RAMUS ONLAY BONE GRAFT FOR MAXILLARY ALVEOLAR RIDGE AUGMENTATION-A CASE REPORT

Background: Implant restoration in the anterior esthetic zone is always a clinicians challenge and tooth loss in the anterior region often affects ridge architecture resulting in ridge defects compromising esthetics and implant placement.This case report describes the onlay bone grafting along with PRF application for anterior ridge augmentation and subsequent implant placement. The second stage surgery describes preservation of the keratinised tissue and fabrication of implant restoration of the same. Case description: Block graft was obtained using piezosurgery and onlay bone grafting was done in a 28 year female patient with anterior ridge defect with subsequent implant placement. After 6 months of healing and prosthetic restoration of the implant was done with successful esthetic outcome. Conclusion: Uneventful post-operative healing was observed in the donor site with the use of piezosurgery. There was successful augmentation of the ridge defect with osseointegrated and esthetic implant restoration. Clinical significance: Management of ridge defects in the esthetic region with autogenous Onlay grafting offers the advantage of biologic compatibility and PRF acts as a membrane maintaining soft tissue contours thereby allowing placement of implant in the optimal three dimensional position.