A Novel Approach to Bone Reconstruction: The Wafer Technique

Int J Periodontics Restorative Dent. 2017 May/Jun;37(3):317-325. doi: 10.11607/prd.3055.

Abstract

This study presents a novel technique based on guided bone regeneration and onlay grafts for three-dimensional bone augmentation. This two-stage technique uses an autogenous cortical bone plate and collagen membranes to form a barrier containing a mixture of deproteinized bovine bone matrix, autologous blood, and bone grafted from intraoral sites. Five patients were treated. At 6 months postsurgery, a mean increase in bone volume of 1,062 mm³ was shown. Mean maximum linear augmentation was 3.65 mm. Histologic analysis of the regenerated areas revealed the presence of compact newly formed bone with no sign of inflammation. A total of 13 implants were placed. The patients were satisfied, and complications were not observed.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alveolar Ridge Augmentation / methods*
  • Bone Plates*
  • Bone Transplantation / methods*
  • Collagen
  • Dental Implantation, Endosseous / methods*
  • Female
  • Follow-Up Studies
  • Guided Tissue Regeneration, Periodontal / methods*
  • Humans
  • Inlays / methods*
  • Male
  • Membranes, Artificial*
  • Middle Aged
  • Reoperation

Substances

  • Membranes, Artificial
  • Collagen