss with you, the reader, what he is thinking and doing at that step, what his next step will be, and the reason for it.
Included again are the well-appreciated 'Lessons learned' sections, where the learning objectives are emphasized and further notes given, including ways to further improve the techniques. The section on the mandible is more detailed in this book, with the focus on larger defects and the different surgical steps in native, fibrotic, and scarred tissue types around the mental nerve during flap advancement.
In addition, light is shed on the detail in treating the anterior maxilla, which has not been published previously. It includes treatment options such as the fast track, the safe track, and the technical track of soft tissue reconstruction in conjunction with bone grafting as well as papilla reconstructions after bone regeneration. The section on the posterior maxilla hopes to resolve issues such as the management and complications of combined ridge and sinus grafting, including difficulties such as the lack of buccal, crestal or nasal bony walls of the posterior maxilla before bone grafting.
In this must-have new publication, the procedures are kept simple, repeatable, and biologically sound. The techniques presented are not overcomplicated; they are simple treatment strategies with lower complication rates and more predictability in the final outcome.





Figs 2-50 to 2-56 Vertical augmentation and sinus augmentation of the posterior maxilla.





Figs 2-57 to 2-60 Vertical augmentation of the posterior mandible.







Figs 2-61 to 2-66 Vertical augmentation and sinus augmentation of the posterior maxilla.

References

1. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121–135.

2. Urban IA, Monje A, Nevins M, Nevins ML, Lozada JL, Wang HL. Surgical management of significant maxillary anterior vertical ridge defects. Int J Periodontics Restorative Dent 2016;36:329–337.

3. Urban IA, Monje A, Wang HL, Lozada J, Gerber G, Baksa G. Mandibular regional anatomical landmarks and clinical implications for ridge augmentation. Int J Periodontics Restorative Dent 2017;37:347–353.

4. Milinkovic I, Cordaro L. Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Surg 2014;43:606–625.

5. Urban IA, Montero E, Monje A, Sanz-Sánchez I. Effectiveness of vertical ridge augmentation interventions: a systematic review and meta-analysis. J Clin Periodontol 2019;46(suppl 21):319–339.

6. Melcher AH. On the repair potential of periodontal tissues. J Periodontol 1976;47:256–260.

7. Park SH, Brooks SL, Oh TJ, Wang HL. Effect of ridge morphology on guided bone regeneration outcome: conventional tomographic study. J Periodontol 2009;80:1231–1236.

8. Urban IA, Lozada JL, Jovanovic SA, Nagursky H, Nagy K. Vertical ridge augmentation with titanium-reinforced, dense-PTFE membranes and a combination of particulated autogenous bone and anorganic bovine bone-derived mineral: a prospective case series in 19 patients. Int J Oral Maxillofac Implants 2014;29:185–193.

9. Urban IA, Monje A, Wang HL. Vertical ridge augmentation and soft tissue reconstruction of the anterior atrophic maxillae: a case series. Int J Periodontics Restorative Dent 2015;35:613–623.

10. Urban IA, Jovanovic SA, Lozada JL. Vertical ridge augmentation using guided bone regeneration (GBR) in three clinical scenarios prior to implant placement: a retrospective study of 35 patients 12 to 72 months after loading. Int J Oral Maxillofac Implants 2009;24:502–510.

11. Canullo L, Sisti A. Early implant loading after vertical ridge augmentation (VRA) using e-PTFE titanium-reinforced membrane and nano-structured hydroxyapatite: 2-year prospective study. Eur J Oral Implantol 2010;3:59–69.

12. Todisco M. Early loading of implants in vertically augmented bone with non-resorbable membranes and deproteinised anorganic bovine bone. An uncontrolled prospective cohort study. Eur J Oral Implantol 2010;3:47–58.

13. Cucchi A, Vignudelli E, Napolitano A, Marchetti C, Corinaldesi G. Evaluation of complication rates and vertical bone gain after guided bone regeneration with non-resorbable membranes versus titanium meshes and resorbable membranes. A randomized clinical trial. Clin Implant Dent Relat Res 2017:19:821–832.

14. Fontana F, Grossi GB, Fimanò M, Maiorana C. Osseointegrated implants in vertical ridge augmentation with a nonresorbable membrane: a retrospective study of 75 implants with 1 to 6 years of follow-up. Int J Periodontics Restorative Dent 2015;35:29–39.

15. Ronda M, Rebaudi A, Torelli L, Stacchi C. Expanded vs. dense polytetrafluoroethylene membranes in vertical ridge augmentation around dental implants: a prospective randomized controlled clinical trial. Clin Oral Implants Res 2014;25:859–866.

