Abstract

Dental implantology has been considered as one of the most accepted treatment modalities for rehabilitation of missing teeth. The deficiency of the remaining supporting bone volume, though, is considered to be the primary concern in certain situations for avoiding implant placements. The solution to this problem lies in re-establishing the ridge volume consistent with the prosthetic design and with suitable load-bearing lamellar bone for long-term stability of the implant. The rehabilitation of large bone defects can be achieved with various types of grafting materials, natural or, synthetic. The use of autologous grafts exhibits the highest success rates amongst these and autogenous bone grafts are considered the gold standard because their osteogenic, osteo-inductive and osteo-conductive properties maximize the success of graft incorporation. The present case report describes the case of a 35-year-old female patient who reported seeking treatment for her missing front tooth, right maxillary central incisor, which she had lost as a result of trauma at the age of 30 years. Clinical and radiographic examination revealed a severe vertical labial bone defect requiring vertical and horizontal bone augmentation. The amount of bone available was inadequate for an implant-supported prosthesis. Hence, vertical and horizontal bone augmentation with guided bone regeneration was planned in the region with simultaneous placement of the endosseous implant. The present case report, thus, demonstrates the successful use of vertical and horizontal bone augmentation procedure conducted with the help of guided tissue regeneration (GTR) and simultaneous endosseous implant placement.