In a recent episode of Just Ask hosted by Stepan, Professor Massimo Simion, a pioneer in bone grafting, shared his expertise on vertical bone augmentation, a critical technique in dental and maxillofacial surgery. Known for his contributions to Guided Bone Regeneration (GBR), Simion delved into his approach to managing vertical bone defects.
He emphasized the importance of using titanium-reinforced EPF membranes, which are key in maintaining space for bone regeneration. Although resorbable collagen membranes are used for horizontal augmentation, Simion noted their unpredictability in vertical cases. The predictability of results is crucial, especially in aesthetic cases where precision is essential for success.
The conversation also explored the evolution of vertical augmentation techniques, beginning with the pioneering use of EPF membranes in the early 90s. Over the years, Simion and his colleagues refined the approach with new materials, including semiocclusive titanium meshes, which can be custom-made to fit the ridge and defect precisely, allowing for better stability and less reliance on tenting screws.
A key point in the discussion was the integration of soft tissue with the barrier membrane. Simion shared insights from his research, noting that the permeability of membranes isn’t as critical as their ability to integrate with surrounding tissues, which helps prevent complications such as wound dehiscence. Additionally, he discussed the importance of combining vertical augmentation with sinus lifts in certain cases to ensure sufficient bone height for implant placement.
Simion concluded with a look at the latest developments in bone augmentation, introducing the use of customizable titanium meshes. These meshes, while still in the early stages of clinical use, offer promising results in terms of both stability and bone regeneration, presenting a more adaptable solution to complex vertical bone defects.
This insightful presentation by Professor Simion sheds light on the evolving practices of vertical bone augmentation and underscores the importance of precision and innovation in improving outcomes for patients. For dental professionals, his work continues to set the benchmark for successful bone regeneration procedures.