{"id":19036,"date":"2019-10-01T16:25:28","date_gmt":"2019-10-01T14:25:28","guid":{"rendered":"https:\/\/www.zerodonto.com\/en\/?p=19036"},"modified":"2019-10-03T10:47:28","modified_gmt":"2019-10-03T08:47:28","slug":"spal-technique","status":"publish","type":"post","link":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/","title":{"rendered":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation"},"content":{"rendered":"<p>A 71 yo male patient, non smoker and sistemically healthy required a fixed implant-supported rehabilitation in the posterior left mandible.<\/p>\n<p>Teeth in position 3.5-3.7 were extracted 6 months before the screening visit and a socket preservation procedure was performed.<\/p>\n<p>Clinical and CBCT evaluation revealed a thin bucco-lingual dimension of the bone ridge, insufficient to place implants in a prosthetically driven position.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19037\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a_1.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"738\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a_1.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a_1-300x221.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a_1-768x567.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a_1-550x406.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19038\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b_1.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"470\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b_1.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b_1-300x141.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b_1-768x361.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b_1-550x259.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19039\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/c_1.jpg\" alt=\"spal-technique\" width=\"631\" height=\"1000\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/c_1.jpg 631w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/c_1-189x300.jpg 189w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/c_1-550x872.jpg 550w\" sizes=\"auto, (max-width: 631px) 100vw, 631px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19040\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/d_1.jpg\" alt=\"spal-technique\" width=\"736\" height=\"1000\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/d_1.jpg 736w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/d_1-221x300.jpg 221w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/d_1-550x747.jpg 550w\" sizes=\"auto, (max-width: 736px) 100vw, 736px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19041\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/e_1.jpg\" alt=\"spal-technique\" width=\"631\" height=\"1000\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/e_1.jpg 631w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/e_1-189x300.jpg 189w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/e_1-550x872.jpg 550w\" sizes=\"auto, (max-width: 631px) 100vw, 631px\" \/><\/p>\n<p>Treatment plan required the placement of 3 implants in position 3.5-3.6-3.7 by mean of the Sub Periosteal Peri-Implant Augmented Layer (SPAL) technique to simultaneously augment the thickness of the buccal bone plate at the time of implant in position 3.5 &#8211; 3.6.<\/p>\n<p>A split-thickness, crestal incision was performed in the region 3.5-3.7. A vertical releasing incision was made distal to 3.4.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/VmBJuwiWPhs?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>A split thickness flap was then raised using a 15C blade thus creating two distinct layers. A external tension free layer, namely the mucosal layer, and an internal layer attached to the bone ridge, namely the periostal layer. A full thickness flap was elevated on the lingual aspect.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/ubv2d-J0taU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>Periosteal layer was then detached from the bone ridge by mean of a crestal incision reaching the bone and using microsurgical periosteal elevator (PTROM, Hu Friedy, Chicago, Illinois) and tunnelling knives (KPAX- TKN1X- TKN2X, Hu Friedy, Chicago, Illinois), taking care not to damage its integrity. In this way, a pouch was created between the bone ridge and the periosteal layer.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/pSwRyuEvDm0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>3 tissue-level implant (Thommen Medical, Grenchen, Switzerland) in position 3.5-3.6-3.7 were placed. Implant in position 3.5 presented a buccal dehiscence while implants in position 3.6 presented an intact but thin (&lt; 1 mm) buccal cortical bone plate.