S.M.A.R.T.® (Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique) is a novel bone grafting method that uses a small incision and laparoscopic principles to deliver biomaterials and growth factors directly to the treatment site. Because flaps, tenting screws, and membranes are not required, S.M.A.R.T. reduces pain, swelling, and surgical complications while helping preserve the surrounding gum tissue.
Developed by Dr. Ernesto Lee, S.M.A.R.T. was designed to address complications commonly associated with traditional GBR procedures, including tissue dehiscence, membrane exposure, infection, loss of papillae, recession, and esthetic failure.
Since its introduction in 2017, S.M.A.R.T. has been used to regenerate bone and save compromised implants, treat peri-implantitis, perform vertical and horizontal ridge augmentation, and graft bone around natural teeth.
In a recent publication, Dr. Lee demonstrated the chronology of bone regeneration in humans using sequential histology, providing definitive biologic evidence supporting the regenerative principles of the S.M.A.R.T.® method.
S.M.A.R.T.® represents a disruptive innovation in regenerative dentistry and is particularly well suited for saving compromised dental implants and managing complex cases in the esthetic zone, while preserving the existing soft-tissue architecture.
S.M.A.R.T.® can save compromised dental implants by regenerating new bone over the exposed implant surfaces. It is the only technique that can achieve these results while preserving or enhancing the natural appearance of the surrounding gum tissues.
S.M.A.R.T.® is supported by:
Robust scientific validation, including sequential human histology.
An extensive clinical track record, with 7+ years of documented outcomes.
Peer-reviewed publications in prominent professional journals.
Presentations at major scientific conferences.
Endorsements from key opinion leaders and respected specialists.
Collaborative partnerships with top-tier industry leaders.
Dr. Ernesto Lee has been granted nine patents in North America, the European Union, and Latin America; for his innovations in the S.M.A.R.T.® technique