Case Report: Autogenous bone block grafting in esthetic zone for implant supported prosthetic rehabilitation

Abstract

Background: Dental implants provide a novel method of successful treatment and have been a highly predictable surgical procedure for replacing single or multiple teeth. Maxillary anterior single-tooth replacement is often the most difficult procedure in all of implant dentistry. The highly esthetic zone of the premaxilla often requires both hard (bone and teeth) and soft tissue restoration. Therefore, augmentation of alveolar ridge defect becomes more important in terms of providing sufficient bone volume for the placement of implants and for aesthetic considerations. The aim of this case report was to bring forward the novel technique of combining ridge augmentation using autogenous bone block graft for anterior implant placement using piezoelectric apparatus. Case description: In this case report, a 27-year-old male patient presented to the department of periodontics with a chief complaint of poor aesthetics owing to missing tooth in the upper-front region (11) due to trauma that occurred 3 years back. The patient was diagnosed with an alveolar bone wall defect with 11 region. The authors brought forward the novel technique of combining ridge augmentation using autogenous bone block graft for anterior implant placement using piezoelectric apparatus in order to treat the patient. The follow-up was done at 6- and 9-months post-op respectively. Conclusion: In spite of all the technical difficulties that the surgical and restoring clinician may face, the anterior single-tooth implant is the ideal modality of choice to replace a missing anterior maxillary tooth. Clinical significance: Unique surgical and prosthetic concepts were implemented in this case for successful results.