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Containment and contouring (CoCoon) technique: a biologically adequate approach to less invasive autogenous preimplant augmentation of bone
Authors:Nils-Claudius Gellrich,Kai-Hendrik Bormann,Shahram Tehranchian,Horst Kokemü  ller,Maria Mercedes Suarez-Cunqueiro
Affiliation:1. Department of Oral and Maxillofacial Surgery, Hannover Medical School, Germany;2. Department of Stomatology, Santiago de Compostela University, Spain
Abstract:We have analysed retrospectively whether the less invasive zygomatic buttress graft is able to meet the dimensional and biological requirements of preimplant augmentation of bone. A total of 273 patients were treated by zygomatic buttress graft, of whom 42 (12 men and 30 women) met the criteria for inclusion. Intensity of pain was judged by a visual analogue score (VAS). Complications of grafting were evaluated, and dental implants were studied on clinical and radiographic examinations. The Schneiderian membrane was perforated in 13 cases (28%). The mean (SD) postoperative VAS was 3.1 (0.9) at the donor site. The mean (SD) follow-up after implant was 17(8) months. Two grafts were lost, one from initial dehiscence and later infection, and the other from infection. The mean (SD) marginal resorption of bone graft was 0.5 (0.7) mm. No implant was lost during the observation period. The zygomatic buttress graft meets the biological and dimensional requirements of augmentation of bone before implant that allows the dental implants to survive with satisfactory prosthetic rehabilitation.
Keywords:Zygomatic buttress   Maxillary augmentation   Alveolar ridge defect   Dental implant
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