ABSTRACT

This chapter focuses on autogenous augmentation techniques that can be performed in the office or outpatient clinic environment. Adequate bone stock is essential for successful implant placement. Deficient bone may arise due to physiologic resorption in edentulous areas or acquired defects secondary to trauma or ablative surgery. There are numerous augmentation materials and techniques available if the bone volume is inadequate at the planned implant site. Many factors influence the selection of augmentation material and technique; however, the volume, location and morphology of the defect are primary determinants. These materials may be used individually or in combination to replace and/or regenerate deficient bone. They may also be supplemented by biologically active materials such as platelet-rich plasma (PRP) and bone morphogenic proteins (BMPs). Potential donor sites suitable for office or outpatient clinic bone harvesting include local sites in the maxilla and mandible or remote sites such as proximal tibia.