With this huge array of techniques to select from, one may wonder if there are specific indications for the different alveolar bone augmentation procedures. Systematic review by Milinkovic et al,43 aimed to answer this question based on available evidence. They concluded that there is evidence to support use of:
The authors did note that there was significant heterogeneity and lack of precise description of the edentulous ridge defect in papers selected in this systematic review and hence one cannot extract clear indications for each augmentation technique still leaving the clinician the ultimate responsibility for the final choice. As a general rule, a surgical technique should be chosen in relation to the anatomy at presentation and the expected outcome.43 One should be mindful that these procedures are technique – operator – experience sensitive and hence the clinicians expertise plays a significant role in assuring long-term success as much as patient selection and their post-implant therapy maintenance.
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