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/vdhtPXJGGxE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>The space between the periosteal layer and the exposed implant surface\/buccal cortical bone plate was filled with a bovine derived xenograft (Bio-Oss<sup>\u00ae<\/sup> spongiosa granules, diameter 0.25-1.0 mm; Geistlich Pharma, AG, Wolhusen, Switzerland) to completely correct the buccal dehiscence and simultaneously augment the thickness of the buccal cortical bone plate. The graft was performed even at the 3.7 region to improve the \u201cspace-making\u201d effect.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/nInFpC63Bb0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>Periosteal layer was then sutured tension-free to the lingual flap by mean of 6\/0 internal mattress sutures to stabilize the xenograft. Finally, implants, graft and periosteal layer were submerged by coronally advancing the mucosal layer and suturing it to the lingual flap by mean of 6\/0 internal mattress and interrupted sutures.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/BJ0EtIMuHys?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19042\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/f_1.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"758\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/f_1.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/f_1-300x227.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/f_1-768x582.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/f_1-550x417.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19043\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/g_1.jpg\" alt=\"spal-technique\" width=\"756\" height=\"1000\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/g_1.jpg 756w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/g_1-227x300.jpg 227w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/g_1-550x728.jpg 550w\" sizes=\"auto, (max-width: 756px) 100vw, 756px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19044\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/h_1.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"516\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/h_1.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/h_1-300x155.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/h_1-768x396.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/h_1-550x284.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p>Home use of a 0.12% chlorhexidine solution (Curasept ADS Trattamento Rigenerante<sup>\u00ae<\/sup>; Curaden Healthcare, Saronno, Italy) was prescribed for chemical plaque control (1-minute rinse b.i.d. for 3 weeks). Painkiller\/anti-inflammatory therapy was self-adminestered as needed. Sutures were removed at 2-weeks post-surgery<\/p>\n<p>Implant exposure was performed 4 months after implant placement. A partial thickness flap was detatched in region 3.5-3.6. No implant presented buccal dehiscence and every implant presented a thick (\u2265 2 mm) buccal cortical bone plate. Healing abutments were placed. A free gingival graft at implants in position 3.5-3.6 was performed to improve dimensions of peri-implant keratinized mucosa.<\/p>\n<p><iframe loading=\"lazy\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/XqYdnh2z42Q?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>Peri-implant tissues are stable 6 months after the insertion of the final prosthesis.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19045\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a-copia.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"818\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a-copia.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a-copia-300x245.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a-copia-768x628.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/a-copia-550x450.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-19046\" src=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b.jpg\" alt=\"spal-technique\" width=\"1000\" height=\"751\" srcset=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b.jpg 1000w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b-300x225.jpg 300w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b-768x577.jpg 768w, https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/b-550x413.jpg 550w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p>SPAL technique could be considered a valuable simplified surgical approach for horizontal bone augmentation and to correct peri-implant bone dehiscences.