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Review
. 2016 Apr-Jun;7(2):86-94.
doi: 10.4103/0975-962X.184650.

Bone manipulation procedures in dental implants

Affiliations
Review

Bone manipulation procedures in dental implants

Yuvika Mittal et al. Indian J Dent. 2016 Apr-Jun.

Abstract

The use of dental implants for the rehabilitation of missing teeth has broadened the treatment options for patients and clinicians equally. As a result of advances in research in implant design, materials, and techniques, the use of dental implants has increased dramatically in the past two decades and is expected to expand further in the future. Success of dental implants depends largely on the quality and quantity of the available bone in the recipient site. This however may be compromised or unavailable due to tumor, trauma, periodontal disease, etc., which in turn necessitates the need for additional bone manipulation. This review outlines the various bone manipulation techniques that are used to achieve a predictable long-term success of dental implants.

Keywords: Bone expansion; bone grafts; guided bone regeneration; maxillary sinus lift.

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Figures

Flow Chart 1
Flow Chart 1
Bone manipulation procedures
Figure 1
Figure 1
(a) Schematic diagram of bone expansion technique. (b) Clinical case shows an osteotome and implants were placed using bone condensing technique
Figure 2
Figure 2
(a) Schematic diagram of bone splitting technique. (b-d) Clinical procedure of bone splitting
Figure 3
Figure 3
(a) Schematic diagram of onlay autogenous bone graft. (b) Small graft from chin donor site. (c) Bigger graft from iliac crest
Figure 4
Figure 4
Guided bone regeneration
Figure 5
Figure 5
Direct sinus lift technique
Figure 6
Figure 6
Alveolar reconstruction using alveolar distraction in preparation for dental implants. (a) Right maxillary posttraumatic vertical defect. (b) Osteotomy. (c) Alveolar distractor in place. (d) Vector control using a prosthesis. (e) Panoramic radiograph after the end of the distraction. (f) Placement of dental implants. (g) Panoramic radiograph at the end of the treatment
Figure 7
Figure 7
(a) Insertion with a low-speed motor of the zygomatic implant. The head of the implant is seen at the top of the zygoma. (b) Schematic diagram of zygomatic implants and additional four anterior implants in anterior maxilla

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