Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement

Deficiencies in the alveolar ridges cause multiple problems in achieving aesthetic and functional outcome of implant therapy and are commonly restored by using onlay graft from intraoral source. Careful assessment of the recipient as well as the donor site using cone beam computed tomography (CBCT)...

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Main Authors: Shipra Arora, Arundeep Kaur Lamba, Farrukh Faraz, Shruti Tandon, Abdul Ahad
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/748405
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author Shipra Arora
Arundeep Kaur Lamba
Farrukh Faraz
Shruti Tandon
Abdul Ahad
author_facet Shipra Arora
Arundeep Kaur Lamba
Farrukh Faraz
Shruti Tandon
Abdul Ahad
author_sort Shipra Arora
collection DOAJ
description Deficiencies in the alveolar ridges cause multiple problems in achieving aesthetic and functional outcome of implant therapy and are commonly restored by using onlay graft from intraoral source. Careful assessment of the recipient as well as the donor site using cone beam computed tomography (CBCT) is a prerequisite to ideal treatment planning. This paper highlights the critical role of CBCT in planning a successful rehabilitation of traumatised deficient anterior maxillary alveolar ridge using autogenous block graft from mandibular symphysis, followed by implant placement. A 21-year-old male reported with missing right maxillary lateral incisor due to traumatic avulsion 6 months back. A concavity was found on the labial aspect of edentulous area. Serial transplanar images on CBCT revealed gross irregular radiolucency in place of labial cortical plate. Using CBCT, size of the required block was estimated, and mandibular symphyseal area was evaluated for the feasibility of harvesting a graft of suitable dimension. Onlay block graft was harvested from mandibular symphysis and placed at the edentulous site to augment the alveolar ridge. Implants were placed 5 months later and loaded successfully after osseointegration. After 1 year of followup, implant-based prosthesis is working well, without any complications.
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series Case Reports in Dentistry
spelling doaj-art-1d5c1df65f6045898f39a9d19f3671752025-02-03T05:48:23ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/748405748405Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft PlacementShipra Arora0Arundeep Kaur Lamba1Farrukh Faraz2Shruti Tandon3Abdul Ahad4Department of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, New Delhi 110002, IndiaDepartment of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, New Delhi 110002, IndiaDepartment of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, New Delhi 110002, IndiaDepartment of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, New Delhi 110002, IndiaDepartment of Periodontics and Oral Implantology, Maulana Azad Institute of Dental Sciences, New Delhi 110002, IndiaDeficiencies in the alveolar ridges cause multiple problems in achieving aesthetic and functional outcome of implant therapy and are commonly restored by using onlay graft from intraoral source. Careful assessment of the recipient as well as the donor site using cone beam computed tomography (CBCT) is a prerequisite to ideal treatment planning. This paper highlights the critical role of CBCT in planning a successful rehabilitation of traumatised deficient anterior maxillary alveolar ridge using autogenous block graft from mandibular symphysis, followed by implant placement. A 21-year-old male reported with missing right maxillary lateral incisor due to traumatic avulsion 6 months back. A concavity was found on the labial aspect of edentulous area. Serial transplanar images on CBCT revealed gross irregular radiolucency in place of labial cortical plate. Using CBCT, size of the required block was estimated, and mandibular symphyseal area was evaluated for the feasibility of harvesting a graft of suitable dimension. Onlay block graft was harvested from mandibular symphysis and placed at the edentulous site to augment the alveolar ridge. Implants were placed 5 months later and loaded successfully after osseointegration. After 1 year of followup, implant-based prosthesis is working well, without any complications.http://dx.doi.org/10.1155/2013/748405
spellingShingle Shipra Arora
Arundeep Kaur Lamba
Farrukh Faraz
Shruti Tandon
Abdul Ahad
Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
Case Reports in Dentistry
title Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
title_full Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
title_fullStr Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
title_full_unstemmed Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
title_short Role of Cone Beam Computed Tomography in Rehabilitation of a Traumatised Deficient Maxillary Alveolar Ridge Using Symphyseal Block Graft Placement
title_sort role of cone beam computed tomography in rehabilitation of a traumatised deficient maxillary alveolar ridge using symphyseal block graft placement
url http://dx.doi.org/10.1155/2013/748405
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