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Sharad Patel
Autogenous bone: is it still the gold standard?

Specific Treatment Considerations. When the height of the residual bone in the posterior maxilla is considered insufficient for reliable implant placement, a sinus grafting procedure is considered the treatment of choice. Cawood and Howell in their classification of resorption patterns demonstrated bone resorption develops tridemensionally. Additionally, the atrophic posterior maxilla should be evaluated and classified in terms of not only the residual bone height and width, but also the residual vertical and horizontal intermaxillary relationship, because if sinus grafting is only performed and there is tridimensional bone loss, the implants may be placed in a palatal position. Correction of deficient ridges to achieve an optimal prosthetic result can be performed in different ways. It is essential to define the final prosthetic objective using clinical, radiographic and laboratory information prior to selecting the most adequate surgical procedure.

Sharad Patel
Sharad Patel lectures nationally and internationally on cosmetic dentistry and implantology. He has been practising implant dentistry for more than ten years, during which time he has gained a reputation for the elegance of his work. Dr Patel has enormous enthusiasm and passion for his profession and is driven continually to extend the boundaries of his knowledge. It is Sharad's priority to stay up-to-date technically and technologically with constant continuing education to ensure that his patients receive the best possible dental care available. He is a Fellow of the International Congress of Oral Implantology, and also enjoys membership of the American Academy of Cosmetic Dentistry and the Association of Dental Implantology UK. These internationally recognised bodies are dedicated to the advancement of implant dentistry and encourage high standards to be obtained ethically and responsibly by its members.