Abstract

Localized Vertical Ridge Augmentation with GBR has demonstrated to be a predictable technique in long term studies with more than 30 years follow-up. The use of titanium reinforced PTFE membranes associated with autologous particulated bone grafts and deproteinized bovine bone is the most documented method, however, it is technically sensitive and available only for experienced surgeons. The non-resorbable membrane must be manually trimmed, shaped to fit with the anatomical characteristics of the defect and fixed with several tacs or screws. New devices are actually available to simplify the surgical technique, like customized semi-permeable titanium foils that can be manufactured in advance from a Tri dimensional CBCT image and fixed with only a couple of mini-screws. The traditional and the new techniques will be presented and compared by means of histological analysis.

Learning Objectives

• Apply GBR techniques with resorbable, non-resorbable, and customized titanium meshes.
• Manage severe bone resorption in esthetic areas using GBR and soft tissue grafts.
• Perform bone and soft tissue augmentation with adjacent root coverage.
• Explore advancements in customized titanium foils for simplified surgical application.
• Compare traditional and modern approaches through clinical and histological outcomes.