METHODS FOR ALVEOLAR RIDGE SOFT AND HARD TISSUE VOLUME INCREASE. NARRATIVE REVIEW

Objective: The aim of the article was to compare orthotontic extrusion and regenerative surgery methods as methods for increasing the volume of hard and soft tissues of the alveolar process in the pre-implantation period.
Materials and methods: A search was carried out using electronic databases: Medline, Google Scholar,PubMed, EMBASE, Scopus.
Results: 58 articles were found and analyzed. Of these, 26 were clinical cases using orthodontic extrusion, 32 of them were clinical cases using regenerative surgical techniques.
Conclusions: Both orthodontic extrusion and surgical methods have been found to be effective in increasing the volume of hard tissue during the pre-implantation period, whereas surgical methods are less effective in improving soft tissue volume and very often require soft tissue plastic surgery. The literature search also pointed to the lack of technical means and methods of carrying out the extrusion of teeth in cases of support deficiency.
There is a clear need to develop new techniques and devices for more controlled tooth extrusion.