Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge

Autogenous bone block graft is the gold standard technique for alveolar bone augmentation. However, it is technique sensitive and associated with several complications. Exposure of block graft can affect the outcome of surgery and is challenging to manage. A patient diagnosed with Seibert Class III...

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Main Authors: Radhamoni Madhavanpillai Baiju, Jayaram Jayakumari Charudev, Erumbuzhi Kalarikkal Roshna, Abhilash Antony
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=2;spage=186;epage=191;aulast=Baiju
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author Radhamoni Madhavanpillai Baiju
Jayaram Jayakumari Charudev
Erumbuzhi Kalarikkal Roshna
Abhilash Antony
author_facet Radhamoni Madhavanpillai Baiju
Jayaram Jayakumari Charudev
Erumbuzhi Kalarikkal Roshna
Abhilash Antony
author_sort Radhamoni Madhavanpillai Baiju
collection DOAJ
description Autogenous bone block graft is the gold standard technique for alveolar bone augmentation. However, it is technique sensitive and associated with several complications. Exposure of block graft can affect the outcome of surgery and is challenging to manage. A patient diagnosed with Seibert Class III residual alveolar ridge was managed with autogenous bone block graft. Two dental implants were placed after obtaining sufficient ridge augmentation. The patient presented with exposure of bone block graft after implant placement. A full-thickness mucoperiosteal flap was elevated. Exposed bone was shaved and contoured using piezosurgery. A connective tissue graft with epithelial striation from palate was employed to cover the exposed graft and augment the keratinized tissue. Treatment resulted in complete coverage of block graft and gain in keratinized mucosal dimensions. Prosthetic rehabilitation using screw-retained 3 Unit Bridge was delivered. The results are sustained after 2 years, and the patient is being followed up.
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spelling doaj.art-427ac88a022d4b84adc1e628d79c56052022-12-22T04:30:19ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2022-01-0126218619110.4103/jisp.jisp_125_21Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridgeRadhamoni Madhavanpillai BaijuJayaram Jayakumari CharudevErumbuzhi Kalarikkal RoshnaAbhilash AntonyAutogenous bone block graft is the gold standard technique for alveolar bone augmentation. However, it is technique sensitive and associated with several complications. Exposure of block graft can affect the outcome of surgery and is challenging to manage. A patient diagnosed with Seibert Class III residual alveolar ridge was managed with autogenous bone block graft. Two dental implants were placed after obtaining sufficient ridge augmentation. The patient presented with exposure of bone block graft after implant placement. A full-thickness mucoperiosteal flap was elevated. Exposed bone was shaved and contoured using piezosurgery. A connective tissue graft with epithelial striation from palate was employed to cover the exposed graft and augment the keratinized tissue. Treatment resulted in complete coverage of block graft and gain in keratinized mucosal dimensions. Prosthetic rehabilitation using screw-retained 3 Unit Bridge was delivered. The results are sustained after 2 years, and the patient is being followed up.http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=2;spage=186;epage=191;aulast=Baijuautogenous bone block graftgraft exposurepiezosurgeryridge augmentationsoft tissue augmentationsubepithelial connective tissue graft
spellingShingle Radhamoni Madhavanpillai Baiju
Jayaram Jayakumari Charudev
Erumbuzhi Kalarikkal Roshna
Abhilash Antony
Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
Journal of Indian Society of Periodontology
autogenous bone block graft
graft exposure
piezosurgery
ridge augmentation
soft tissue augmentation
subepithelial connective tissue graft
title Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
title_full Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
title_fullStr Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
title_full_unstemmed Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
title_short Surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
title_sort surgical management of autogenous bone block graft exposure followed by prosthetic rehabilitation of thin residual ridge
topic autogenous bone block graft
graft exposure
piezosurgery
ridge augmentation
soft tissue augmentation
subepithelial connective tissue graft
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=2;spage=186;epage=191;aulast=Baiju
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AT erumbuzhikalarikkalroshna surgicalmanagementofautogenousboneblockgraftexposurefollowedbyprostheticrehabilitationofthinresidualridge
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