ITI Treatment Guide Volume 7 S. Chen, D. Buser, D. Wismeijer ITTrIeatment Guide Authors: L. Cordaro, H. Terheyden Volume 7 Ridge Augmentation Procedures in Implant Patients A Staged Approach Quintessence Publishing Co, Ltd Berlin, Chicago, London, Tokyo, Barcelona, Beijing, Istanbul, Milan, Moscow, New Delhi, Paris, Prague, São Paulo, Seoul, Singapore, Warsaw German National Library CIP Data The German National Library has listed this publication in the German National Bibliography. Detailed bibliographical data are available at http://dnb.ddb.de. © 2014 Quintessence Publishing Co, Ltd Ifenpfad 2–4, 12107 Berlin, Germany www.quintessenz.de All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, whether electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher. Illustrations: Ute Drewes, CH-Basel, www.drewes.ch Copyediting: Triacom Dental, D-Barendorf, www.dental.triacom.com Graphic Concept: Wirz Corporate AG, CH-Zürich Production: Juliane Richter, D-Berlin ISBN (ebook): 978-3-86867-498-9 ISBN (print): 978-3-86867-217-6 The materials offered in the ITI Treatment Guide are for educational purposes only and intended as a step-by-step guide to treatment of a particular case and patient situation. These recommendations are based on conclusions of the ITI Consensus Conferences and, as such, in line with the ITI treatment philosophy. These recommendations, nevertheless, represent the opinions of the authors. Neither the ITI nor the authors, editors and publishers make any representation or warranty for the completeness or accuracy of the published materials and as a consequence do not accept any liability for damages (including, without limitation, direct, indirect, special, consequential or incidental damages or loss of profits) caused by the use of the information contained in the ITI Treatment Guide. The information contained in the ITI Treatment Guide cannot replace an individual assessment by a clinician, and its use for the treatment of patients is therefore in the sole responsibility of the clinician. The inclusion of or reference to a particular product, method, technique or material relating to such products, methods, or techniques in the ITI Treatment Guide does not represent a recommendation or an endorsement of the values, features, or claims made by its respective manufacturers. All rights reserved. In particular, the materials published in the ITI Treatment Guide are protected by copyright. Any reproduction, either in whole or in part, without the publisher’s prior written consent is prohibited. The information contained in the published materials can itself be protected by other intellectual property rights. Such information may not be used without the prior written consent of the respective intellectual property right owner. Some of the manufacturer and product names referred to in this publication may be registered trademarks or proprietary names, even though specific reference to this fact is not made. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain. The tooth identification system used in this ITI Treatment Guide is that of the FDI World Dental Federation. The ITI Mission is … “… to promote and disseminate knowledge on all aspects of implant dentistry and related tissue regeneration through education and research to the benefit of the patient.” Preface A fundamental requirement for successful treatment outcomes with dental implants is the presence of an adequate bone volume to support the required number and distribution of osseointegrated implants. When bone volume is deficient due to ridge atrophy, trauma, or pathoses, implant therapy may not be possible unless the alveolar ridge is augmented sufficiently. The present Volume 7 of the ITI Treatment Guide series has been compiled to provide clinicians with the latest evidence-based information on techniques and materials utilized for ridge augmentation at healed sites. An up-to-date analysis of the current evidence is based in part on the proceedings of the 4th ITI Consensus Conference in Stuttgart in 2008, and a review of the current literature. A detailed discussion on preoperative assessment is presented, followed by an in-depth description of the methods and materials used for ridge augmentation. Twelve clinical cases—presented by clinicians from around the world— demonstrate the planning and treatment principles for successfully rehabilitating patients with varying degrees of ridge atrophy. Volume 7 of the ITI Treatment Guide series continues the tradition and mission of the ITI “... to promote and disseminate knowledge on all aspects of implant dentistry to the benefit of the patient.” S. Chen D. Buser D. Wismeijer Acknowledgment We would like to thank Mr. Thomas Kiss of the ITI Center for his invaluable assistance in the preparation of this volume of the Treatment Guide series. We would also like to express our gratitude to Ms. Juliane Richter (Quintessence Publishing) for typesetting and for coordinating the production workflow, Mr. Per N. Döhler (Triacom Dental) for their editing support, and Ms. Ute Drewes for her excellent illustrations. We also acknowledge continuing support from Straumann AG, ITI’s corporate partner.