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 71 yo male patient, non smoker and sistemically healthy required a fixed implant-supported rehabilitation in the posterior left mandible. Teeth in position 3.5-3.7 were extracted 6 months before the screening visit and a socket preservation procedure was performed. Clinical and CBCT evaluation revealed a thin bucco-lingual dimension of the bone ridge, insufficient to place implants in a prosthetically driven position. Treatment plan required the placement of 3 implants in position 3.5-3.6-3.7 by mean of the Sub Periosteal Peri-Implant Augmented Layer (SPAL) technique to simultaneously augment the thickness of the buccal bone plate at the time of implant in position 3.5 &#8211; 3.6. A split-thickness, crestal incision was performed in the region 3.5-3.7. A vertical releasing incision was made distal to 3.4. A split thickness flap was then raised using a 15C blade thus creating two distinct layers. A external tension free layer, namely the mucosal layer, and an internal layer attached to the bone ridge, namely the periostal layer. A full thickness flap was elevated on the lingual aspect. Periosteal layer was then detached from the bone ridge by mean of a crestal incision reaching the bone and using microsurgical periosteal elevator (PTROM, Hu Friedy, Chicago, Illinois) and tunnelling [&hellip;]<\/p>\n","protected":false},"author":423,"featured_media":19061,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"coauthors":[154,155,157,156],"class_list":["post-19036","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-implantology"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation | Zerodonto | Dentistry in Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation | Zerodonto | Dentistry in Blog\" \/>\n<meta property=\"og:description\" content=\"A 71 yo male patient, non smoker and sistemically healthy required a fixed implant-supported rehabilitation in the posterior left mandible. Teeth in position 3.5-3.7 were extracted 6 months before the screening visit and a socket preservation procedure was performed. Clinical and CBCT evaluation revealed a thin bucco-lingual dimension of the bone ridge, insufficient to place implants in a prosthetically driven position. Treatment plan required the placement of 3 implants in position 3.5-3.6-3.7 by mean of the Sub Periosteal Peri-Implant Augmented Layer (SPAL) technique to simultaneously augment the thickness of the buccal bone plate at the time of implant in position 3.5 &#8211; 3.6. A split-thickness, crestal incision was performed in the region 3.5-3.7. A vertical releasing incision was made distal to 3.4. A split thickness flap was then raised using a 15C blade thus creating two distinct layers. A external tension free layer, namely the mucosal layer, and an internal layer attached to the bone ridge, namely the periostal layer. A full thickness flap was elevated on the lingual aspect. Periosteal layer was then detached from the bone ridge by mean of a crestal incision reaching the bone and using microsurgical periosteal elevator (PTROM, Hu Friedy, Chicago, Illinois) and tunnelling [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/\" \/>\n<meta property=\"og:site_name\" content=\"Zerodonto | Dentistry in Blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/zerodonto\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-01T14:25:28+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-10-03T08:47:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"959\" \/>\n\t<meta property=\"og:image:height\" content=\"536\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Leonardo Trombelli, Mattia Severi, Mattia Pramstraller, Roberto Farina\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Leonardo Trombelli, Mattia Severi, Mattia Pramstraller, Roberto Farina\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.zerodonto.com\\\/en\\\/2019\\\/10\\\/spal-technique\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.zerodonto.com\\\/en\\\/2019\\\/10\\\/spal-technique\\\/\"},\"author\":{\"name\":\"Leonardo Trombelli\",\"@id\":\"https:\\\/\\\/www.zerodonto.com\\\/en\\\/#\\\/schema\\\/person\\\/84da4eca9617c2c02b84a0a4cb2546fa\"},\"headline\":\"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone 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Director, Research Center for the Study of Periodontal and Peri-implant Diseases, University of Ferrara. Director, Dental Clinic, Azienda Sanitaria Locale di Ferrara, Ferrara. Dean, Dental School, University of Ferrara (2013-18). President, Medical School, University of Ferrara (2014-2016). Past President of the Italian Society of Osseointegration (2007-2009). Active member of Italian Society of Periodontology, International Association for Dental Research. Editorial Board member for the\u00a0Journal of Clinical Periodontology\u00a0(2000-), Journal of Dental Research (2018-2021),\u00a0member of the Peer review panel for the Journal of Periodontology.\u00a0 Private practice limited to Periodontology and Oral Surgery.