To Graft or Not to Graft? Evidence-Based Guide to Decision Making in Oral Bone Graft Surgery

摘要: Rehabilitation of the incomplete dentition by means osseointegrated implants represents a highly predictable and widespread therapy. Advantages oral implant treatment over conventional non-surgical prosthetic rehabilitation involve avoidance removable dentures tooth structure conservation remaining dentition. Implant placement necessitates sufficient bone quantity as well quality, that may be compromised following loss or trauma. Sufficient alveolar to host 10 mm in length 3-4 diameter has been traditionally regarded minimum requirements allow bone-demanded placement. Three-dimensional morphology, however, not permit favourable positioning. In age prosthetic-driven treatment, grafting procedures indicated exclusively due lack volume, but ensure biomechanics long-term esthetic outcome. A vast variety modalities have suggested increase volume thus overcome intrinsic limitations implantology. Although success rates various graft techniques are high, inherent disadvantages augmentation include prolonged times, raised costs increased surgical invasion associated with patient morbidity potential complications. Therefore, tactics obviate surgery naturally preferred both patients surgeons. Nongrafting options, such reduced use computerguided surgery, on other hand carry risk lower predictability success. To graft? – is question clinicians facing day-to-day rehabilitation.