16. Lim G, Lin GH, Monje A, Chan HL, Wang HL. Wound healing complications following guided bone regeneration for ridge augmentation: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2018;33:41–50.

17. Jepsen S, Schwarz F, Cordaro L, et al. Regeneration of alveolar ridge defects. Consensus report of group 4 of the 15th European Workshop on Periodontology on Bone Regeneration. J Clin Periodontol 2019;46(suppl 277–286.

Additional reading

1. Buser D, Chappuis V, Belser UC, Chen S. Implant placement post extraction in esthetic single tooth sites: when immediate, when early, when late? Periodontol 2000 2017;73:84–102.

2. Chiapasco M, Casentini P. Horizontal bone-augmentation procedures in implant dentistry: prosthetically guided regeneration. Periodontol 2000 2018;77:213–240.

3. Chiapasco M, Zaniboni M. Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clin Oral Implants Res 2009;20(suppl 4):113–123.

4. Cordaro L, Amadé DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clin Oral Implants Res 2002;13:103–111.

5. Elnayef B, Porta C, Suárez-López Del Amo F, Mordini L, Gargallo-Albiol J, Hernández-Alfaro F. The fate of lateral ridge augmentation: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 2018;33:622–635.

6. Hämmerle CHF, Tarnow D. The etiology of hard- and soft-tissue deficiencies at dental implants: a narrative review. J Periodontol 2018;89(suppl 1):S291–S303.

7. Jung RE, Fenner N, Hämmerle CH, Zitzmann NU. Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after 12–14 years. Clin Oral Implants Res 2013;24:1065–1073.

8. Machtei EE. The effect of membrane exposure on the outcome of regenerative procedures in humans: a meta-analysis. J Periodontol 2001;72:512–516.

9. Mailoa J, Miron RJ, Wang HL. Risk indicators and prevention of implant soft-tissue complications: interproximal papillae loss and midfacial implant mucosal recessions. Compend Contin Educ Dent 2017;38:436–443.

10. Maiorana C, Beretta M, Salina S, Santoro F. Reduction of autogenous bone graft resorption by means of biooss coverage: a prospective study. Int J Periodontics Restorative Dent 2005;25:19–25.

11. McGinnis M, Larsen P, Miloro M, Beck FM. Comparison of resorbable and nonresorbable guided bone regeneration materials: a preliminary study. Int J Oral Maxillofac Implants 1998;13:30–35.

12. Nowzari H, Slots J. Microbiologic and clinical study of polytetrafluoroethylene membranes for guided bone regeneration around implants. Int J Oral Maxillofac Implants 1995;10:67–73.

13. Papageorgiou SN, Papageorgiou PN, Deschner J, Götz W. Comparative effectiveness of natural and synthetic bone grafts in oral and maxillofacial surgery prior to insertion of dental implants: Systematic review and network meta-analysis of parallel and cluster randomized controlled trials. J Dent 2016;48:1–8.

14. Polimeni G, Xiropaidis AV, Wikesjö UM. Biology and principles of periodontal wound healing/regeneration. Periodontol 2000 2006;41:30–47.

15. Ricci L, Perrotti V, Ravera L, Scarano A, Piattelli A, Iezzi G. Rehabilitation of deficient alveolar ridges using titanium grids before and simultaneously with implant placement: a systematic review. J Periodontol 2013;84:1234–1242.

16. Roccuzzo M, Savoini M, Dalmasso P, Ramieri G. Longterm outcomes of implants placed after vertical alveolar ridge augmentation in partially edentulous patients: a 10-year prospective clinical study. Clin Oral Implants Res 2017;28:1204–1210.

17. Rothamel D, Schwarz F, Sculean A, Herten M, Scherbaum W, Becker J. Biocompatibility of various collagen membranes in cultures of human PDL fibroblasts and human osteoblast-like cells. Clin Oral Implants Res 2004;15:443–449.

18. Sbordone L, Toti P, Menchini-Fabris GB, Sbordone C, Piombino P, Guidetti F. Volume changes of autogenous bone grafts after alveolar ridge augmentation of atrophic maxillae and mandibles. Int J Oral Maxillofac Surg 2009;38:1059–1065.

19. Wang HL, Boyapati L. “PASS” principles for predictable bone regeneration. Implant Dent 2006;15:8–17.

20. Wen SC, Fu JH, Wang HL. Effect of deproteinized bovine bone mineral at implant dehiscence defects grafted by the sandwich bone augmentation technique. Int J Periodontics Restorative Dent 2018;38:79–85.

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