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Horizontal ridge augmentation using xenogenous bone graft—systematic review

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Abstract

Purpose

This study aimed to perform a systematic review about the use of xenogenous bonegraft in horizontal ridge augmentation to answer the following question: In implant patients, treated with xenografts for horizontal ridge augmentation, what would be the outcomes in terms of bone gain, bone resorption, implant survival, and complication rates?

Methods

The main search was performed at PubMed, Cochrane, and Scopus databases, and found 2610 articles. After selection and duplicate removal, 29 studies were included in the final review. The collected data were sample size, number and type of graft, site, horizontal gain, resorption rate, and complications.

Results

A total of 610 patients were submitted to 853 bone grafts, both in the maxilla and mandible. Most studies (n = 26) used particulate grafts, isolated or associated with autogenous bone, and covered by collagen membrane or titanium mesh. The mean of horizontal bone gain was 4.44 mm. In addition, the augmented ridges allowed placement of 1325 successful dental implants. The complication rate was 7.85%, and membrane exposure was the most reported complication.

Conclusions

Although the autogenous bone graft remains as the gold standard for alveolar reconstruction, this review suggests that xenogenous bone graft is a feasible alternative for horizontal bone augmentation.

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Acknowledgements

We would like to thank CAPES (CAPES: Coordination for the Improvement of Higher Education Personnel) and FAPESP (São Paulo Research Foundation), for post-graduation scholarships. We also thank Prof. Dr. Mário Real Fransico Gabrielli for the critical review of this paper.

Funding

The authors declare funding by governmental research agencies, CAPES (CAPES: Coordination for the Improvement of Higher Education Personnel) and FAPESP (São Paulo Research Foundation), due to post-graduation scholarships.

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Authors and Affiliations

  1. Department of Diagnosis and Surgery, Dental School at Araraquara – UNESP – São Paulo State University, 1680th Humaitá Street, Araraquara, São Paulo, 14801-903, Brazil

    Pedro Henrique de Azambuja Carvalho, Guilherme dos Santos Trento, Lucas Borin Moura, Giovanni Cunha, Marisa Aparecida Cabrini Gabrielli & Valfrido Antônio Pereira-Filho

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  1. Pedro Henrique de Azambuja Carvalho
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  2. Guilherme dos Santos Trento
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Correspondence to Pedro Henrique de Azambuja Carvalho.

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The work used secondary data, and certified that all procedures followed were in accordance with the Helsinki Declaration of 1975, as revised in 2008.

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de Azambuja Carvalho, P.H., dos Santos Trento, G., Moura, L.B. et al. Horizontal ridge augmentation using xenogenous bone graft—systematic review. Oral Maxillofac Surg 23, 271–279 (2019). https://doi.org/10.1007/s10006-019-00777-y

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