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Evidence-Based Practice: Toward Optimizing Clinical Outcomes pp 195–218Cite as

The Efficacy of Horizontal and Vertical Bone Augmentation Procedures for Dental Implants: A Cochrane Systematic Review

Abstract

Some patients may have insufficient bone to place dental implants, but there are many sur­gical techniques to increase the bone volume making implant treatment possible. Short implants appear to be more effective and cause fewer complications than conventional implants placed in resorbed lower jaws augmented with autogenous bone or bone substitutes (cow bone blocks). Bone can be regenerated in a horizontal and vertical direction using various techniques, but it is unclear which techniques are preferable. Complications especially for augmenting bone vertically are frequent. Some bone substitutes may cause less complications and pain than autogenous bone. Osteodistraction osteogenesis allows for more vertical bone augmentation than other techniques, which, on the other hand, can allow for horizontal augmentation at the same time. This review is based on a Cochrane systematic review entitled “Interventions for replacing missing teeth: horizontal and vertical bone ­augmentation techniques for dental implant treatment” published in The Cochrane Library (see www.cochrane.org for information). Cochrane systematic reviews are regularly updated to include new research and in response to comments and criticisms from readers. If you wish to comment on this review, please send your ­comments to the Cochrane website or to Marco Esposito. The Cochrane Library should be consulted for the most recent version of the review. The results of a Cochrane Review can be interpreted differently, depending on people’s perspectives and circumstances. Please consider the conclusions presented carefully. They are the opinions of the review authors, and are not necessarily shared by the Cochrane Collaboration.

This paper is based on a Cochrane Review published in The Cochrane Library 2009, Issue 4 (see www.thecochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and The Cochrane Library should be consulted for the most recent version of the review.

Conflict-of-interest statement: Pietro Felice and Marco Esposito are among the authors of some of the included trials; however, they were not involved in the quality assessment of these trials.

Keywords

  • Bone Substitute
  • Dental Implant
  • Distraction Osteogenesis
  • Autogenous Bone
  • Bone Block

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Acknowledgements

We wish to thank Sylvia Bickley (Cochrane Oral Health Group) and Anna Littlewood for their assistance with literature searching; Luisa Fernandez Mauleffinch and Philip Riley (Cochrane Oral Health Group) for their help with the preparation of this review; Stella Kwan who co-authored a previous version of this review; Matteo Chiapasco, Filippo Fontana, Giuseppe Lizio, Gerry Raghoebar, Jurjen Schortinghuis and Kees Stellingsma for providing us with additional information on their trials. We would also like to thank the following referees: Stephen Chen, Matteo Chiapasco, Christer Dahlin, Mats Hallman, Jayne Harrison, Jan Hirsch, Ian Needleman, Gerry Raghoebar and Bill Shaw.

Author information

Authors and Affiliations

  1. Oral and Maxillofacial Surgery, School of Dentistry, The University of Manchester, Higher Cambridge Street, Manchester, M15 6FH, Manchester, UK

    Marco Esposito & Georgios Karatzopoulos

  2. The University of Manchester, Manchester, UK

    Maria Gabriella Grusovin

  3. private practice, Gorizia, Italy

    Maria Gabriella Grusovin

  4. Department of Oral and Dental Sciences, University of Bologna, Bologna, Italy

    Pietro Felice

  5. Cochrane Oral Health Group, School of Dentistry, The University of Manchester, Manchester, UK

    Helen V. Worthington & Paul Coulthard

Authors
  1. Marco Esposito
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  2. Maria Gabriella Grusovin
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  3. Pietro Felice
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  4. Georgios Karatzopoulos
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  5. Helen V. Worthington
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  6. Paul Coulthard
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Corresponding author

Correspondence to Marco Esposito .

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Editors and Affiliations

  1. School of Dentistry, Div. Oral Biology & Medicine, University of California, Los Angeles, Los Angeles, 90095-1668, USA

    Francesco Chiappelli

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Esposito, M., Grusovin, M.G., Felice, P., Karatzopoulos, G., Worthington, H.V., Coulthard, P. (2010). The Efficacy of Horizontal and Vertical Bone Augmentation Procedures for Dental Implants: A Cochrane Systematic Review. In: Chiappelli, F. (eds) Evidence-Based Practice: Toward Optimizing Clinical Outcomes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05025-1_13

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