APPLICATION OF CBCT-GUIDED BONE REGENERATION AND CONCENTRATED GROWTH FACTORS IN THE SURGICAL MANAGEMENT OF MAXILLARY IMPLANT SITES WITH INADEQUATE BONE VOLUME

Tibeică Andreea, Rosu Sorana, Tibeică Silviu Cătălin, Razvan Curca, Crețu Cosmin–Ionuț, Norina Consuela Forna

ABSTRACT

The successful placement of dental implants in the posterior maxilla remains a clinical challenge, particularly in cases involving insufficient bone volume due to sinus pneumatization or crestal bone resorption. Recent advancements in digital planning and regenerative techniques have significantly improved predictability and outcomes. Cone-Beam Computed Tomography (CBCT) has emerged as an essential diagnostic tool, offering three-dimensional imaging critical for preoperative assessment and planning of bone augmentation procedures. Guided Bone Regeneration (GBR), when paired with CBCT, allows for precise localization of anatomical landmarks and defect morphology, thereby improving surgical accuracy and graft containment. Concurrently, the use of Concentrated Growth Factors (CGFs), derived from autologous blood, has been shown to enhance healing and bone maturation by promoting angiogenesis and osteogenic cell recruitment. This review aims to synthesize current literature on the synergistic application of CBCT-guided GBR and CGFs in the treatment of atrophic maxillary ridges, highlighting clinical protocols, regenerative outcomes, and long-term implant success. The integration of digital diagnostics and autologous biostimulation represents a paradigm shift toward minimally invasive and biologically optimized implantology.

DOI : 10.62610/RJOR.2025.3.17.32