Vertical Augmentation Using Onlay Versus Inlay Autogenous Graft With Simultaneous Implant Placement.

Assessment of Vertical Bone Augmentation Using Autogenous Onlay Versus Inlay Grafting Techniques With Simultaneous Implant Placement in the Anterior Maxillary Area on Patient's Esthetic Satisfaction : A Randomized Clinical Trial

Using autogenous Chin block for vertical augmentation with simultaneous implant placement at anterior maxilla region comparing between the Onlay and Inlay grafting techniques.

to study the vertical augmentation with simultaneous implant placement at anterior maxillary region.

• P: Patient requires implant at anterior maxillary ridge with vertical deficiency.
• I:Inlay Sandwich Technique with immediate implant placement.
• C:Onlay autogenous graft immediate implant placement.
• O:Outcome name Measuring device Measuring unit

Primary outcome: Vertical bone gain CBCT Millimeter

-Secondary outcome(a): Crestal bone loss CBCT Millimeter

Inclusion Criteria:

• * Patients with partially edentulous anterior maxillary ridges.

  • Patients were free from any systemic disease that interferes with bone healing.
  • Absence of local pathosis at anterior maxillary area.
  • No history of any grafting procedure at the designated edentulous ridge.

The edentulous ridge vertical dimension was less than 10 mm measured from the alveolar crest to the nasal floor (i.e.ridge had vertical inadequacy) with normal horizontal alveolar dimension or patient with Increased Inter-Arch Space.

Exclusion Criteria:

• * Patient with fully dentulous maxilla.

  • Pregnant females.
  • Presence of bad habits (severe bruxism, clenching).
  • Systemic diseases that may interfere with bone healing.e.g. uncontrolled Diabetes.