Aug 2026· Clinical Implant Dentistry and Related Research· Vol 28 4, pp.
e70178
· 0 citations· 41 references
Medicine
TL;DR
The H-PRF bone block technique achieved comparable bone augmentation outcomes to the Sausage technique; this technique represents a promising approach that may be considered for horizontal bone augmentation.
Abstract
Objectives
Adequate horizontal bone width is essential for successful implant placement and long-term stability. This study aimed to compare the outcomes of two techniques for horizontal alveolar ridge augmentation: the horizontal platelet-rich fibrin (H-PRF) bone block technique and the Sausage technique.
Materials And Methods
Fifty patients, presenting 63 tooth sites, were enrolled between 2023 and 2025. Twenty five patients were treated with H-PRF bone block technique (H-PRF group), while 25 patients were treated using the "Sausage" technique (Sausage group) for horizontal bone augmentation. The bone width gain, bone stability rate, and bone volume change at 6 months after surgery were quantified by measurements through cone beam computed tomography (CBCT) scans. Furthermore, the correlation between bone width gain, bone stability rate, and gender, defect site, and bone defect type was analyzed. The complication rates were also recorded.
Results
The H-PRF group demonstrated significantly greater horizontal bone gain at the crestal level compared with the Sausage group (0 mm level: 2.85 ± 4.05 mm vs. 0.79 ± 2.35 mm; p = 0.043), while no significant differences were observed at 2, 4, 6, 8 mm levels (p > 0.05). The bone stability rate was 63.21% ± 27.67% for the H-PRF group and 63.88% ± 16.64% for the Sausage group (p = 0.791). Both bone width gain and bone stability rate were not associated with gender or defect site. However, defect type showed a significant association with horizontal bone width gain at the most apical levels (6 and 8 mm).
Conclusions
The H-PRF bone block technique achieved comparable bone augmentation outcomes to the Sausage technique; this technique represents a promising approach that may be considered for horizontal bone augmentation.
While DO provides the greatest vertical bone gain, the GBR techniques might be a more clinically practical option, however, future well-planned RCTs to identify effective vertical bone augmentation techniques are still warranted.
Both study groups showed a statistically significant increase in bone width at 6 months, with the highest increase observed in group A2 (ABG + rhBMP-2), with the highest increase observed in group A2 (ABG + rhBMP-2).
S. S. ALKishwan, T. A. Hassan· Dentistry 3000· 0 citations
Purpose This retrospective study compares the effects of free-lay (FL) and tucked/adapted (TK) collagen membrane placement on vertical bone height (BH) in 2D radiographs after maxillary sinus augmentation (MSA) with the lateral window approach. Materials & Methods Patients who underwent MSA between 2020 and 2025 were included in this study. In all cases, a collagen membrane was placed to cover the lateral window. Membranes were stabilized either as a free lay or by tucking the margins between the sinus wall and the graft. Panoramic radiographs were obtained preoperatively and at postoperative day 7, month 2, month 6, and the final follow-up to assess BH. Results Fifty-six patients were analyzed (FL, n = 35; TK, n = 21). BH decreased significantly over the follow-up period. Technique-by-time interactions were not statistically significant, and after adjustment, the membrane technique was not an independent predictor of bone height change. Greater mesiodistal graft width was found to be correlated with higher BH values. The staged approach was linked to higher level of BH reduction in the long term. Conclusion Within the limitations of this study, TK technique showed no measurable benefit over free-lay coverage in preserving BH after maxillary MSA. Prospective studies using CBCT-based volumetric endpoints and direct evaluation of graft displacement are recommended.
Emrah Bilen· European Annals of Dental Sc...· 0 citations
BACKGROUND
The present study aimed to assess and evaluate the clinical and radiographic outcomes of the non-incised papilla surgical approach (NIPSA) with advanced platelet-rich fibrin (A-PRF)/xenograft composite to enhance periodontal regeneration in intrabony defects.
METHODS
A total of 10 systemically healthy patients aged 25-55 years with 3- or 2-wall intrabony defects involving the buccal wall and defect depth ≥3 mm were selected. Microsurgical technique NIPSA was employed, and grafting was done using A-PRF/xenograft composite, followed by A-PRF membrane placement. The radiographic cone beam computed tomography measurements of total defect depth and bone density in Hounsfield-Units (HUs) were taken at baseline and at the end of 6 months. Clinical parameters, including probing depth, clinical attachment level, and gingival thickness, were recorded at baseline and at 6 months postoperatively.
RESULTS
From baseline to 6-month study showed a mean reduction of 2.69 mm in probing depth and a mean gain of 2.68 mm in clinical attachment and 2.81 mm gain in gingival thickness. Radiographically, a mean reduction of 2.80 mm in total defect depth and gain in bone density from 22.20 to 507.10 HUs was observed. All the parameters showed clinical and statistical improvement.
CONCLUSIONS
NIPSA technique, along with the A-PRF/xenograft composite, can be an effective and minimally invasive regenerative procedure for the management of intrabony defects in the maxillary and mandibular anterior region.
KEY POINTS
To the best of our knowledge, this is the first study to demonstrate the effectiveness of the non-incised papilla surgical approach technique in combination with advanced platelet-rich fibrin (A-PRF)/xenograft composite for the management of 2- and 3- wall intrabony defects. Minimally invasive non-incised papillae preservation approach effectively maintained the integrity of soft tissues and graft stability, both of which are critical factors for successful regenerative outcomes. A harmonious biomaterial A-PRF/xenograft composite graft utilizes the biological activity of PRFs with structural support of the graft material in escalating the regenerative treatment.
PLAIN LANGUAGE SUMMARY
This study assessed a minimally invasive surgical procedure to help restore the bone and supporting tissues around teeth damaged by periodontal disease. Ten healthy adults with specific types of bone defects were treated using this procedure in the anterior region. A biologically active material prepared from the patient's own blood was combined with a bone graft to restore the defect. After 6 months, patients showed significant improvements such as increased gum attachment, gum thickness, and reduced pocket depth. In a three-dimensional scan, bone level and bone density were also increased. These changes indicate that the treated sites healed with stronger and more stable supporting structures. The outcomes suggest that this approach may offer an effective and less traumatic option for managing bone defects in the esthetic region, with encouraging clinical and radiographic outcomes.
Raksha Kumari, T. Gowda, Rucha Shah et al.· Clinical Advances in Periodo...· 0 citations
Neither the choice of drilling technique nor the implant macrogeometry significantly influences insertion torque or stability levels in regions of low bone density in this randomized controlled clinical study.
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