Int J Stomatol ›› 2025, Vol. 52 ›› Issue (4): 428-435.doi: 10.7518/gjkq.2025044

• Prosthodontics • Previous Articles     Next Articles

Classification and application prospect of bone augmentation based on the position of supporting structure

Bo Yang1(),Zhen Fan2,Qiang Dong3,Xiaoyu Yang4,Ming Chen1()   

  1. 1.Dept. of Implantology, Beijing Stomatological Hospital, Capital Medical University, Beijing 100070, China
    2.Dept. of Implantology, Shanghai Tongji Stomatological Hospital, Dental School, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Tongji Research Institute of Stomatology, Shanghai 200072, China
    3.Dept. of Prosthodontics and Implantology, Affiliated Stomatological Hospital of Guizhou Medical University, Guiyang 550004, China
    4.Dept. of Implantology, Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510280, China
  • Received:2024-07-26 Revised:2024-12-27 Online:2025-07-01 Published:2025-06-20
  • Contact: Ming Chen E-mail:516265633@qq.com;cm6699@163.com
  • Supported by:
    Scientific Research Project of National Key Research and Development Program of China(2021-YFC2400400);National Nature Science Foundation of China(81400485)

Abstract:

Bone augmentation has been extensively used in dental implant treatments, but its effect on severely atrophied alveolar ridges is poor. On the basis of the literature review, we divide the commonly used bone augmentation surgery into four categories based on the different position of supporting structures, summarize the advantages and disadvantages of each bone augmentation technique, and elaborate on its application prospects in combination with clinical explorations. We believe that the indirect central support in the second subclass of the second category has broad prospects, and a new bone augmentation surgery based on the concept of “indirect central support” is considered to be designed. The exploration, development, and application of central support bone augmentation could increase the number of bone augmentation procedures, providing new surgical strategies for bone augmentation.

Key words: bone augmentation, supporting structure, central support, dental implant

CLC Number: 

  • R783.4

TrendMD: 

Fig 1

Schematic diagram of “central support” concept and “peripheral support” concept"

Fig 2

The position relation diagram of each consumable in the optimized bone augmentation scheme"

"

