Vertical 2: The Next Level of Hard and Soft Tissue Augmentation

Vertical 2: The Next Level of Hard and Soft Tissue Augmentation

Istvan Urban

In the author’s bestselling first book, Vertical and Horizontal Ridge Augmentation: New Perspectives, published by Quintessence in 2017 and translated into 12 languages, the guided bone regeneration (GBR) technique was described in detail.
This new publication, Vertical 2:
The Next Level of Hard and Soft Tissue Augmentation, is a continuation of that book but at a more advanced level.
Now, the author delves into the details where the devil lives, and shares information that has never been revealed before on the topic of vertical ridge augmentation.
It is important to read this book armed with the knowledge from the first book as you will need it on this second journey with him.
A major part of this book comprises full-color, step-by-step images of patient cases.
At times, reading it is like watching a surgical video, where the author ‘stops the video’ to discuss with you, the reader, what he is thinking and doing at that step, what his next step will be, and the reason for it.
Included again are the well-appreciated ‘Lessons learned’ sections, where the learning objectives are emphasized and further notes given, including ways to further improve the techniques.
The section on the mandible is more detailed in this book, with the focus on larger defects and the different surgical steps in native, fibrotic, and scarred tissue types around the mental nerve during flap advancement.
In addition, light is shed on the detail in treating the anterior maxilla, which has not been published previously.
It includes treatment options such as the fast track, the safe track, and the technical track of soft tissue reconstruction in conjunction with bone grafting as well as papilla reconstructions after bone regeneration.
The section on the posterior maxilla hopes to resolve issues such as the management and complications of combined ridge and sinus grafting, including difficulties such as the lack of buccal, crestal or nasal bony walls of the posterior maxilla before bone grafting.
In this must-have new publication, the procedures are kept simple, repeatable, and biologically sound.
The techniques presented are not overcomplicated; they are simple treatment strategies with lower complication rates and more predictability in the final outcome.

Contents:

1. The biology of vertically and horizontally augmented bone
2. Scientific evidence of vertical bone augmentation utilizing a titanium-reinforced polytetrafluoroethylene mesh

The extreme vertical defect of the posterior mandible

3. Reconstruction of the extreme posterior mandibular defect: surgical principles and anatomical considerations
4. Reconstruction of an advanced posterior mandibular defect with scarred tissue
5. Reconstruction of an advanced posterior mandibular defect with narrow basal bone
6. Reconstruction of an advanced posterior mandibular defect with incomplete periodontal bone levels: the ‘pawn sacrifice’
7. Reconstruction of an advanced posterior mandibular defect with the Lasagna technique using low-dose bone morphogenetic protein-2

Anterior mandibular vertical augmentation

8. Reconstruction of the advanced anterior mandibular defect: surgical principles and anatomical considerations
9. Reconstruction of the advanced anterior mandibular defect: considerations for soft tissue reconstruction and preservation of the regenerated bone
10. Reconstruction of the advanced anterior mandibular defect: importance of horizontal bone gain

Posterior maxilla

11. Long-term results of implants placed in augmented sinuses with minimal and moderate remaining alveolar bone
12. Difficulties and complications relating to sinus grafting: hemorrhage and sinus septa
13. Difficulties in sinus augmentation and posterior maxillary reconstructions: missing labial sinus wall and ridge deficiencies
14. Sinus graft infection and postoperative sinusitis
15. The reconstruction of an extreme vertical defect in the posterior maxilla

Anterior maxillary vertical augmentation

16. Introduction and clinical treatment guidelines
17. Complex reconstruction of an anterior maxillary vertical defect

Extreme defect

18. Anterior maxillary extreme defect augmentation

Soft tissue reconstruction in conjunction with bone grafting

19. Reconstruction of a natural soft tissue architecture after bone regeneration
20. The labial strip gingival graft
21. The double strip graft
22. Large open-healing connective tissue graft

Reconstruction of the interimplant papilla

23. The double connective tissue graft
24. The Ice-cube connective tissue graft
25. The Iceberg connective tissue graft

Interproximal bone and soft tissue regeneration

26. Vertical periodontal regeneration in combination with ridge augmentation

Ultimate esthetics

27. Ultimate esthetics: reconstruction of the bone and soft tissue in conjunction with preserving the mucogingival junction

Complications

28. Complications