We are using cookies to implement functions like login, shopping cart or language selection for this website. Furthermore we use Google Analytics to create anonymized statistical reports of the usage which creates Cookies too. You will find more information in our privacy policy.
OK, I agree I do not want Google Analytics-Cookies
International Journal of Periodontics & Restorative Dentistry
Login:
username:

password:

Plattform:

Forgotten password?

Registration

Int J Periodontics Restorative Dent 37 (2017), No. 5     24. Aug. 2017
Int J Periodontics Restorative Dent 37 (2017), No. 5  (24.08.2017)

Page 638-645, doi:10.11607/prd.3200, PubMed:28817126


Principles for Vertical Ridge Augmentation in the Atrophic Posterior Mandible: A Technical Review
Urban, Istvan A. / Monje, Alberto / Lozada, Jaime / Wang, Hom-Lay
Guided bone regeneration has become more predictable due to advances in material sciences. Nevertheless, vertical ridge augmentation (VRA) remains a potential challenge due to the complexity of soft tissue management. This becomes more complicated in the posterior atrophic mandible due to limited access and poorer blood supply. As such, a number of critical elements must be taken into consideration in treatment planning. Anatomical structures potentially jeopardize intraoperative adverse events such as bleeding or neurosensory disturbances. The attachment of the mylohyoid often compromises lingual flap advancement. This technical review summarizes the critical factors to be assessed prior to VRA for the posterior mandible and provides a sequenced approach to bone grafting and to attaining a tension-free flap for successful bone regeneration and long-term peri-implant tissue stability.