Abstract

This paper describes an alternative technique for horizontal and vertical bone reconstructions in cases where the remaining hard tissue is insufficient for the placement of osseointegrated implants. Although numerous surgical techniques have been published for these cases, it is observed that premature membrane exposure is one of the main complications in many of them, often leading to failure of the case. This technique manages to combine the primary objective of a reconstruction technique—maintaining the space occupied by the biomaterial/autogenous bone until its maturation and the formation of new bone—with the advantage of being efficient in preventing premature membrane exposure. Instead of using an extensive titanium mesh, only strips of the same material are used, which are also capable of creating a scaffold for bone remodeling but with a drastic reduction in premature exposure, specifically by allowing greater nutrition of the covering flap positioned passively over the graft

Keywords

autogenous bone graft, vertical ridge augmentation, titanium mesh, barrier membrane, guided bone regeneration