Horizontal Ridge Augmentation With Simultaneous Implant Placement Using Autogenous Ramus Grafts

Rehabilitation of Alveolar Horizontal Bone Deficiencies Using Autogenous Onlay Bone Grafting With Simultaneous Implant Placement: A Novel Approach

This retrospective observational study evaluated the clinical outcomes of simultaneous implant placement with horizontal ridge augmentation using autogenous mandibular ramus block grafts. Sixteen patients were treated between January 2018 and March 2025. Clinical and radiological data were analyzed to assess implant survival, osseointegration, and graft incorporation.

Horizontal alveolar bone deficiency is a significant challenge in implant rehabilitation. Traditional staged augmentation techniques prolong treatment time and increase morbidity. This study introduces a novel approach in which autogenous mandibular ramus block grafts were used to reconstruct buccal walls simultaneously with implant placement. Sixteen patients received 23 implants. Outcomes included implant survival, osseointegration success, bone healing, and complications during a mean follow-up of 30.6 months.

Inclusion Criteria:

• Patients ≥18 years of age
• ASA I or II status
• Presence of horizontal alveolar ridge deficiency requiring augmentation for implant placement
• Treated with autogenous mandibular ramus block grafts and simultaneous implant placement
• Provided informed consent for surgical and prosthetic procedures, and use of clinical and radiological data

Exclusion Criteria:

• Systemic conditions interfering with dental implant treatment (e.g., uncontrolled diabetes, metabolic bone disease)
• Incomplete clinical or radiological records
• Patients with contraindications for oral surgical procedures
• Patients unwilling to provide informed consent