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Bone Inlay Augmentation

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Inlay augmentation refers to a special bone reconstruction technique wherein
the height of the alveolar ridge in the oral cavity is not altered. The alveolar ridge is the area that contains the tooth sockets and bears the teeth.
In the animation, one can see how the bone starts resorbing because of the lack of loading in the upper jaw (maxilla). With the passage of time, the bone becomes insufficient to bear an implant, which would project into the maxillary sinus (flashing) if placed in this situation.
The missing bone can be replaced by externally fixing a new piece of bone onto the existing jaw bone (onlay augmentation) or by introducing bone graft material between the patient‘s own bone and the maxillary sinus membrane (inlay augmentation, also known as sinus lift). More about this in the sinus lift video.
With inlay augmentation, the height of the alveolar ridge in the oral cavity remains unchanged, whereas with onlay augmentation, the height is increased. If teeth and bone are missing from esthetically important regions of the oral cavity, and if there are remaining teeth available, then onlay augmentation is generally the better choice because this method leads to better esthetics.
If there are no remaining teeth available and the alveolar bone is evenly resorbed throughout, then inlay augmentation is usually the better choice. Sometimes, both techniques are combined.
Onlay augmentation is associated with an increased risk. The use of one’s own bone always leads to the creation of another wound from a second surgery. One can see, however, that there are numerous surgical techniques for reconstructing the jaw bone. Replacements for the lost bone can be obtained from humans or animals (e.g., bovine). Synthetic bone replacement material is another option. One can read about the details of the respective materials in the video Bone Rebuilding.

Bone Inlay Augmentation