Treatment Options for Atrophic Ridges Based on Anatomical Locations of the Missing Teeth

Abstract

Differences in anatomy, biomechanical loading and aesthetic demands make treatment needs for implant placement at different anatomical locations distinct from one another. In the atrophic posterior maxilla, vertical bone deficiency can be predictably augmented with sinus augmentation procedure. In the edentulous anterior mandible, the improvements in the mechanical properties of titanium alloys and implant designs have enabled the use of dental implants in limited mesial-distal space. Various techniques have also yielded predictable results for horizontal ridge augmentation. However, challenges remain in the atrophic anterior maxilla where soft tissue aesthetics is of paramount importance to the success of the restoration; and in the atrophic posterior mandible where the presence of inferior alveolar nerve limits the quantity of bone volume. The aim of this article is to discuss the challenges encountered at different anatomical locations and to present the various surgical treatment options available for each site. Stuti Muchhala*, Motoharu Unozawa, Wendy CW Wang and Cheryl G Robins Department of Periodontology and Implant Dentistry, New York University, USA *Address for Correspondence Stuti Muchhala, Department of Periodontology and Implant Dentistry, New York University, Clinic 5W, 345 E 24th St, New York, NY 10010, USA, Tel: +1-347-726-0888; E-mail: Sdm460@nyu.edu Submission: 15 January, 2018 Accepted: 16 February, 2018 Published: 26 February, 2018 Copyright: © 2018 Muchhala S, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Review Article Open Access Journal of Oral Biology