Alveolar Ridge Augmentation Using Autogenous Bone Graft and Platelet-Rich Fibrin to Facilitate Implant Placement

Abstract

The maxillary anterior region is considered to be the esthetic zone of human dentition. Missing teeth in this area leads to severely compromised esthetics and function. Endosseous implants are a viable treatment option in this scenario, but the placement of endosteal implants requires adequate bone volume for successful osseointegration. When the morphology of the bone does not allow proper implant placement, there are various bone augmentation procedures which aid in reconstruction of the residual alveolar ridge for ideal implant placement. The mandibular parasymphysis can act as an excellent source of autogenous bone for the augmentation of alveolar ridge deficiencies. This article describes successful augmentation of the maxillary alveolar ridge using block bone autografts harvested from the mandibular symphysis along with platelet-rich fibrin. At 6 months after surgery, implant was inserted, and after a healing period of 5 months, permanent restoration was placed.

The Effect of Platelet-Rich Fibrin and Platelet-Rich Plasma in Secondary Alveolar Bone Grafting in Cleft Lip and Palate Patients: A Systematic Review

“…Meanwhile, the study with the Chelsea scale with 2D assessment of resorption rate showed no significant differences between the two groups at 6 months. At 6 months post surgery, the early remodelling phase of the bone is seen where the grafted bone then undergoes a lot of physiological remodelling of the bone grafting [14,22,23]. Although 2D radiographs are still routinely used along with the clinical outcome for bone grafting, the images from these radiographs are unable to provide the volume, morphology, or architecture of the regenerated bone in the cleft defect area [14].…”

Peculiarities of biomaterials transplantation and implantation of titanium implants in atrophy of hard and soft tissues of the jaws

“…Другой нерешенной проблемой трансплантологии остается увеличение размера альвеолярного гребня при значительном уменьшении его размера, так как без этого осложняется внедрение имплантата в выбранном месте [ 8 ] . Указанная проблема остается нерешенной, несмотря на то что существует множество процедур аутогенной костной пластики, таких как дистракционный остеогенез, направленная регенерация кости, аутогенная пластика накладными блоками, установка вкладок, «тент-штанга» и вертикальная реконструкция с использованием титановой сетки для увеличения доступной высоты кости при внедрении имплантата [ 9,10 ] .…”

Updating on autogenous bone graft material in dentistry

“…In a case study, block bone autografts taken from the mandibular symphysis were successfully used for localized alveolar ridge augmentation before implant placement. Autogenous bone grafts from the mandibular symphysis can be used for alveolar ridge augmentation [40]. The success rate of guided bone regeneration and autogenous bone grafts for lateral ridge augmentation is high.…”