Vertical Bone Augmentation - When to Use Collagen Membranes Vs. Reinforced Titanium PTFE

In the realm of oral surgery and dental implant procedures, vertical bone augmentation is a critical step in achieving successful results. The choice of how to approach this augmentation process hinges on the height of bone required for regeneration, and it's a decision that can profoundly influence the overall success of the procedure.

vertical bone augmentation decision tree

Vertical Bone Augmentation Strategy

When Vertical Height is Three Millimeters or Less:

Utilizing Vitality Cortical Cancellous Bone and a Resorbable Collagen Membrane

In situations where the vertical bone height to be regenerated is three millimeters or less, it is recommended to opt for a combination of Vitality Cortical Cancellous Bone and a long-lasting resorbable collagen membrane.

Vitality Cortical Cancellous Bone: This allograft bone matrix is known for its exceptional handling characteristics and is a dependable choice for bone augmentation procedures. It offers structural support and proves particularly effective when dealing with limited bone height.

Resorbable Collagen Membrane: The use of a long-lasting resorbable collagen membrane serves to create a barrier that separates the bone graft material from the soft tissue above. This not only helps maintain the space for bone regeneration but also promotes proper healing.

When Vertical Height is Greater than Three Millimeters:

Employing a Titanium Reinforced PTFE Membrane in Conjunction with Vitality Cortical Cancellous Bone

For more extensive vertical bone augmentation, typically when the necessary height exceeds three millimeters, the preferred approach involves using a titanium reinforced PTFE membrane in combination with Vitality Cortical Cancellous Bone.

Titanium Reinforced PTFE Membrane: This non-resorbable membrane provides crucial support and stability to the graft material.

Vitality Cortical Cancellous Bone: As previously mentioned, this allograft bone matrix is versatile and well-suited for more substantial vertical augmentation procedures. Additionally, it is highly recommended to mix Vitality Bone with either recombinant rh-PDGF or PRF (Platelet-Rich Fibrin) to enhance the regenerative potential. These growth factors can significantly enhance bone formation and expedite healing in the augmented area.

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