Abstract
A bone graft may be used in a variety of clinically practiced implant surgeries, namely, guided bone regeneration, extraction socket preservation or reconstruction, ridge augmentation, and sinus membrane elevation. The bone graft is of various types depending on the material, for instance, autogenous bone graft, allograft, xenograft, alloplastic graft, and autogenous bone graft with demineralized dentin matrix, which may be used alone or with other materials. Bioactive agents that promote bone formation, such as recombinant human bone morphogenetic protein-2 (rhBMP-2), have been shown to exhibit a clinically beneficial effect on bone regeneration. Here, we intend to present surgical guidelines for bone grafts and criteria for selection of bone graft materials by referring to evidence-based studies and recent lectures on the subject of ‘bone grafts for implant dentistry’ at the Amapá society of implantodontics, 2020.
References
Sanz M, Donos N, Alcoforado G, et al. Therapeutic concepts and methods for improving dental implant outcomes. Summary and consensus statements. The 4th EAO Consensus Conference 2015. Clin Oral Implants Re. 2015;26 Suppl 11:202-6.
Duan DH, Fu JH, Qi W, et al. Graft-Free Maxillary Sinus Floor Elevation: A Systematic Review and Meta-Analysis. J Periodontol 2017;88(6):550-564.
Silva LD, de Lima VN, Faverani LP, et al. Maxillary sinus lift surgery-with or without graft material? A systematic review. Int J Oral Maxillofac Surg 2016;45(12):1570-1576.
Pang KM, Um IW, Kim YK, et al. Autogenous demineralized dentin matrix from extracted tooth for the augmentation of alveolar bone defect: a prospective randomized clinical trial in comparison with anorganic bovine bone. Clin Oral Implants Res 2017;28(7):809-815.
Kim SY, Kim YK, Park YH, et al. Evaluation of the Healing Potential of Demineralized Dentin Matrix Fixed with Recombinant Human Bone Morphogenetic Protein-2 in Bone Grafts. Materials (Basel) 2017;10(9).
Kim YK, Yun PY, Kim SG, Lim SC. Analysis of the healing process in sinus bone grafting using various grafting materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(2): 204-11.
Jo SH, Kim YK, Choi YH. Histological Evaluation of the Healing Process of Various Bone Graft Materials after Engraftment into the Human Body. Materials (Basel) 2018;11(5).
Ten Heggeler JM, Slot DE, Van der Weijden GA. Effect of socket preservation therapies following tooth extraction in non-molar regions in humans: a systematic review. Clin Oral Implants Res 2011;22(8):779-88.
Sanz M, Donos N, Alcoforado G, et al. Therapeutic concepts and methods for improving dental implant outcomes. Summary and consensus statements. The 4th EAO Consensus Conference 2015. Clin Oral Implants Res. 2015;26 Suppl 11: 202-6.
Jambhekar S, Kernen F, Bidra AS. Clinical and histologic outcomes of socket grafting after flapless tooth extraction: a systematic review of randomized controlled clinical trials. J Prosthet Dent 2015;113(5):371-82.
Horowitz R, Holtzclaw D, Rosen PS. A review on alveolar ridge preservation following tooth extraction. J Evid Based Dent Pract 2012;12(3 Suppl):149-60.
Wallace SC, Pikos MA, Prasad H. De novo bone regeneration in human extraction sites using recombinant human bone morphogenetic protein-2/ACS: a clinical, histomorphometric, densitometric, and 3-dimensional cone-beam computerized tomographic scan evaluation. Implant Dent 2014;23(2): 132-7.
Barallat L, Ruíz-Magaz V, Levi PA Jr, et al. Histomorphometric results in ridge preservation procedures comparing various graft materials in extraction sockets with nongrafted sockets in humans: a systematic review. Implant Dent 2014;23(5): 539-54.
Borg TD, Mealey BL. Histologic healing following tooth extraction with ridge preservation using mineralized versus combined mineralized-demineralized freeze-dried bone allograft: a randomized controlled clinical trial. J Periodontol 2015; 86(3):348-55.
Jung RE, Herzog M, Wolleb K, et al. A randomized controlled clinical trial comparing small buccal dehiscence defects around dental implants treated with guided bone regeneration or left for spontaneous healing. Clin Oral Implants Res 2017;28(3):348-354.
Shin YS, Seo JY, Oh SH, et al. The effects of ErhBMP-2-/ EGCG-coated BCP bone substitute on dehiscence around dental implants in dogs. Oral Dis. 2014 Apr;20(3):281-7.
Smiler DG. Advances in endosseous implants: the 'sandwich' split cortical graft for dental implant placement. Dent Implantol Update. 2000;11(7):49-53.
Chappuis V, Cavusoglu Y, Buser D, von Arx T. Lateral Ridge Augmentation Using Autogenous Block Grafts and Guided Bone Regeneration: A 10-Year Prospective Case Series Study. Clin Implant Dent Relat Res 2017;19(1):85-96.
