The Fate of Lateral Ridge Augmentation: A Systematic Review and Meta-Analysis. 2018

Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro

OBJECTIVE Owing to volumetric changes after tooth extraction, lateral ridge augmentation has become a common procedure prior or simultaneous to implant placement. Nonetheless, little is known with regard to the dimensional remodeling after healing of these lateral ridge augmentation procedures. Hence, the purpose of this systematic review was to assess the stability of bone grafting material between augmentation procedures and final healing, in terms of resorption rate. METHODS An electronic and hand literature search was conducted in several databases, such as the Cochrane Oral Health Group Trials Register, Embase, and Cochrane Central Register of Controlled Trials, up until February 2017. Only randomized controlled trials (RCTs) with a mean follow-up of at least 6 months after implant placement aiming to evaluate the stability of grafting material for lateral ridge augmentation were included and quantitatively analyzed. RESULTS A total of 35 articles were evaluated; however, only 17 RCTs met the inclusion criteria. A total of 15 studies reported information on bone resorption, leading to a total sample of 304 implants. The estimated overall mean horizontal bone gain at the time of regeneration was 3.71 ± 0.24 mm, with 4.18 ± 0.56 mm for the block graft technique and 3.61 ± 0.27 mm for guided bone regeneration (GBR). The estimated overall net bone gain at final re-evaluation (11.9 ± 7.8) was 2.86 ± 0.23 mm. The estimated mean (± SD) resorption after 6 months was 1.13 ± 0.25 mm, with 0.75 ± 0.59 mm for the block graft technique and 1.22 ± 0.28 mm for GBR. The implant survival rate was 97% to 100%. CONCLUSIONS Regardless of the material used for regeneration, different degrees of graft resorption should be expected. Given the sample of investigations analyzed in this review, block grafts seemed to maintain the volume of the initial augmentation site more than GBR techniques. During the initial stages of healing, the GBR technique experienced more changes compared with block grafts. The resorption of the xenograft group was inferior compared with the combination of xenograft and autologous bone groups. Consequently, overcorrection of the horizontal defects should be performed to compensate for the resorption of the grafting materials.

UI MeSH Term Description Entries
D001861 Bone Regeneration Renewal or repair of lost bone tissue. It excludes BONY CALLUS formed after BONE FRACTURES but not yet replaced by hard bone. Osteoconduction,Bone Regenerations,Regeneration, Bone,Regenerations, Bone
D001862 Bone Resorption Bone loss due to osteoclastic activity. Bone Loss, Osteoclastic,Osteoclastic Bone Loss,Bone Losses, Osteoclastic,Bone Resorptions,Loss, Osteoclastic Bone,Losses, Osteoclastic Bone,Osteoclastic Bone Losses,Resorption, Bone,Resorptions, Bone
D003758 Dental Implantation, Endosseous Insertion of an implant into the bone of the mandible or maxilla. The implant has an exposed head which protrudes through the mucosa and is a prosthodontic abutment. Dental Implantation, Osseointegrated,Endosseous Dental Implant Therapy,Endosseous Implantation,Osseointegrated Dental Implantation,Endosseous Dental Implantation,Implantation, Endosseous,Implantation, Endosseous Dental,Implantation, Osseointegrated Dental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000540 Alveolar Ridge Augmentation Preprosthetic surgery involving rib, cartilage, or iliac crest bone grafts, usually autologous, or synthetic implants for rebuilding the alveolar ridge. Mandibular Ridge Augmentation,Maxillary Ridge Augmentation,Alveolar Ridge Augmentations,Augmentation, Alveolar Ridge,Augmentation, Mandibular Ridge,Augmentation, Maxillary Ridge,Augmentations, Alveolar Ridge,Augmentations, Mandibular Ridge,Augmentations, Maxillary Ridge,Mandibular Ridge Augmentations,Maxillary Ridge Augmentations,Ridge Augmentation, Alveolar,Ridge Augmentation, Mandibular,Ridge Augmentation, Maxillary,Ridge Augmentations, Alveolar,Ridge Augmentations, Mandibular,Ridge Augmentations, Maxillary
D014081 Tooth Extraction The surgical removal of a tooth. (Dorland, 28th ed) Extraction, Tooth,Extractions, Tooth,Tooth Extractions
D015921 Dental Implants Biocompatible materials placed into (endosseous) or onto (subperiosteal) the jawbone to support a crown, bridge, or artificial tooth, or to stabilize a diseased tooth. Dental Implants, Mini,Dental Prosthesis, Surgical,Implants, Dental,Dental Implant,Dental Prostheses, Surgical,Implant, Dental,Prostheses, Surgical Dental,Prosthesis, Surgical Dental,Surgical Dental Prostheses,Surgical Dental Prosthesis,Dental Implant, Mini,Mini Dental Implant,Mini Dental Implants
D016025 Bone Transplantation The grafting of bone from a donor site to a recipient site. Grafting, Bone,Transplantation, Bone,Bone Grafting
D064593 Heterografts Tissues, cells or organs transplanted between animals of different species. Xenografts,Heterograft,Xenograft

Related Publications

Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
June 2019, Journal of clinical periodontology,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
January 2017, The International journal of oral & maxillofacial implants,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
April 2021, Polymers,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
September 2023, Medicine,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
April 2019, Journal of prosthodontics : official journal of the American College of Prosthodontists,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
January 2018, The International journal of oral & maxillofacial implants,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
September 2023, Journal of maxillofacial and oral surgery,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
December 2003, Annals of periodontology,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
December 2023, Clinical implant dentistry and related research,
Basel Elnayef, and Cristina Porta, and Fernando Suárez-López Del Amo, and Lorenzo Mordini, and Jordi Gargallo-Albiol, and Federico Hernández-Alfaro
January 2021, Journal of oral & maxillofacial research,
Copied contents to your clipboard!