Vertical and augmentation presents one of the greatest challenges of bone regeneration in implant dentistry. This is primarily due to the difficulty of the surgical procedure and its potential complications. Patient selection, patient preparation for surgery, precise surgical techniques and postoperative management are the key factors in reducing the rate of bone graft complications.
To predictably achieve successful bone augmentation angiogenesis, clot stability and space maintenance should be employed. The detailed surgical protocol of the different types of anterior maxillary defects, including patients presenting with scarred periosteum and loss of vestibule, will be discussed in details.
In an attempt to achieve wound closure and hence graft stability, the buccal mucosa are often broadly released and this often results in a severe apical translocation of the mucogingival line, loss of vestibule and keratinized mucosa (KM).
The protocol of the preservation of the regenerated ridge and soft tissue architecture will be discussed. Finally, utilizing these procedures may lessen the need of harvested autogenous bone and may generally lead to decreased morbidity, increasing patient comfort and satisfaction associated with these regenerative procedures.