1 Darby I, Chen S, De Poi R. Ridge preservation: what is it and when should it be considered[J]. Aust Dent J, 2008, 53(1): 11-21.
2 García-González S, Galve-Huertas A, Aboul-Hosn Centenero S, et al. Volumetric changes in alveolar ridge preservation with a compromised buccal wall: a systematic review and meta-analysis[J]. Med Oral Patol Oral Cir Bucal, 2020, 25(5): e565-e575.
3 Atieh MA, Alsabeeha NH, Payne AG, et al. Interventions for replacing missing teeth: alveolar ridge preservation techniques for dental implant site development[J]. Cochrane Database Syst Rev, 2021, 4(4): CD010176.
4 Cordaro L, Terheyden H. 口腔种植的牙槽嵴骨增量程序: 分阶段方案[M]. 宿玉成, 译. 沈阳: 辽宁科学技术出版社, 2016: 29-85.
Cordaro L, Terheyden H. Alveolar bone augmentation procedure for oral implants: a staged protocol[M]. Su YC., trans. Shen-yang: Liaoning Science and Technology Press, 2016: 29-85.
5 Wang HL, Boyapati L. “PASS” principles for predictable bone regeneration[J]. Implant Dent, 2006, 15(1): 8-17.
6 Sclar AG. Preserving alveolar ridge anatomy follo-wing tooth removal in conjunction with immediate implant placement. The Bio-col technique[J]. Atlas Oral Maxillofac Surg Clin North Am, 1999, 7(2): 39-59.
7 李菡, 王柏翔, 王慧明. 位点保存术在口腔种植中的研究进展[J]. 口腔医学, 2023, 43(4): 347-352.
Li H, Wang BX, Wang HM. Research progress of socket preservation technique in oral implantology[J]. Stomatology, 2023, 43(4): 347-352.
8 Urban IA, Monje A. Guided bone regeneration in alveolar bone reconstruction[J]. Oral Maxillofac Surg Clin North Am, 2019, 31(2): 331-338.
9 Jiang X, Zhang Y, Di P, et al. Hard tissue volume stability of guided bone regeneration during the healing stage in the anterior maxilla: a clinical and radiographic study[J]. Clin Implant Dent Relat Res, 2018, 20(1): 68-75.
10 Xiao T, Zhao YY, Luo E, et al. “Tent-pole” for reconstruction of large alveolar defects: a case report[J]. J Oral Maxillofac Surg, 2016, 74(1): 55-67.
11 Durrani F, Singh P, Pandey A, et al. Tent screws: predictable guided bone regeneration[J]. J Indian Soc Periodontol, 2023, 27(1): 104-112.
12 Farias D, Caceres F, Sanz A, et al. Horizontal bone augmentation in the posterior atrophic mandible and dental implant stability using the tenting screw technique[J]. Int J Periodontics Restorative Dent, 2021, 41(4): e147-e155.
13 Hempton TJ, Fugazzotto PA. Ridge augmentation utilizing guided tissue regeneration, titanium screws, freeze-dried bone, and tricalcium phosphate: clinical report[J]. Implant Dent, 1994, 3(1): 35-37.
14 Le B, Rohrer MD, Prassad HS. Screw “tent-pole” grafting technique for reconstruction of large vertical alveolar ridge defects using human mineralized allograft for implant site preparation[J]. J Oral Ma-xillofac Surg, 2010, 68(2): 428-435.
15 Caldwell GR, Mills MP, Finlayson R, et al. Lateral alveolar ridge augmentation using tenting screws, acellular dermal matrix, and freeze-dried bone allograft alone or with particulate autogenous bone[J]. Int J Periodontics Restorative Dent, 2015, 35(1): 75-83.
16 Simon BI, Chiang TF, Drew HJ. Alternative to the gold standard for alveolar ridge augmentation: ten-ting screw technology[J]. Quintessence Int, 2010, 41(5): 379-386.
17 Bach L, Borzabadi-Farahani A. Treatment of labial mucosal recession around maxillary anterior implants with tenting screws, particulate allograft, and xenogenic membrane: a case report[J]. J Oral Implantol, 2016, 42(5): 427-431.
18 Guillen GA, Araújo AD, Macêdo FC, et al. Evaluation of the screw tent-pole technique for the repair of anterior maxilla width defects: a prospective, randomized, split-mouth study[J]. Int J Oral Maxillofac Surg, 2021, 50(6): 801-807.
19 Deeb GR, Tran D, Carrico CK, et al. How effective is the tent screw pole technique compared to other forms of horizontal ridge augmentation[J]. J Oral Maxillofac Surg, 2017, 75(10): 2093-2098.
20 Precheur HV. Bone graft materials[J]. Dent Clin North Am, 2007, 51(3): 729-746.
