International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 2 ( March-April, 2021 ) > List of Articles

CASE REPORT

Augmentation of Narrow Anterior Alveolar Ridge Using Autogenous Block Onlay Graft in a Pediatric Patient: A Case Report

Meghna Bhandary, Amitha M Hegde, Rajmohan Shetty, Preethesh Shetty

Keywords : Autologous bone grafting, Esthetics, Maxillary atrophy, Missing teeth, Ridge augmentation

Citation Information : Bhandary M, Hegde AM, Shetty R, Shetty P. Augmentation of Narrow Anterior Alveolar Ridge Using Autogenous Block Onlay Graft in a Pediatric Patient: A Case Report. Int J Clin Pediatr Dent 2021; 14 (2):311-314.

DOI: 10.5005/jp-journals-10005-1931

License: CC BY-NC 4.0

Published Online: 30-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Tooth loss due to trauma often triggers residual alveolar resorption to a greater degree in the sagittal direction leading to atrophy. However, in a pediatric patient, if this defect is left untreated, it can cause further atrophy leading to collapse of the arch. In the maxillary anterior area, this is also of esthetic concern. Hence, it is viable to reconstruct the alveolar defects and restore the alveolar anatomy with superior quality of bone while the patient is still in growing phase to avoid any structural and dental malformation, as well as to provide a more novel treatment like dental implant at a later stage when growth ceases. Modes for successfully augmenting the bone are diverse. Among these, barrier membrane with guided bone regeneration, distraction osteogenesis, and bone block graft is ubiquitous. The current case report deals with the management of horizontal atrophic anterior maxillary region using autologous block bone graft harvested from mandibular symphysis, to augment the alveolar ridge and aid in esthetic and functional restoration of alveolar anatomy by restoring the defect with the bone of superior quality as well as preparing the site for receiving implant prosthesis in future when growth ceases.


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  1. Oikarinen KS, Sàndor GK, Kainulainen VT, et al. Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dent Traumatol 2003;19(1):19–29. DOI: 10.1034/j.1600-9657.2003.00125.x.
  2. SouzA FÁ, Bassi AP, ARAnegA AM, et al. Reconstruction of maxillary ridge atrophy caused by dentoalveolar trauma, using autogenous block bone graft harvested from chin: a case report. J Osseointegrat 2014;6(2):21–27.
  3. Ozan O, Orhan K, Aksoy S, et al. The effect of removable partial dentures on alveolar bone resorption: a retrospective study with cone-beam computed tomography. J Prosthodont: Implant, Esthetic Reconstruct Dentis 2013;22(1):42–48. DOI: 10.1111/j.1532-849X.2012.00877.x.
  4. Mishra SK, Chowdhary N, Chowdhary R. Dental implants in growing children. J Indian Soc Pedodont Prevent Dentis 2013;31(1):3. DOI: 10.4103/0970-4388.112392.
  5. Oesterle LJ, Cronin Jr RJ, Ranly DM. Maxillary implants and the growing patient. Int J Oral Maxillofac Implants 1993;8(4):377–387.
  6. Pikos MA. Mandibular block autografts for alveolar ridge augmentation. Atlas Oral Maxillofacial Surg Clin N Am 2005;13(2):91–107. DOI: 10.1016/j.cxom.2005.05.003.
  7. Triplett RG, Schow SR. Autologous bone grafts and endosseous implants: complementary techniques. J Oral Maxillofac Surg 1996;54(4):486–494. DOI: 10.1016/s0278-2391(96)90126-3.
  8. Misch CM, Misch CE, Resnik RR, et al. Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary procedural report. Int J Oral Maxillofac Implan 1992;7(3):360–366.
  9. Harshakumar K, Varghese NM, Ravichandran R, et al. Alveolar ridge augmentation using autogenous block bone grafts harvested from mandibular ramus to facilitate implant placement: a case report. Int J Scienti Study 2014;2(1):46–50.
  10. Chiapasco M, Abati S, Romeo E, et al. Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges. Clin Oral Implants Res 1999;10(4):278–288. DOI: 10.1034/j.1600-0501.1999.100404.x.
  11. Thilander B, Ödman J, Gröteborg K, et al. Osseointegrated implants in adolescents. An alternative in replacing missing teeth? Eur J Orthod 1994;16(2):84–95. DOI: 10.1093/ejo/16.2.84.
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