Special edition of Le Fil Dentaire: "Bone management in implantology" 21 December 2017
Special edition of Le Fil Dentaire: "Bone Management in Implantology"
In this special edition of Le Fil Dentaire published in September 2017 on "Bone management in implantology", we have included numerous clinical cases in order to cover the most common approaches in our daily work, based on a well-defined therapeutic gradient.
This choice of clinical situations does not claim to cover what is today perceived as a discipline in itself; instead it is part of a framework of more general treatments. It does, however, aim to illustrate and share some of the therapeutic options used to deal with insufficient bone in implant treatments.
Considering the positive feedback from our colleagues, and as a result of their requests, we have decided to republish these four clinical cases in the two forthcoming publications of "The IFCIA Newsletter". The first two are found in this issue and the second two are found in the next newsletter.
The four subjects chosen are:
- 1- Guided Bone Regeneration (GBR)
- 2 - Mandibular Bone Expansion
- 3 - Lateral Sinus Graft
- 4 - Aesthetic Onlay Graft
We appreciate your interest in our publications. Rest assured that we will continue to work hard to share our knowledge and experience in order to add additional building blocks to the continuous and ongoing professional development undertaken by each of us in our daily work.
1- Guided Bone Regeneration (GBR)
Guided tissue regeneration (GTR) is a technique that contributes to the creation of a bone bed required for implant placement. It may also be associated with implant placement or prior to their insertion. This simple and reproducible approach, introduced by Dahlin et al. (1988), uses a slow resorbable or non-resorbable membrane to ensure the exclusion of soft tissue during the bone formation stage. The volume created under this barrier is gradually colonised by the new bone. It may also be associated, according to the volume to be regenerated, with the autogenous bone or bone replacements.
2 - Mandibular Bone Expansion
The bone expansion technique, essentially transversal in implantology, involves a cleavage of cortical bones in two parts, with a space between the two walls that will colonised by the new bone. Implant insertion may be extemporary or delayed. The use of a piezography, straight bone chisels and, sometimes, conical expanders, has made this delicate technique much safer.