Complications associated with vertical bone augmentation techniques in implant dentistry: A systematic review of clinical studies published in the last ten years

doi:10.1016/j.jormas.2023.101574

Q2 · DentistryImpact Factor · 1.759

AutoresLuis Miguel Sáez-Alcaide, B. Gallego, Javier Fernando Moreno, Miguel Moreno Navarro, Carlos Cobo-Vázquez, Jorge Cortés‐Bretón Brinkmann, Cristina Méniz-García

Por qué importa

Este artículo revisa sistemáticamente las complicaciones asociadas a las técnicas de aumento óseo vertical previas a la colocación de implantes dentales, un procedimiento cada vez más frecuente en la práctica clínica. Se analizaron datos de 25 estudios que incluyeron 749 sitios con aumento vertical, comparando tasas de complicaciones entre osteogénesis por distracción (51.02%), bloques óseos (38.01%) y regeneración ósea guiada (16.80%). Los resultados subrayan que, si bien necesarias, estas técnicas conllevan un riesgo significativo de complicaciones quirúrgicas. Por ello, se aconseja abordar estos procedimientos con cautela, considerando su potencial impacto en el éxito clínico del tratamiento implantológico posterior y la importancia de una planificación cuidadosa para mitigar estos riesgos.

Abstract original

Vertical bone augmentation procedures are increasingly necessary in daily practice. However, it has been reported that vertical ridge augmentation is one of the least predictable techniques in terms of complications. The aim of this systematic review was to evaluate and compare complications in relation to the different procedures used for vertical bone augmentation prior to implant placement. This review was conducted according to PRISMA guidelines. An electronic search was carried out in four databases: The National Library of Medicine (MEDLINE/PubMed); Web of Science; SCOPUS; and Cochrane Central Register of Controlled Trials (CENTRAL). The Newcastle-Ottawa Quality Assessment Scale, the Cochrane Collaboration tool for assessing risk of bias, and The Joanna Briggs Institute Critical Appraisal tool were used to assess the quality of evidence in the studies reviewed. Twenty-five studies with a total of 749 vertically augmented sites were included in the review. Complication rates varied among the different procedures: 51.02% for distraction osteogenesis, 38.01% for bone blocks, and 16.80% for guided bone regeneration. Vertical bone augmentation procedures prior to implant placement are associated with frequent surgical complications and should be approached with caution due to their possible impact on clinical treatment success.

Leer texto completo ↗DOI · 10.1016/j.jormas.2023.101574

Autor Doctor&Cols

Carlos M. Cobo Vázquez
Cirugía Oral e Implantología

Cómo citar

Sáez-Alcaide LM, Gallego B, Moreno JF, Navarro MM, Cobo-Vázquez C, Brinkmann JC, et al. Complications associated with vertical bone augmentation techniques in implant dentistry: A systematic review of clinical studies published in the last ten years. Journal of Stomatology Oral and Maxillofacial Surgery. 2023. doi:10.1016/j.jormas.2023.101574