Localized Vertical Maxillary Ridge Augmentation Using Symphyseal Bone Cores: A Technique and Case Report

Vertical augmentation of the alveolar ridge is intended to restore resorbed alveolar ridges. This procedure is important for the placement of dental implants in a favorable position and also to enhance restoration esthetics. This article presents an approach for vertical ridge augmentation in the anterior maxilla utilizing symphyseal bone cores. A patient presented with 2 localized bony defects around the maxillary lateral incisors. Following extraction of these teeth, vertical bone defects of 7 mm on the right and 6 mm on the left were observed in relation to the cementoenamel junction of the adjacent teeth. Two bone cores were harvested from the mandibular symphysis using a trephine. These bone cores were tapped into 2 predrilled osteotomy sites with corresponding diameters until stabilization was achieved. The 2 sites were grafted with demineralized freeze-dried bone allograft and a titaniumreinforced expanded polytetrafluoroethylene membrane. After 5 months, the membranes were removed and vertical ridge augmentation of 5 mm on the right and 4 mm on the left was observed. The width of the ridge was increased as well. Two implants were placed in favorable positions, restored after 6 months, and followed successfully for 1 year after loading. This technique represents a viable approach for augmentation of deficient alveolar ridges prior to the placement of dental implants.