21 Elnayef B, Porta C, Suárez-López Del Amo F, et al. The fate of lateral ridge augmentation: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2018, 33(3): 622-635.
22 Elnayef B, Monje A, Gargallo-Albiol J, et al. Vertical ridge augmentation in the atrophic mandible: a systematic review and meta-analysis[J]. Int J Oral Maxillofac Implants, 2017, 32(2): 291-312.
23 Chiapasco M, Tommasato G, Palombo D, et al. A retrospective 10-year mean follow-up of implants placed in ridges grafted using autogenous mandibular blocks covered with bovine bone mineral and collagen membrane[J]. Clin Oral Implants Res, 2020, 31(4): 328-340.
24 Aloy-Prósper A, Carramolino-Cuéllar E, Peñarrocha-Oltra D, et al. Intraoral onlay block bone grafts versus cortical tenting technique on alveolar ridge augmentations: a systematic review[J]. Med Oral Patol Oral Cir Bucal, 2022, 27(2): e181-e190.
25 Khoury F, Antoun H, Missika P. Bone augmentation in oral implantology[M]. New Malden: Quintessence Publishing Co, Ltd, 2007: 115-212.
26 Pourdanesh F, Esmaeelinejad M, Aghdashi F. Clinical outcomes of dental implants after use of tenting for bony augmentation: a systematic review[J]. Br J Oral Maxillofac Surg, 2017, 55(10): 999-1007.
27 Sumida T, Otawa N, Kamata YU, et al. Custom-made titanium devices as membranes for bone augmentation in implant treatment: clinical application and the comparison with conventional titanium mesh[J]. J Craniomaxillofac Surg, 2015, 43(10): 2183-2188.
28 Chiapasco M, Casentini P, Tommasato G, et al. Customized CAD/CAM titanium meshes for the guided bone regeneration of severe alveolar ridge defects: preliminary results of a retrospective clinical study in humans[J]. Clin Oral Implants Res, 2021, 32(4): 498-510.
29 Dellavia C, Canciani E, Pellegrini G, et al. Histolo-gical assessment of mandibular bone tissue after gui-ded bone regeneration with customized computer-aided design/computer-assisted manufacture titanium mesh in humans: a cohort study[J]. Clin Implant Dent Relat Res, 2021, 23(4): 600-611.
30 Sagheb K, Schiegnitz E, Moergel M, et al. Clinical outcome of alveolar ridge augmentation with individualized CAD-CAM-produced titanium mesh[J]. Int J Implant Dent, 2017, 3(1): 36.
31 Proussaefs P, Lozada J. Use of titanium mesh for staged localized alveolar ridge augmentation: clinical and histologic-histomorphometric evaluation[J]. J Oral Implantol, 2006, 32(5): 237-247.
32 Maiorana C, Santoro F, Rabagliati M, et al. Evaluation of the use of iliac cancellous bone and anorga-nic bovine bone in the reconstruction of the atrophic maxilla with titanium mesh: a clinical and histologic investigation[J]. Int J Oral Maxillofac Implants, 2001, 16(3): 427-432.
33 Urban IA, Nagursky H, Lozada JL. Horizontal ridge augmentation with a resorbable membrane and particulated autogenous bone with or without anorga-nic bovine bone-derived mineral: a prospective case series in 22 patients[J]. Int J Oral Maxillofac Implants, 2011, 26(2): 404-414.
34 Urban IA, Monje A, Lozada JL, et al. Long-term evaluation of peri-implant bone level after reconstruction of severely atrophic edentulous maxilla via vertical and horizontal guided bone regeneration in combination with sinus augmentation: a case series with 1 to 15 years of loading[J]. Clin Implant Dent Relat Res, 2017, 19(1): 46-55.
35 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[J]. Int J Oral Maxillofac Implants, 2014, 29(1): 185-193.
36 Merli M, Mariotti G, Moscatelli M, et al. Fence technique for localized three-dimensional bone augmentation: a technical description and case reports[J]. Int J Periodontics Restorative Dent, 2015, 35(1): 57-64.
37 刘菁晶, 王婧, 满毅, 等. 数字化改良栅栏技术在垂直骨缺损重建中的应用[J]. 口腔疾病防治, 2022, 30(10): 733-739.
Liu JJ, Wang J, Man Y, et al. Aplication of digitally modified fence technique in vertical bone reconstruction[J]. J Prev Treat Stomatol Dis, 2022, 30(10): 733-739.
38 邹多宏, 刘昌奎, 薛洋, 等. 帐篷钉技术在牙槽骨修复与再生中的临床应用及操作规范[J]. 中国口腔颌面外科杂志, 2021, 19(1): 1-5.
