Autogenous Bone Graft for Horizontal Ridge Augmentation Associated with Simultaneous Implant Placement

Collagenated Xenogeneic Versus Autogenous Bone Grafts for Ridge Reconstruction: A Prospective Study

This study aimed to compare the clinical performance of autogenous bone blocks with customized and noncustomized bovine bone blocks for horizontal alveolar ridge augmentation. Forty‐eight participants with deficient alveolar ridges were divided into threegroups (n = 16): Group I (autogenous bone graft), Group II (noncustomized bovine bone block), and Group III (customized bovine bone block). Graft success, postsurgical complications, bone formation, and resorption rates were recorded and analyzed after 6 months. Patient satisfaction and postoperative pain were assessed using a visual analog scale. A total of 39 bone blocks were integrated successfully. Survival rates for Groups I, II, and III were 100% (95% CI: 79.4%–100%), 75.0% (95% CI: 47.6%–92.7%), and 68.8% (95% CI: 41.3%–89.0%), respectively (p = 0.07). Dehiscence, screw exposure, and partial bone loss were the most common postoperative complications. Bone formation and resorption did not differ significantly between groups (p = 0.61 and p = 0.12, respectively). Group I experienced significantly higher pain from day 3 to day 7 compared to other groups (p  < 0.001), with peak pain on day 6 (5.75 ± 1.12), while Groups II and III reported peak pain on day 3 (3.06 ± 0.92 and 3.44 ± 0.81, respectively). By day 10, pain scores had decreased substantially in all groups, with Group III reporting the lowest scores (0.31 ± 0.48, p = 0.003). Patient satisfaction was highest in Group III (91%). Within the limitations of this prospective comparative study, onlay grafting with bovine bone blocks demonstrated clinically acceptable outcomes for horizontal ridge augmentation, with resorption rates comparable to autogenous grafts. However, the observed survival differences did not reach statistical significance, and the wide confidence intervals reflect the limited sample size, suggesting that clinically meaningful differences cannot be excluded. Customized bovine bone blocks showed similar clinical performance to noncustomized blocks with higher patient satisfaction. Larger randomized controlled trials with longer follow‐up are warranted to confirm these findings.

Comparative Evaluation of Growth Factor Bioavailability-Enhanced Allograft Vs Autogenous Bone Graft in Anterior Maxillary Ridge Augmentation.

Comparison of the long-term survival rates of dental implants in onlay versus interpositional bone grafts for augmentation of the atrophic mandibular ridge.

Within the limitations of this study, dental implants placed after interpositional sandwich grafting showed higher long-term survival and less MBL than implants placed after onlay grafting in the atrophic mandible.

Long-Term Bone Healing Using Autogenous Tooth Bone Graft Combined with rhBMP-2 after Enucleation of a Large Odontogenic Keratocyst: A Case Report.

Soft tissues around the dental implants folowing mandibular segmental defect replacement: quantity and quality comparison assessment.

OBJECTIVE Aim: To compare the quantity and quality of surrounding soft tissues in patients after segmental mandibular defect reconstruction (SMDR) with bone grafts, before and after placement of implant-supported dental prostheses (ISDPs). PATIENTS AND METHODS Materials and Methods: A total of 74 patients were included and divided into main (MG) and control (CG) groups. The MG consisted of patients after SMDR. The CG comprised 49 patients with a Kennedy Class II dental arch defect following tooth extraction. The width and area of attached gingiva (AG) were assessed before and after ISDP placement using intraoral scanning. RESULTS Results: After ISDP placement, the mean buccal width of AG at the medial implant was 0.94±0.90 mm in the MG and 2.18±0.95 mm in the CG (p<0.01). In the distal buccal region, the median values were 0 (IQR: 0-1) mm and 1.7 (IQR: 1-6) mm, respectively (p<0.001). The mean lingual width at the medial implant was 1.11±0.99 mm in the MG and 2.24±0.97 mm in the CG, whereas at the distal implant the median values were 0 (IQR: 0-0.6) mm and 2.1 (IQR: 1.5-2.75) mm, respectively (p<0.001). The median area of AG was 63.3 (IQR: 38.9-100.45) mm² in the MG and 233.9 (IQR: 186.75-295.75) mm² in the CG (p<0.001). CONCLUSION Conclusions: Patients after SMDR and placement of ISDP are characterized by lower quality and reduced volume of AG compared to conventionally rehabilitated patients with ISDP. To improve the long-term prognosis of treatment, soft tissue augmentation may be recommended.

Comparative Evaluation of Bone Ring versus Particulate Bone Graft using CBCT in Buccal Bone Augmentation with Simultaneous Implant Placement: A Randomised Controlled Trial

The Bone Ring Technique (BRT) is a newer viable option for restoring complex defects around dental implants with three-dimensional bone augmentation with significant height and width augmentation of buccal bone.