Clinical Experience with Vertical Bone Augmentation

Da bi se zubni usadak trajno usidrio, nužno je da postoji dovoljno kosti za očekivanu oseointegraciju. Nema li dovoljno kosti, moramo pokušati pojačati strukturu. To nije teško postići u horizontalnom smjeru, no često je nepouzdano kada se obavlja u visinu. Opisane su različite metode, no malo ih ima dobru prognozu. Kliničko je iskustvo pokazalo da je blok-augmentacija s pomoću autologne kosti - barem kada je riječ o gornjoj čeljusti - ili distrakcija vertikalne kosti unutarnjim ili vanjskim distraktorom nadmoćna svim ostalim metodama.A permanent anchorage of dental implants needs sufficent bone for the expected osseointegration. If there is not enough bone we have to try to augment the structure. This is not difficult in the horizontal direction but often unreliable in the height. Different methods are described, and only a few with good prognosis. Clinical experience has shown that block-augmentation with autologeous bone- at least for the upper jaw- or vertical bone-distraction with internal or external distractors in superior to all other methods