The “One Piece” Autologous Tuberosity Graft: A Contemporary Concept in Ridge Preservation

Younes, Ronald; Khairallah, Carla Maria

doi:10.1155/2020/3945076

Cited by 4 publications

(6 citation statements)

References 37 publications

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“…Furthermore, the connective tissue attached to the bone in CTBG may be used to reconstruct the damaged buccal soft tissue 10,11 . This connective tissue also seals the socket and protects the graft when used for socket preservation/reconstruction after tooth and implant removal 2,12,13 . In the present study, the epithelium was retained on the exposed portion of the CTBG to provide greater stability.…”

Section: Discussionmentioning

confidence: 82%

“…10,11 This connective tissue also seals the socket and protects the graft when used for socket preservation/reconstruction after tooth and implant removal. 2,12,13 In the present study, the epithelium was retained on the exposed portion of the CTBG to provide greater stability. Interestingly, CTBG expanded in one case, a phenomenon previously described for inlay grafts.…”

Section: Discussionmentioning

confidence: 89%

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Immediate ridge reconstruction with a composite tuberosity graft after removal of failing implants

Pohl

2023

Clin Adv Periodontics

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BackgroundWhen a dental implant is discovered to be failing, the implant must be removed, resulting in a defect. Immediate reconstruction of the defect using an autogenous composite tuberosity graft has been reported following the removal of a single implant. Ridge reconstruction after the removal of more than one failing dental implant poses an even greater challenge, given the substantial loss of hard and soft tissue. To the author's knowledge, this is the first report to describe the use of an autogenous composite tuberosity graft for the reconstruction of hard and soft tissue for multiple sites.Methods and ResultsThree patients with failing implants and ridge defects received a composite tuberosity graft comprising the bone, periosteum, connective tissue, and epithelium of the maxillary tuberosity for simultaneous hard and soft tissue reconstruction. Bone from the maxillary tuberosity was positioned between the bony borders of the defect or fixed buccally to augment the ridge. Smaller bone pieces from the tuberosity were used to fill the gaps. The soft tissue portion of the graft was allowed to heal spontaneously, thus eliminating the need for further surgery to increase keratinized gingiva and vestibular depth. All sites recovered uneventfully, and the ridge dimensions were re‐established.ConclusionFor patients with sufficient tuberosity bone volume, using a one‐piece composite tuberosity bone graft appears to be a promising approach for rebuilding the ridge in a single surgery.Key pointsWhy are these cases new information? Large hard and soft tissue defects are reconstructed immediately after the removal of one or more failed implants. Keratinized gingival width and vestibular depth are improved. What are the keys to the successful management of these cases? Cone‐beam computed tomography for tuberosity and defect evaluation Careful handling of tuberosity bone Proper graft shaping Composite tuberosity graft fixation Fixed provisional prosthesis for grafted area protection What are the key limitations to the success of these cases? Unavailability of tuberosity A technique‐sensitive approach

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 89%

Immediate ridge reconstruction with a composite tuberosity graft after removal of failing implants

Pohl

2023

Clin Adv Periodontics

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“…No complications regarding graft necrosis were observed (32). Younes and Khairallah (33) proposed an ARP technique applying a "one-piece" autologous bone and soft tissue graft, which was harvested from the maxillary tuberosity. They inserted the graft without flap elevation.…”

Section: Resultsmentioning

confidence: 99%

Alveolar ridge preservation using free gingival grafts. A review article

Yotsova,

Peev,

Georgiev

2021

Scripta Scientifica Medicinae Dentalis

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INTRODUCTION: Tissue preservation after tooth removal is crucial for the subsequent implant and/or prosthodontic rehabilitation. A variety of ridge preservation procedures have been suggested. Socket sealing surgery with free gingival grafts was introduced to minimize soft tissue volumetric alterations and protect the clot or the bone grafting material in the socket. However, the method has some disadvantages, such as postoperative patient discomfort and a need for a second-stage surgery.AIM: This literature review aims to analyze, compare, and summarize the results on the application of free gingival grafts for ridge preservation and define the research gaps that necessitate further assessments. MATERIALS AND METHODS:The present review is based on the existing scientific electronic database, including 42 articles. It provides a comparative analysis of the reported results on socket sealing with free gingival grafts RESULTS: The database showed heterogeneity regarding graft survival and postoperative complications. Authors report that the method gives promising results and successfully preserves the hard and soft tissue volume. It is still disputable, however, whether it is superior to other ridge preservation procedures. CONCLUSION: Further investigation based on randomized clinical trials and precise clinical, histologic, and radiological evaluation is needed to clarify the role of free gingival grafts as a method for ridge preservation. Its application in the different areas of the ridge should be carefully evaluated.

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“…This corticocancellous autogenous graft involves fewer intraoperative and postoperative complications, with no need to repair the donor site, and has excellent capacity to correct localized alveolar ridge defects 15 . However, few case reports have described the use of this procedure for bone regeneration in localized bone defects 15,17,18,19–22 . The aim of this paper was to describe the clinical applications of the maxillary tuberosity block autograft in small and moderate localized defects of the alveolar process around implants and teeth.…”

Section: Introductionmentioning

confidence: 99%

“… 15 However, few case reports have described the use of this procedure for bone regeneration in localized bone defects. 15 , 17 , 18 , 19 , 20 , 21 , 22 The aim of this paper was to describe the clinical applications of the maxillary tuberosity block autograft in small and moderate localized defects of the alveolar process around implants and teeth.…”

Section: Introductionmentioning

confidence: 99%

Applications of maxillary tuberosity block autograft

Zufía¹,

Abella

2022

J Esthet Restor Dent

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Objective: Autogenous bone grafts are considered the gold standard due to their compatibility and osteogenic potential to induce new bone formation through osteogenesis, osteoinduction, and osteoconduction. The aim of this paper was to describe clinical applications of the maxillary tuberosity block autograft in small and moderate localized defects of the alveolar process around implants and teeth.Clinical Considerations: Maxillary tuberosity is often used as a particulate graft for augmentation of deficient alveolar ridge or maxillary sinus prior to or simultaneously with implant insertion, but not as a bone block graft. The maxillary tuberosity block autograft may also provide a valuable bone source for challenging situations such as immediate implant placement into types II and III extraction sockets, treatment of horizontal and vertical bone defects with simultaneous implantation, reconstruction of circumferential defects around implants, and preservation of alveolar ridge. Conclusions:The advantages of the maxillary tuberosity include intraoral corticocancellous autogenous graft with fewer intraoperative difficulties, no need for donor site restoration, less morbidity, and an excellent correction of localized alveolar ridge defects.Clinical Significance: Within the limitations of the presented case reports, the use of maxillary tuberosity block autograft has shown to be successful in alveolar ridges augmentation that lack both width and height.

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The “One Piece” Autologous Tuberosity Graft: A Contemporary Concept in Ridge Preservation

Cited by 4 publications

References 37 publications

Immediate ridge reconstruction with a composite tuberosity graft after removal of failing implants

Immediate ridge reconstruction with a composite tuberosity graft after removal of failing implants

Alveolar ridge preservation using free gingival grafts. A review article

Applications of maxillary tuberosity block autograft

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