Decision Tree for Vertical Ridge Augmentation

Int J Periodontics Restorative Dent. 2018 Mar/Apr;38(2):269-275. doi: 10.11607/prd.3280.


Vertical ridge augmentation (VRA) procedures before or during dental implant placement are technically challenging and often encounter procedure-related complications. To minimize complications and promote success, a literature search was conducted to validate procedures used for VRA. A decision tree based on the amount of additional ridge height needed (< 4, 4 to 6, or > 6 mm) was then developed to improve the procedure-selection process. At each junction, the clinician is urged to consider anatomical, clinical, and patient-related factors influencing treatment outcomes. This decision tree guides selection of the most appropriate treatment modality and sequence for safe, predictable management of the vertically deficient ridge in implant therapy.

Publication types

  • Review

MeSH terms

  • Alveolar Process / surgery
  • Alveolar Ridge Augmentation / methods*
  • Bone Regeneration*
  • Bone Transplantation*
  • Decision Trees*
  • Dental Implantation, Endosseous / methods
  • Humans
  • Osteogenesis, Distraction*
  • Peri-Implantitis / prevention & control