8A.2 Extensive augmentation with iliac crest grafts
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After completing this e.tutorial, you will
understand the techniques for inlay and onlay osteoplasty using iliac crest bone grafts,
know the possibilities for improving graft healing and reducing resorption rate, and
be able to judge healing times, success rates, and possible complications of the procedure.
For dental rehabilitation with endosteal implants, bone augmentation is often necessary to ensure long-term restoration of aesthetics and masticatory function. The donor region is determined based on the degree of bone atrophy; for extensive defects, vascularized pedicle grafts are indicated. In patients with skeletal anomalies, orthognathic surgical measures are additionally required. If no other treatment option (e.g., short implants, zygomatic implants, or a fixed bridge on four angulated implants) is possible, iliac crest grafts represent a viable alternative.
J. Wiltfang, E. Behrens