Zou DH, Liu CK, Xue Y, et al. Clinical application of Tent-Peg technique in the reparation and regene-ration of alveolar bone-standard operational practice[J]. Chin J Oral Maxillofac Surg, 2021, 19(1): 1-5.
39 周麟, 丁佳敏, 邢益丰, 等. 钛网联合帐篷螺钉技术与自体骨移植在前牙区水平骨增量的对比: 一项回顾性研究[J]. 中国口腔种植学杂志, 2023, 28(5): 340-346.
Zhou L, Ding JM, Xing YF, et al. Horizontally ridge reconstruction using titanium mesh with tenting screw vs. autologous bone graft: a retrospective study[J]. Chin J Oral Implantol, 2023, 28(5): 340-346.
40 Schettler D, Holtermann W. Clinical and experimental results of a sandwich-technique for mandibular alveolar ridge augmentation[J]. J Maxillofac Surg, 1977, 5(3): 199-202.
41 Scarano A, Carinci F, Assenza B, et al. Vertical ridge augmentation of atrophic posterior mandible using an inlay technique with a xenograft without miniscrews and miniplates: case series[J]. Clin Oral Implants Res, 2011, 22(10): 1125-1130.
[1] Jiayin Ren,Meng You. Radiological evidence-based clinical consideration for implant placement in the area with cemento-osseous dysplasia lesion [J]. Int J Stomatol, 2025, 52(4): 421-427.
[2] Jie Yu, Jinsong Liu. Surface modification of zirconia implants to promote bone integration [J]. Int J Stomatol, 2025, 52(3): 281-295.
[3] Mengyuan Zhang,Hongye Lu,Qianhui Li,Ping Sun. Autophagy and its role and mechanism in osseointegration of oral implants [J]. Int J Stomatol, 2024, 51(6): 742-748.
[4] Jing Zhang, Siying Zhou, Xinduo Zhang, Yuxia Feng, Jianxue Li. Progress of research on sticky bone in oral implant and periodontology [J]. Int J Stomatol, 2024, 51(4): 433-440.
[5] Han Chong,He Dongning,Yu Feiyan,Wu Dongchao. Research progress on the mechanism and treatment of pain after oral implants [J]. Int J Stomatol, 2024, 51(1): 99-106.
[6] Liao Honglin,Fang Zhonghan,Zhang Yanyan,Liu Fei,Shen Jiefei.. Diagnosis and treatment of post-traumatic trigeminal neuropathic pain after dental implantation [J]. Int J Stomatol, 2023, 50(6): 729-738.
[7] Gong Jiaming,Zhao Ruimin,Pan Hongwei,Lang Xin,Yu Zhanhai,Li Jianxue. Meta-analysis of dynamic navigation versus static navigation in the accuracy of implant surgery [J]. Int J Stomatol, 2023, 50(5): 538-551.
[8] Zhu Keshi,Liao Anqi,Yu Youcheng.. Research progress on the application of machine learning in dental implantology [J]. Int J Stomatol, 2023, 50(4): 491-498.
[9] Lu Qian,Xia Haibin,Wang Min.. Research progress on implantoplasty in the treatment of peri-implantitis [J]. Int J Stomatol, 2023, 50(2): 152-158.
[10] Jiang Qingsong,Lai Wenli,Wang Yan.. Research progress on bone augmentation technique in orthodontics [J]. Int J Stomatol, 2023, 50(2): 243-250.
[11] Man Yi, Huang Dingming. Combined treatment strategy of oral implantology and endodontics microsurgery: clinical protocol and practical cases (part 2) [J]. Int J Stomatol, 2022, 49(6): 621-632.
[12] Man Yi, Huang Dingming. Combined treatment strategy of oral implantology and endodontic microsurgery for bone augmentation and en-dodontic diseases in aesthetic area (part 1): application basis and indications [J]. Int J Stomatol, 2022, 49(5): 497-505.
[13] Wang Yue,Wen Bing,Deng Mengting,Li Jianping. Research advances of low-level laser therapy on peri-implant tissue healing [J]. Int J Stomatol, 2021, 48(6): 725-730.
[14] Zhu Xuanzhi,Zhao Lei. Research progress on the relationship between hypothyroidism and periodontitis [J]. Int J Stomatol, 2021, 48(4): 380-384.
[15] Feng Lu,Meng Wenxia. Research progress on the problems of dental implant treatment in patients with common oral mucosal disease [J]. Int J Stomatol, 2021, 48(2): 147-155.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[7] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[8] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[9] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[10] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .