Int J Periodontics Restorative Dent. 2021 Jan-Feb;41(1):11-21. doi: 10.11607/prd.4996.
Vertical bone augmentation (VBA) procedures for dental implant placement are biologically and technically challenging. Systematic reviews and meta-analyses of studies on VBA have failed to identify clinical procedures that provide superior results for treatment of the vertical ridge deficiencies. A decision tree was developed to guide clinicians on selecting treatment options based on reported vertical bone gains (< 5 mm, 5 to 8 mm, > 8 mm). The choice of a particular augmentation technique will also depend on other factors, including the size and morphology of the defect, location, and clinician or patient preferences. Surgeons should consider the advantages and disadvantages of each option for the clinical situation and select an approach with low complications, low cost, and the highest likelihood of success.
垂直骨增量（VBA）手术是一种具有挑战性的牙科种植技术，无论是从生物学还是技术角度来看都是如此。对 VBA 研究的系统评价和荟萃分析未能确定哪种临床操作能够为垂直牙槽嵴缺损的治疗提供更优的效果。决策树的建立是为了指导临床医生根据报告的垂直骨增量（<5mm、5-8mm、>8mm）选择治疗方案。特定的增量技术的选择也将取决于其他因素，包括缺陷的大小和形态、位置以及临床医生或患者的偏好。外科医生应根据临床情况考虑每种选择的优缺点，并选择一种并发症少、成本低且成功率高的方法。
