PreprintCase ReportVersion 1Preserved in Portico This version is not peer-reviewed
Introducing an accelerated protocol for hard and soft tissue augmentation in atrophic ridges receiving adjacent implants: The Poncho Lamina technique.
A case Report with full protocol description
Tzovairis, A.; Leretter, M.; Vandenberghe, B.; Rossi, R. The Poncho Lamina Technique: A Protocol for Hard and Soft Tissue Augmentation in Atrophic Ridges Receiving Adjacent Implants. Medicina2023, 59, 1994.
Tzovairis, A.; Leretter, M.; Vandenberghe, B.; Rossi, R. The Poncho Lamina Technique: A Protocol for Hard and Soft Tissue Augmentation in Atrophic Ridges Receiving Adjacent Implants. Medicina 2023, 59, 1994.
Tzovairis, A.; Leretter, M.; Vandenberghe, B.; Rossi, R. The Poncho Lamina Technique: A Protocol for Hard and Soft Tissue Augmentation in Atrophic Ridges Receiving Adjacent Implants. Medicina2023, 59, 1994.
Tzovairis, A.; Leretter, M.; Vandenberghe, B.; Rossi, R. The Poncho Lamina Technique: A Protocol for Hard and Soft Tissue Augmentation in Atrophic Ridges Receiving Adjacent Implants. Medicina 2023, 59, 1994.
Abstract
Current scientific knowledge and guidelines in bone and soft tissue augmentation, suggest the use of staged surgical workflows as gold standards in regenerative procedures during implant therapy. In this context, the process is always the same regardless of the techniques applied: an alternate series of surgical acts is following one another after the completion of a specific period of osseointegration or graft maturation. As a result, the overall surgical treatment is often long, invasive and induce scar tissue formation. This article proposes a novel, fast and less invasive biphasic protocol with the use of a well documented cortical barrier mounted on stock healing abutments that are further replaced by customised abutments on an early second stage. 2 cases are reported, one for an upper maxillary edentulous area and the other for a mandibular, with a total of 4 implants placed. Results at 4 months post op, showed an optimal soft tissue configuration for both cases with adequate cervical profile generation and sufficient supracrestal complex height above the implant platforms. Significant bone gains were also recorded through CBCT data collection either with alveolar width measurements on axial slices, superposition of preop and postop datasets and 3D visualization after bone volume segmentation. Further studies will be needed in the future to evaluate the efficacy of this protocol in both hard and soft tissue augmentation for edentulous sites in need of implant rehabilitation.
Keywords
Cortical Lamina; Customised Abutments; Bone Augmentation; Cervical Profile; Dental Implants.
Subject
Medicine and Pharmacology, Dentistry and Oral Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
