International Journal of Experimental Dental Science

Register      Login

VOLUME 8 , ISSUE 2 ( July-December, 2019 ) > List of Articles

CASE REPORT

Mending with Hard Tissue Augmentation: A Perioesthetic Approach

Ramaprabha Govindarajulu, Navarasu Mathimaraiselvan, Pavithra R Seshadri, Senthikumar Swaminathan, Lakshmisree Sankar

Keywords : Alveolar ridge augmentation, Block grafts, Osteotomy, Ridge defects

Citation Information : Govindarajulu R, Mathimaraiselvan N, Seshadri PR, Swaminathan S, Sankar L. Mending with Hard Tissue Augmentation: A Perioesthetic Approach. Int J Experiment Dent Sci 2019; 8 (2):58-62.

DOI: 10.5005/jp-journals-10029-1196

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Background: Alveolar ridge deficiency can be due to many causes like infection, trauma, and tooth loss. This will create an anatomically unfavorable condition for the placement of implant-supported prosthesis, for which complete construction of alveolar bone with variable regenerative surgical procedures have become more accurate. This guided bone regeneration (GBR)-based surgical technique can be attempted either during implant placement or priorly to give proper restoration with longer and extensive prognosis. Aim: This case report explains the hard tissue augmentation procedure with autogenous monocortical block bone graft harvested from the mandibular symphysis region. Case description: A 22-year-old male patient came to the department of periodontics with a complaint of missing right central incisor for the past 2 months. On examination, Seibert's class III alveolar ridge deficiency with moderate depth was observed in the region of missing tooth. Conclusion: Augmentation of the height and width of the alveolar ridge defect (Seibert's class III ridge deficiency) using an autogenous chin graft has been applied in this patient. After few months, a significant increase in the area of the ridge defect was achieved. Clinical significance: A combination of block graft obtained from the symphysis, along with osseous coagulum, is a predictable technique in augmenting atrophic ridge deficiency. It is still considered the gold standard compared with other grafting procedures. Ridge augmentation in the anterior region for this patient provided sufficient bone volume for implant placement as well as an esthetically satisfactory appearance.


HTML PDF Share
  1. Schropp L, Wenzel A, Kostopoulos L, et al. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodont Rest Dent 2003;23(4):313–323.
  2. Toscano N, Shumaker N, Holtzclaw D. The art of block grafting. A review of the surgical protocol for reconstruction of alveolar ridge deficiency. J Imp & Adv Cli Dent 2010;2(2):45–66.
  3. Durrani Farhan. Bone augmentation using autogenous block grafts and particulate bovine bone in the severe atrophic ridges: case reviews. Int J Contemp Dent and Med Rev 2016. 1–4.
  4. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. part I. Technique and wound healing. Compend Contin Educ Dent 1983;4(5):437–453.
  5. Allen EP, Gainza CS, et al. Improved technique for localized ridge augmentation: a report of 21 cases. J Periodontol 1985;56(4):195–199. DOI: 10.1902/jop.1985.56.4.195.
  6. Joshi A, Kostakis GC. An investigation of post-operative morbidity following iliac crest bone harvesting. Br Dent J 2004;196(3):169–171. DOI: 10.1038/sj.bdj.4810945.
  7. Nkenke E, Schultz-Mosgau S, Radespiel-Tröger M, et al. Morbidity of harvesting of chin grafts: a prospective study. Clin Oral Implants Res 2001;12(5):495–502. DOI: 10.1034/j.1600-0501.2001.120510.x.
  8. Von Arx T, Hafliger J, Chappuis V. Neurosensory disturbances following bone harvesting in the symphysis: a prospective clinical study. Clin Oral Implants Res 2005;16(4):432–493. DOI: 10.1111/j.1600-0501.2005.01138.x.
  9. Erikkson RA, Albrektsson T. The effect of heat on bone regeneration: an experimental study on the rabbit using the bone growth chamber. J Oral Maxillofac Surg 1984;42(11):705–711. DOI: 10.1016/0278-2391(84)90417-8.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.