Management of a Deficient Anterior Maxillary Ridge

The availability of adequate bone volume for dental implant placement is often diminished by trauma, pathology, periodontal disease, and tooth loss. Achieving esthetically pleasing therapeutic outcomes in the rehabilitation of a deficient anterior maxilla with dental implants can be very challenging. Bone resorption in the anterior maxillary ridge frequently results in a bucco-lingual and corono-apical deformity, which precludes implant placement. Grafting procedures have been documented to be highly effective in reconstructing jaw anatomy and providing biomechanical support for the placement of dental implants. This poster describes a surgical approach to achieve esthetic rehabilitation in a case with a severely deficient anterior maxilla. A technique of bone augmentation with block allograft and titanium mesh is described. Implants were placed and soft tissue was developed to achieve a harmonious bone tissue interface. Prosthetic rehabilitation was carried out with customized Zirconia abutments and All ceramic crowns to achieve a highly esthetic outcome. Keywords: titanium mesh, customized zirconia abutments, ridge-split, guided bone regeneration, connective tissue grafting, papilla regeneration, block allograft, esthetics, deficient ridge management