\",\"url\":\"https:\\\/\\\/www.zerodonto.com\\\/en\\\/author\\\/leonardo-trombelli\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation | Zerodonto | Dentistry in Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/","og_locale":"en_US","og_type":"article","og_title":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation | Zerodonto | Dentistry in Blog","og_description":"A 71 yo male patient, non smoker and sistemically healthy required a fixed implant-supported rehabilitation in the posterior left mandible. Teeth in position 3.5-3.7 were extracted 6 months before the screening visit and a socket preservation procedure was performed. Clinical and CBCT evaluation revealed a thin bucco-lingual dimension of the bone ridge, insufficient to place implants in a prosthetically driven position. Treatment plan required the placement of 3 implants in position 3.5-3.6-3.7 by mean of the Sub Periosteal Peri-Implant Augmented Layer (SPAL) technique to simultaneously augment the thickness of the buccal bone plate at the time of implant in position 3.5 &#8211; 3.6. A split-thickness, crestal incision was performed in the region 3.5-3.7. A vertical releasing incision was made distal to 3.4. A split thickness flap was then raised using a 15C blade thus creating two distinct layers. A external tension free layer, namely the mucosal layer, and an internal layer attached to the bone ridge, namely the periostal layer. A full thickness flap was elevated on the lingual aspect. Periosteal layer was then detached from the bone ridge by mean of a crestal incision reaching the bone and using microsurgical periosteal elevator (PTROM, Hu Friedy, Chicago, Illinois) and tunnelling [&hellip;]","og_url":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/","og_site_name":"Zerodonto | Dentistry in Blog","article_publisher":"https:\/\/www.facebook.com\/zerodonto","article_published_time":"2019-10-01T14:25:28+00:00","article_modified_time":"2019-10-03T08:47:28+00:00","og_image":[{"width":959,"height":536,"url":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg","type":"image\/jpeg"}],"author":"Leonardo Trombelli, Mattia Severi, Mattia Pramstraller, Roberto Farina","twitter_misc":{"Written by":"Leonardo Trombelli, Mattia Severi, Mattia Pramstraller, Roberto Farina","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#article","isPartOf":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/"},"author":{"name":"Leonardo Trombelli","@id":"https:\/\/www.zerodonto.com\/en\/#\/schema\/person\/84da4eca9617c2c02b84a0a4cb2546fa"},"headline":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation","datePublished":"2019-10-01T14:25:28+00:00","dateModified":"2019-10-03T08:47:28+00:00","mainEntityOfPage":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/"},"wordCount":544,"commentCount":0,"image":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#primaryimage"},"thumbnailUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg","articleSection":["Implantology"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/","url":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/","name":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation | Zerodonto | Dentistry in Blog","isPartOf":{"@id":"https:\/\/www.zerodonto.com\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#primaryimage"},"image":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#primaryimage"},"thumbnailUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg","datePublished":"2019-10-01T14:25:28+00:00","dateModified":"2019-10-03T08:47:28+00:00","author":{"@id":"https:\/\/www.zerodonto.com\/en\/#\/schema\/person\/84da4eca9617c2c02b84a0a4cb2546fa"},"breadcrumb":{"@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#primaryimage","url":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg","contentUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/09\/spal-technique.jpg","width":959,"height":536,"caption":"spal-technique"},{"@type":"BreadcrumbList","@id":"https:\/\/www.zerodonto.com\/en\/2019\/10\/spal-technique\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.zerodonto.com\/en\/"},{"@type":"ListItem","position":2,"name":"Sub-Periosteal peri-implant augmented layer (SPAL) technique for peri-implant bone augmentation"}]},{"@type":"WebSite","@id":"https:\/\/www.zerodonto.com\/en\/#website","url":"https:\/\/www.zerodonto.com\/en\/","name":"Zerodonto | Dentistry in Blog","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.zerodonto.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/www.zerodonto.com\/en\/#\/schema\/person\/84da4eca9617c2c02b84a0a4cb2546fa","name":"Leonardo Trombelli","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/10\/Leonardo-Trombelli-150x150.jpge4eef218703cb226a68891f013ec65b6","url":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/10\/Leonardo-Trombelli-150x150.jpg","contentUrl":"https:\/\/www.zerodonto.com\/en\/wp-content\/uploads\/2019\/10\/Leonardo-Trombelli-150x150.jpg","caption":"Leonardo Trombelli"},"description":"Leonardo Trombelli, DDS, PhD Full Professor and Chair, Periodontology, School of Dentistry, University of Ferrara. Director, Research Center for the Study of Periodontal and Peri-implant Diseases, University of Ferrara. Director, Dental Clinic, Azienda Sanitaria Locale di Ferrara, Ferrara. Dean, Dental School, University of Ferrara (2013-18). President, Medical School, University of Ferrara (2014-2016). Past President of the Italian Society of Osseointegration (2007-2009). Active member of Italian Society of Periodontology, International Association for Dental Research. 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