Replacement of a Missing Maxillary Central Incisor with an Astra Tech® Implant, Following a Horizontal Ridge Augmentation, Using a Sympheseal Mandibular Onlay Graft: A Case Report.
Dental News Volume XX, Number IV, December, 2013 by Dr. Badry Meouchy, Dr. Fady Abillamaa, Dr. Elie Azar Maalouf, Dr. Fatmé Mouchref Hamasny, Dr. Ramzi Abou Arraj Abstract Background: An 18 year old female patient presented for implant placement at the site of a congenitally missing right maxillary central incisor. The clinical examination revealed an insufficient bucco-lingual width of the edentulous ridge, requiring a horizontal bone augmentation procedure prior to implant placement. Methods: An autogenous bone block graft was harvested from mandibular symphysis, fixed on buccal aspect of edentulous crest with titanium miniscrews, covered first by autogenous bone chips and xenograft particles, and second with a resorbable barrier membrane. Four months later, an Astra Tech® implant was placed in the grafted site, surrounded by a thick buccal bony wall, demonstrating excellent primary stability and guaranteeing a better esthetic outcome. Im...