Bone reconstruction surgery

The main problem in implant dentistry is placing the implant when bone level is insufficient. Since the emergence of dental implants, different techniques of bone reconstruction have been developed. Initially, all of these procedures were very radical. For example, bone graft was harvested from the rib or iliac crest. The surgery was very difficult, followed by long postoperative period. The risk of complications was also very high.

With the evolvement of biomedical technologies an artificial bone was introduced into the market. It is produced in various forms - pellets, bone blocks or liquid form. Different materials are used for the production of such bone: synthetic inorganic, animal bones and other. According to the materials used, the bone is classified as alloplastic, xenogeneic and allogeneic.

Autogenous bone grafts are still considered the golden standard, but is performed increasingly less. This complex surgery (both technically as well as for post-operative period complications) is being substituted by emerging new methods.

When is bone reconstruction needed?

Indications for bone reconstruction:

  • Bone level is insufficient (e.g. sinus lift surgery)
  • Bone thickness is insufficient
  • Implant is partially exposed
  • Bone stability in the esthetic zone needs to be secured
  • Stable outline is needed for immediate implantation

Bone reconstruction

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