1360503
1360504
20097

Challenges and solutions in horizontal bone atrophy

Producto Commerce ID (CProductId): 1360504

Eduardo Anitua Aldecoa

"The least for the most". That is the philosophy guiding this book: less invasiveness, more preservation; less complexity, greater predictability. With scientific and biomechanical support and decades of translational experience, this book offers techniques and clinical cases showing how horizontal bone atrophy can be transformed into safe, stable and durable treatment opportunities.
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Categorías:
Medicina oral, Medicina regenerativa, Prácticas clínicas

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Opciones

2026
978-84-87673-80-1
332
47
Clinical placements, Oral medicine, Regenerative medicine
ES, EN
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Horizontal bone atrophy represents one of the most demanding challenges in contemporary implantology. This book proposes a different way of approaching it: minimally invasive interventions with maximum results. From the anatomical foundations that allow horizontal defects to be understood, to their resolution through different surgical procedures, the text reviews both those supported by extensive clinical experience and long-term follow-up and the most recent, marked by innovation and the opening of new therapeutic horizons.

The philosophy underpinning each chapter is clear and compelling: ‘the minimum for the maximum’. Less surgical invasiveness, greater tissue preservation. Less technical complexity, more safety and predictability. With strong biomechanical support and decades of translational experience, together with extensive visual material and documented clinical cases, the book offers practical tools to turn limitations into safe and durable therapeutic opportunities.

More than a compendium of protocols, this book is an invitation to comprehensive implantology: grounded in biology, sustainable over time, and always focused on the patient's ellbeing.

Index:
  • Narrow implants: Current situation
    1. Horizontal bone atrophy: Anatomy
      • Horizontal atrophy
      • Classification of maxillary horizontal atrophy
      • Factors that contribute to horizontal bone loss
      • PRGF-Endoret® as a biological modulator of post-extraction socket healing
    2. Narrow implants: Types and characteristics
      • Narrow implants
      • Narrow implants with narrow prosthetic connection (3.5 mm)
      • Implant with 3 mm (3.0) prosthetic platform
      • Severe atrophies
      • 2.5 mm implant with 2.5 mm platform in severe scenarios
    3. Biomechanics of narrow implants
      • Prior biomechanical concepts: implant length and angulation
      • Biomechanics of narrow implants vs. conventional‑diameter implants
      • Rehabilitation of the mandible with horizontal atrophy using narrow implants
      • Rehabilitation of edentulism in the maxilla
      • Final conclusions
  • Conventional surgical approach to horizontal atrophy
    1. Ridge expansion: Indications and techniques
      • Treatment alternatives for narrow ridges
      • Bone expansion by compaction
      • Expansion by compaction using motorised expanders
    2. Split‑crest technique
      • Split‑crest technique: biological principles
      • Split‑crest technique: clinical principles
      • Split‑crest using ultrasonic devices and expanders
      • Implants placed by ridge split with ultrasound and expanders
    3. Two-stage split-crest technique and transitional implants
      • Two-stage surgical expansion
      • The transitional implant
      • Two-stage ridge expansion
      • Advantages over other techniques for horizontal bone atrophy
    4. Block graft
      • The block graft
      • Intraoral sites as donor sources for grafting
      • Indications for block grafting in horizontal atrophy
      • Full‑thickness block graft
      • Partial‑thickness block graft
      • “Box”-type block graft for severe alveolar defects with horizontal and vertical components
      • Block graft using the lateral sinus wall as donor site
    5. Guided bone regeneration in oral implantology
      • Guided bone regeneration
      • Biological basis of guided bone regeneration
      • Materials used in guided bone regeneration
      • Types of techniques according to the defect in guided bone regeneration
      • Use of PRGF-Endoret® in guided bone regeneration
  • Updated approach to horizontal atrophy
    1. Updated techniques, materials and protocols. Guided surgery
      • Management of horizontal atrophy: current perspective
      • Even narrower implants: even simpler and more predictable protocols
      • 2.5 mm implant (platform and body): a step forward
      • Other improvements in surgical protocols
      • Static Computer-Aided Implant Surgery (sCAIS) in horizontal atrophy
    2. Narrow implants: Prosthetic rehabilitation
      • Prosthetic rehabilitation of horizontal atrophy: the importance of planning
      • Single-tooth and multiple prostheses on narrow implants
      • Narrow implants and emergence profile design: prosthetic versatility provided by the transepithelial abutment
      • Impression-taking for prosthetic rehabilitation on narrow ridges
      • Interfaces: hermetic sealing at the abutment–superstructure junction
      • Prosthetic protocol
      • Clinical criteria for the design of full-arch prostheses
    3. Complex cases. Combined mixed atrophies
      • Severe combined bone atrophy: vertical and horizontal bone deficiency
      • Case series