The Osteoperiosteal Flap: A Simplified Approach to Alveolar Bone Reconstruction

This elaborately illustrated and concisely written book takes a fresh look at alveolar bone reconstruction, positing that the vitality of the gingiva-alveolus-implant complex is more important than simple implant longevity. With the use of osteoperiosteal flaps, the surgeon manipulates available bone to recover what is missing in a very specific way: endosteally. This relatively closed wound approach seems to spontaneously activate the epigenetic signal within the gingivoalveolar complex, and the augmentation develops in a manner analogous to primordial growth. Soft tissue generally follows suit, and implant therapy can commence, creating a functional gingiva-alveolus-implant matrix. Once mastered, bone flaps can almost entirely eliminate the need for block grafting or guided bone regeneration. The culmination of many years of clinical research independently conducted by experts around the world, this volume presents procedures for various osteoperiosteal flaps that are not only easy to learn but result in significantly fewer complications and a more vital alveolar reconstruction. It is intended for the "wet finger" clinician the private practitioner, who must use techniques that work consistently, minimize morbidity, and are simple and relatively quick to perform. The osteoperiosteal flap, in its various permutations, fulfills these criteria beautifully.

Contents

Section I: Biologic Rationale

1. Biologic Basis of the Osteoperiosteal Flap

2. A New Biologic Classification of Bone Augmentation

Section II: Distraction Osteogenesis Techniques

3. Alveolar Distraction Osteogenesis

4. Supraperiosteal Transport Distraction Osteogenesis

5. Rapid Alveolar Expansion of Osteoperiosteal Flaps

Section III: Pedicled Segmental Osteotomy Techniques

6. Book Bone Flap

7. Island Osteoperiosteal Flap

8. Internal Alveolar Split Bone Graft

9. Sandwich Osteotomy Bone Graft in the Anterior Maxilla

10. Sandwich Osteotomy Combined with Extraction Socket Bone Graft

11. Sandwich Osteotomy Bone Graft in the Anterior Mandible

12. Smile Osteotomy

13. Sinus Graft Combined with Osteoperiosteal Flaps

14. Maxillary Alveolar Split Horseshoe Osteotomy

15. Sinus Floor Intrusion as a Vascularized Osteoperiosteal Flap

Section IV: Restorative Techniques

16. Alveolar Design by Stereolithography

17. Esthetically Driven Prosthetic Management of Osteoperiosteal Flaps

18. Esthetically Driven Surgical and Prosthetic Management of Alveolar Distraction Osteogenesis

19. Recombinant Protein Application for Bony and Periodontal Augmentation

20. Dental Implant Repositioning by Osteotomy in the Esthetic Zone

Section V: Developing Technologies

21. Osteoperiosteal Tissue-Engineered Injectable Bone

22. De Novo Tooth Engineering to Replace Lost Teeth