Urban, Istvan A; Montero, Eduardo; Monje, Alberto; Sanz-Sánchez, Ignacio (2019). Effectiveness of vertical ridge augmentation interventions. A systematic review and meta-analysis. Journal of clinical periodontology, 46 Suppl 21, pp. 319-339. Wiley 10.1111/jcpe.13061
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Urban_et_al-2019-Journal_of_Clinical_Periodontology.pdf - Accepted Version Available under License Publisher holds Copyright. Download (2MB) | Preview |
AIM
The primary aim of this systematic review was to evaluate the effect of various techniques used for vertical ridge augmentation on clinical vertical bone gain.
MATERIAL AND METHODS
A protocol was developed to answer the following focused question: "In patients with vertical alveolar ridge deficiencies, how effective are different augmentation procedures for clinical alveolar ridge gain?" Randomized and controlled clinical trials and prospective and retrospective case series were included, and meta-analyses were performed to evaluate vertical bone gain based on the type of procedure and to compare bone gains in controlled studies.
RESULTS
Thirty-six publications were included. Results demonstrated a significant vertical bone gain for all treatment approaches [n=33; weighted mean effect = 4.16 mm; 95% CI 3.72-4.61; p<0.001]. Clinical vertical bone gain and complications rate varied among the different procedures, with a weighted mean gain of 8.04 mm and complications rate of 47.3% for distraction osteogenesis, 4.18 mm and 12.1% for guided bone regeneration (GBR) and 3.46 mm and 23.9% for bone blocks. In comparative studies, GBR achieved a significant greater bone gain when compared to bone blocks [n=3; weighted mean difference=1.34 mm; 95% CI 0.76-1.91; p<0.001].
CONCLUSIONS
Vertical ridge augmentation is a feasible and effective therapy for the reconstruction of deficient alveolar ridges, although complications are common. This article is protected by copyright. All rights reserved.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Research |
UniBE Contributor: |
Monje, Alberto |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0303-6979 |
Publisher: |
Wiley |
Language: |
English |
Submitter: |
Caroline Balz |
Date Deposited: |
05 Apr 2019 11:22 |
Last Modified: |
05 Dec 2022 15:26 |
Publisher DOI: |
10.1111/jcpe.13061 |
PubMed ID: |
30667522 |
Uncontrolled Keywords: |
dental implants guided bone regeneration systematic review vertical bone augmentation |
BORIS DOI: |
10.7892/boris.126151 |
URI: |
https://boris.unibe.ch/id/eprint/126151 |
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