Indication Sheet V1
Vertical Augmentation
Treatment concept of Prof. Massimo Simion and
Dr. Isabella Rocchietta, Institute for Dental Research
and Education, University of Milan
> Vertical ridge augmentation with autogenous bone, Geistlich Bio-Oss®
and a non-resorbable reinforced membrane
1. Indication profile
Region
x non-aesthetic region
aesthetic region
single tooth loss
x partially edentulous ridge:
gap situation
x free end situation
completely edentulous ridge
Remark: The shown procedure is also applicable in the aesthetic region, for single tooth
loss and in gap situations.
Bony situation
vertical bone defect
horizontal bone defect
x combined vertical and horizontal bone defect
x use of autogenous bone chips + Geistlich Bio-Oss®
use of autologous bone blocks + Geistlich Bio-Oss®
Remark: The shown procedure is applicable for both vertical and horizontal defects.
Soft tissue situation
no soft tissue augmentation necesary
x soft tissue augmentation necessary:
prior to bone augmentation
simultaneously with augmentation
x during implantation
in an additional stage surgery
Remark: It depends on the individual soft tissue situation.
Implantation
yes, simultaneously with bone augmentation
x yes, in a second stage surgery after 6 months
no
prosthetic treatment: maxilla: 4 months after implantation
mandible: 0 – 4 months after implantation
Remark: When the implant can be placed with primary stability, a simultaneous
approach is possible.
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