Bone and Soft Tissue Augmentation in Implantology

Bone and Soft Tissue

Augmentation in Implantology

Fouad Khoury

With contributions from:

R. Gruber, Th. Hanser, Ph. Keeve, Ch. Khoury, J. Neugebauer, J. E. Zöller

A CIP record for this book is available from the British Library.

ISBN: 978-3-86867-591-7

Copyright © 2022

Quintessenz Verlags-GmbH

All rights reserved. This book or any part thereof may not be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of the publisher.

Editing: Avril du Plessis,

Quintessenz Verlags-GmbH, Berlin, Germany

Layout and Production:

Quintessenz Verlags-GmbH, Berlin, Germany

The replacement of failed and missing teeth with dental implants is a common and well-accepted treatment modality. The success and long-term stability of dental implants is directly related to the quantity and quality of the supporting bone and surrounding soft tissue. When there is a lack of adequate bone volume for implant placement, a variety of bone augmentation procedures and materials have been proposed to develop the site. Although no single technique or biomaterial is optimal for every clinical situation, autogenous bone continues to be considered the gold standard of graft materials, and this text exemplifies this mantra.

Prof. Dr. Fouad Khoury is a world-renowned authority in the fields of oral surgery and dental implantology. He is a unique blend of gifted clinician and inspiring teacher. Prof. Khoury is Chairman and Director of the Privatklinik Schloss Schellenstein in Olsberg, Germany, and Professor in the Department of Oral and Maxillofacial Surgery at the University of Muenster.

Prof. Khoury is a skilled and exceptional surgeon who has dedicated his career to developing innovative techniques using autogenous bone for augmentation of the deficient ridge. His knowledge of bone biology spurred the development of the split cortical bone block protocol, often referred to as the ‘Khoury bone plate’ technique. This novel approach has been well proven as a very predictable method for the three-dimensional reconstruction of the maxilla and mandible. Prof. Khoury’s perspective on the importance of autogenous bone led to his development of other bone grafting procedures such as the bone core technique and the bony lid approach. His clinical philosophy has also stressed that successful bone augmentation requires impeccable soft tissue management.

This outstanding new book presents techniques for more routine treatment as well as some of the most challenging cases a clinician might encounter.

Prof. Khoury has assembled a team of respected academicians and expert clinicians to complete the text. A comprehensive understanding of bone biology is fundamental to developing a rationale for clinical decisions. Prof. Reinhard Gruber has done a wonderful job laying the foundation by explaining the biology of bone regeneration and the unique characteristics of autogenous bone. The book continues with clinical topics written by Dr. Thomas Hanser, Dr. Philip Keeve, Prof. Charles Khoury, Prof. Joerg Neugebauer, and Prof. Joachim Zoeller, including diagnosis and treatment planning, soft tissue management, autogenous bone harvesting, complex implant-supported rehabilitation, risk factors, and complications. The procedures are well documented in a clear and precise manner with high-quality photographs and extensive references. Many of the chapters address the interdisciplinary aspects of treatment, which is critical in managing more complex cases.

Prof. Khoury is one of the most generous and humble teachers I have encountered in dentistry. For decades he has not only thoughtfully treated patients but shared his vast knowledge and experience with students and clinicians around the world in classrooms and conferences. He has also been devoted to documentation and long-term follow up of his cases to scientifically support his philosophy of treatment. This text is just one example of his lifetime commitment and dedication to teaching.

It is been a distinct honor to get to know Prof. Khoury over the years as an esteemed colleague and friend. We have shared a similar perspective on the importance of autologous tissue for predictable augmentation and long-term outcomes.

I would like to thank and congratulate Prof. Khoury and his co-authors for their contributions and this achievement. This superb text will serve as an invaluable reference for students and faculty as well as clinicians in the treatment of their implant patients. We are indeed fortunate that Prof. Khoury and his team have shared their expertise in this new third edition.

Craig M. Misch, DDS, MDS

May 2021

Private Practice in Oral and Maxillofacial Surgery and Prosthodontics

Misch Implant Dentistry, Sarasota, FL

Clinical Associate Professor

University of Michigan, School of Dentistry

University of Alabama at Birmingham, School of Dentistry

University of Pennsylvania, School of Dental Medicine

University of Florida, College of Dentistry

Implant dentistry has evolved into a highly predictable clinical procedure in routine cases where the available bone is of adequate height and width. However, this condition is not met by all of our patients. Yet even patients with an inadequate bone supply to support implants now want – even expect – improved function and better esthetics.

This superb textbook presents treatment techniques both for routine cases and for some of the most difficult cases a dentist is likely to encounter. Dr. Fouad Khoury is one of the elite clinicians in oral and maxillofacial surgery. He is a true talent. He is supremely knowledgeable about every clinical aspect of transplantation, and his approach is impeccably scientific. He is a rare blend of superb clinician and gifted teacher.

For this book, Dr. Khoury was able to enlist the assistance of a wonderful group of teachers and academics. They have done an excellent job of sharing their knowledge and experience. They have described their treatment procedures in a clear and precise manner, including extensive references at the end of each chapter. In addition, many of the chapters address the interdisciplinary aspects of treatment – which deserves particular praise, since too many clinicians tend to be locked into their own specialist’s approach to their patients’ problems. We should remember to take a step back now and then and look at a therapy as a unified whole, not just at a sequence of treatment steps, important as they may be.

Dr. Khoury is one of the most innovative surgeons that I know. For decades, he has been at the forefront of new and creative ideas to help his patients. He has also been kind enough to share these innovations with the rest of the world. This book is just one example of his lifetime commitment to teaching.