Department of Periodontics, United States Army Dental Health Activity, Fort Bragg, North Carolina, USA.
Department of Periodontics, Army Postgraduate Dental School, Fort Gordon, Georgia, USA.
Clin Adv Periodontics. 2023 Sep;13(3):174-196. doi: 10.1002/cap.10239. Epub 2023 Apr 4.
What factors identify the optimal bone augmentation techniques for managing slight, moderate, and severe horizontal alveolar ridge deficiency (ARD) at dental implant sites?
Horizontal ARD is a concern at a high proportion of sites receiving dental implants, and clinicians have developed a variety of surgical procedures to address such defects. In a particular case, selection of the optimal treatment may depend predominantly on defect severity, location (anterior versus posterior), and configuration (contained versus noncontained). This report provides a framework for selecting an augmentation method when presented with a slight, moderate, or severe horizontal ARD at a site requiring dental implant placement.
Multiple treatment options are available for planned implant sites exhibiting horizontal ARD; severe posterior and slight anterior defects intuitively call for different approaches. Although rigid guidelines for selecting the optimal augmentation method do not exist, some techniques are poorly suited for esthetically demanding sites. A framework considering defect severity, location, and configuration may help guide clinical decisions on this topic.
哪些因素可确定用于管理种植位点轻度、中度和重度水平牙槽嵴缺损（ARD）的最佳骨增量技术？
水平 ARD 是很大一部分种植体接受部位的关注点，临床医生已经开发了多种手术程序来解决此类缺陷。在特定情况下，最佳治疗方法的选择可能主要取决于缺陷的严重程度、位置（前牙区还是后牙区）和形态（包含性还是非包含性）。当种植部位出现轻度、中度或重度水平 ARD 时，本报告提供了选择增强方法的框架。
计划植入部位出现水平 ARD 时有多种治疗选择；后牙重度和前牙轻度缺损的处理方法显然不同。虽然没有选择最佳增强方法的严格准则，但某些技术不太适合美学要求高的部位。考虑缺陷严重程度、位置和形态的框架可能有助于指导该主题的临床决策。
