Horizontal Ridge Augmentation With Simultaneous Implant Placement Using Autogenous Ramus Grafts

Akdeniz University

Status: Completed

Conditions: Tooth Loss / Rehabilitation; Alveolar Bone Loss

Treatments: Procedure: utogenous mandibular ramus block grafting with simultaneous dental implant placement; Procedure: Autogenous mandibular ramus block graft with simultaneous implant placement

Study type: Observational

Funder types: Other

Identifiers

NCT07209618

AKDENIZ-RAMUS-2018-TBAEK-415

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 16 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

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

Trial design

16 participants in 1 patient group

Simultaneous implant + ramus graft group

Treatment:

Procedure: Autogenous mandibular ramus block graft with simultaneous implant placement

Procedure: utogenous mandibular ramus block grafting with simultaneous dental implant placement