Urban IA, Lozada JL, Jovanovic SA, et al. Vertical ridge augmentation with titanium-reinforced, dense-PTFE membranes and a combination of particulated autogenous bone and anorganic bovine bone-derived mineral: a prospective case series in 19 patients. Int J Oral Maxillofac Implants 2014;29(1): 185-93.
Chiapasco M, Abati S, Romeo E, Vogel G. Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges. Clin Oral Implants Res 1999;10(4):278-88.
Sanz-Sánchez I, Ortiz-Vigón A, Sanz-Martín I, et al. Effectiveness of Lateral Bone Augmentation on the Alveolar Crest Dimension: A Systematic Review and Meta-analysis. J Dent Res 2015;94(9 Suppl):128S-42S.
de OLIVEIRA, Guilherme José Pimentel Lopes, et al. "Reparo ósseo induzido por diferentes substitutos de enxerto ósseo em defeitos de tamanho crítico na calvária de ratos." Brazilian Journal of Implantology and Health Sciences (ISSN 2674-8169) 2.9 (2020): 28-44.
Aludden HC, Mordenfeld A, Hallman M, et al. Lateral ridge augmentation with Bio-Oss alone or Bio-Oss mixed with particulate autogenous bone graft: a systematic review. Int J Oral Maxillofac Sur. 2017;46(8):1030-1038.
Elnayef B, Porta C, Suárez-López Del Amo F, et al. The Fate of Lateral Ridge Augmentation: A Systematic Review and MetaAnalysis. Int J Oral Maxillofac Implants 2018;33(3):622-635.
Chavda S, Levin L. Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review. J Oral Implantol 2018;44(1):74-84.
Al-Nawas B, Schiegnitz E. Augmentation procedures using bone substitute materials or autogenous bone - a systematic review and meta-analysis. Eur J Oral Implantol. 2014 Summer; 7 Suppl 2:S219-34.
Starch-Jensen T, Mordenfeld A, Becktor JP, Jensen SS. Maxillary Sinus Floor Augmentation With Synthetic Bone Substitutes Compared With Other Grafting Materials: A Systematic Review and Meta-analysis. Implant Dent 2018; 27(3):363-374.
Silva, Claudio Marques, Regina Souza Ferreira, and Leandro Silva Marques. "Estudo clínico prospectivo, randomizado e controlado para comparar as alterações do tecido rígido após a preservação do alvéolo usando aloplastos, xenoenxertos vs sem enxerto: achados clínicos e histológicos." Brazilian Journal of Implantology and Health Sciences 1.4 (2019): 01-17.
Khoury F, Keller P, Keeve PL. Stability of Grafted Implant Placement Sites After Sinus Floor Elevation Using a Layering Technique: 10-Year Clinical and Radiographic Results. Int J Oral Maxillofac Implants 2017;32(5):1086-1096.
Kim YK, Kim SG. A Retrospective Analysis of the Retreatment of Failed Sinus Bone Grafts. Implant Dent 2016;25(3):450-4.
Ahmed MS, Askar NA. Combined bony closure of oroantral fistula and sinus lift with mandibular bone grafts for subsequent dental implant placement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111(4):e8-14.
Corbella S, Taschieri S, Weinstein R, Del Fabbro M. Histomorphometric outcomes after lateral sinus floor elevation procedure: a systematic review of the literature and meta-analysis. Clin Oral Implants Res 2016;27(9):1106-22.
Rammelsberg, Peter, and Julia Pahle. "Ganho ósseo apical a longo prazo após Instalação do implante combinado com elevação do seio maxilar sem enxerto." Brazilian Journal of Implantology and Health Sciences 2.8 (2020): 03-25.
Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: A Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants 2006;21: 696-710.
Tallarico M, Meloni SM, Xhanari E, et al. Minimally Invasive Sinus Augmentation Procedure Using a Dedicated Hydraulic Sinus Lift Implant Device: A Prospective Case Series Study on Clinical, Radiologic, and Patient-Centered Outcomes. Int J Periodontics Restorative Dent 2017;37:125-135.
Vallet-Regí, Maria, Maria-Pau Ginebra, and Sandra C. Cifuentes. "Enxerto ósseo autógeno com dentes: uma revisão de literatura." Brazilian Journal of Implantology and Health Sciences 1.5 (2019): 90-100.
Schwartz-Arad D, Levin L. Multitier technique for bone augmentation using intraoral autogenous bone blocks. Implant Dent 2007;16:5-12. 38. Wen B, Shafer D, Schleier P, et al. Implant-guided supracrestal alveolar bone growth using scaffolds, BMP-2, and novel scaffold-retaining device. Clin Oral Implants Res. 2017;28:1411- 1420

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