Horizontal Ridge Augmentation Using Piezo-Assisted Autogenous Bone
Block Grafting and Platelet-Rich Fibrin: A Clinical Case Report
Sandhya Bodimalla*, Sreenivas Nagarakanti, Sarabu Venkata
Suswetha and Lebaka Sreekar Reddy
Department of Periodontology, Narayana Dental College and Hospital, India
*Corresponding Author: Sandhya Bodimalla, Department of Periodontology,
Narayana Dental College and Hospital, India.
Received:
July 13, 2026; Published: August 04, 2026
Horizontal alveolar ridge deficiency caused by congenitally missing mandibular incisors can limit implant placement due to inad-
equate bone volume. This case report describes successful ridge reconstruction in a 23-year-old male using a piezo-assisted autog-
enous symphyseal block graft combined with particulate bovine xenograft and a platelet-rich fibrin (PRF) membrane. At six months,
clinical and cone-beam computed tomography evaluations demonstrated successful graft integration with approximately 6.5 mm of
horizontal bone gain, providing sufficient ridge width for implant placement. This case highlights that the combined use of piezoelec-
tric bone harvesting, autogenous block grafting, particulate xenograft, and PRF represents a predictable regenerative approach for
the management of localized horizontal alveolar ridge deficiencies, yielding favorable clinical and radiographic outcomes.
Keywords: Horizontal Ridge Augmentation; Autogenous Bone Block Graft; Piezoelectric Surgery; Platelet-Rich Fibrin; Bovine Xeno-
graft; Dental Implants
References
- Bertl Kristina., et al. "A wide mesio‐distal gap in sites of congenitally missing maxillary lateral incisors is related to a thin alveolar ridge”. Clinical Oral Implants Research9 (2017): 1038-1045.
- Monje Alberto., et al. "Horizontal bone augmentation using autogenous block grafts and particulate xenograft in the severe atrophic maxillary anterior ridges: a cone-beam computerized tomography case series”. Journal of Oral ImplantologyS1 (2015): 366-371.
- Tessier P., et al. "Autogenous bone grafts and bone substitutes—tools and techniques: I. A 20,000-case experience in maxillofacial and craniofacial surgery”. Plastic and Reconstructive Surgery5 (2005): 6S-24S.
- Ghodpage Pallavi., et al. "Mandibular block graft for localised ridge augmentation followed by delayed implant placement: a case report”. Cureus2 (2023).
- Nagaraj A., et al. "Ridge augmentation using autograft and xenograft versus xenograft alone with simultaneous implant placement: a randomised clinical trial”. Acta Medica Bulgarica2 (2024): 83-89.
- Jia Kewen., et al. "Platelet-rich fibrin as an autologous biomaterial for bone regeneration: mechanisms, applications, optimization”. Frontiers in Bioengineering and Biotechnology12 (2024): 1286035.
- Lakshmiganthan Mahalingam., et al. "Piezosurgical osteotomy for harvesting intraoral block bone graft”. Journal of Pharmacy and Bioallied Sciences2 (2012): S165-S168.
- Seibert J S. "Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part II. Prosthetic/periodontal”. Compendium of Continuing Education in Dentistry4 (1983): 549-562.
- Rai Sangeeta., et al. "Horizontal Ridge Augmentation With Symphyseal Autograft: Clinical and Radiographic Analysis”. Cureus11 (2025).
- Alshammari Abdulsalam and Azzam Almeshrafi. "Alveolar bone augmentation using autogenous bone block graft in anterior mandible: A case report”. Medical Science27 (2023): e65ms2832.
- Reininger David., et al. "Complications in the use of the mandibular body, ramus and symphysis as donor sites in bone graft surgery. A systematic review”. Medicina Oral, Patologia Oral y Cirugia Bucal2 (2016): e241.
- Sakkas Andreas., et al. "Autogenous bone grafts in oral implantology—is it still a “gold standard”? A consecutive review of 279 patients with 456 clinical procedures”. International Journal of Implant Dentistry1 (2017): 23.
- Chiapasco Matteo., et al. “Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants”. Clinical Oral Implants ResearchS2 (2006): 136-159.
- Thoma Daniel S., et al. "Randomized, controlled clinical two‐centre study using xenogeneic block grafts loaded with recombinant human bone morphogenetic protein‐2 or autogenous bone blocks for lateral ridge augmentation”. Journal of Clinical Periodontology2 (2018): 265-276.
- Paul Nayana., et al. "Alveolar ridge augmentation using autogenous bone graft and platelet-rich fibrin to facilitate implant placement”. Contemporary Clinical Dentistry1 (2022): 90-94.
- Vercellotti T. "Technological characteristics and clinical indications of piezoelectric bone surgery”. Minerva Stomatologica5 (2004): 207-214.
- Majewski Piotr. "Piezoelectric surgery in autogenous bone block grafts”. International Journal of Periodontics and Restorative Dentistry3 (2014).
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