Kablan Fares
Department of Oral and Maxillofacial Surgery, Galilee College of Dental Sciences, Galilee Medical Center, Nahariya 2210001, Israel.
The Azrieli Faculty of Medicine, Bar-Ilan University, Safed 1311502, Israel.
J Clin Med. 2025 Mar 25;14(7):2246. doi: 10.3390/jcm14072246.
: Autogenous bone grafting has long been the standard for augmenting bone prior to implant placement in atrophic ridges. However, innovative techniques are continually sought to enhance outcomes. This study introduces the honeycomb technique for horizontal bone augmentation in edentulous posterior mandibular ridges, presenting the methodology and long-term follow-up results of this novel approach. : This study includes healthy patients with moderate to severe horizontal atrophy in posterior mandibular regions who underwent bone augmentation using the honeycomb technique and were followed up for a period of 10 to 14 years. The patients had orthoradiographs immediately post-surgery and underwent regular clinical and radiographic evaluations. Computed tomography at four months assessed the bone gain, followed by reentry for implant insertion and evaluation of the bone volume and quality. Fixed prosthesis-supported dental implants were placed four months post-insertion. The survival and success of the dental implants were evaluated based on the acceptable clinical and radiographic criteria. : A cohort of 23 patients (17 women, 6 men, mean age 47 years) underwent bone augmentation at 39 sites, with follow-up ranging from 10 to 14 years. The procedure demonstrated a 95-100% success rate with minimal morbidity and horizontal bone gain averaging 3-8 mm. Partial graft exposure occurred in two cases but was successfully managed without compromising augmentation. A total of 103 implants were placed in the augmented sites in 37 sites. The long-term survival of the dental implants was confirmed based on clinical and radiographic evaluation, with minimal marginal bone loss observed during the extended follow-up period. : The honeycomb technique proves effective in horizontal bone augmentation of atrophic ridges in posterior mandibular defects. The satisfactory long-term outcomes validate its potential as a valuable addition to bone augmentation strategies preceding implant placement.
自体骨移植长期以来一直是在萎缩牙槽嵴植入种植体之前增加骨量的标准方法。然而，人们不断寻求创新技术来提高治疗效果。本研究介绍了用于无牙下颌后牙区水平骨增量的蜂窝技术，并展示了这种新方法的操作方法和长期随访结果。
本研究纳入了下颌后牙区中度至重度水平萎缩的健康患者，这些患者采用蜂窝技术进行骨增量，并随访了10至14年。患者在术后立即拍摄口腔全景片，并接受定期的临床和影像学评估。术后四个月进行计算机断层扫描以评估骨增量，随后再次切开以植入种植体并评估骨体积和质量。在植入四个月后放置固定义齿支持的牙种植体。根据可接受的临床和影像学标准评估牙种植体的存留率和成功率。
一组23例患者（17名女性，6名男性，平均年龄47岁）在39个部位进行了骨增量，随访时间为10至14年。该手术成功率为95%至100%，发病率极低，水平骨增量平均为3至8毫米。两例出现部分植骨暴露，但均成功处理，未影响骨增量效果。在37个部位的增量部位共植入了103颗种植体。根据临床和影像学评估确认了牙种植体的长期存留情况，在延长的随访期内观察到最小的边缘骨丢失。
蜂窝技术被证明在修复下颌后牙区萎缩牙槽嵴的水平骨增量方面是有效的。令人满意的长期效果证实了其作为种植体植入前骨增量策略中有价值补充的潜力。
