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      • Tunnel access for ridge augmentation: A review

        D’Albis Giuseppe,D’Albis Vincenzo,Cesário de Oliveira Júnior Jonhson,D’Orazio Fabrizio 대한치과이식(임프란트)학회 2021 The Korean Academy of Implant Dentistry Vol.40 No.2

        In traditional bone regeneration, the periosteal layer of the flap must be released to achieve tension-free primary wound closure. Several minimally invasive tunnel techniques have been introduced to augment the bone volume for prosthetic-driven implant placement, thus minimizing tissue trauma and patient morbidity. This literature review aimed at analyzing the available literature on ridge augmentation with a lateral tunnel access approach, and detailed the surgical protocols, materials, advantages, indications for use, disadvantages, and complications. The Medline and PubMed medical databases were searched for reports published between 2005 and March of 2021. Seventeen articles describing minimally invasive tunnel techniques for ridge augmentation were identified. Preservation of the integrity of the periosteum has been found to be the determining factor in reducing postoperative pain and improving wound vascularization. Studies have reported encouraging data on the bone volume obtained for implant-prosthetic rehabilitation using this technique.

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