Chinese Journal of Oral Implantology ›› 2024, Vol. 29 ›› Issue (5): 435-439.DOI: 10.12337/zgkqzzxzz.2024.10.007

• Key Column “Bone Augmentation” • Previous Articles     Next Articles

Clinical and histologic evaluation of autogenous dentin blocks for alveolar ridge augmentation

Gao Ming, Niu Lixuan, Zhu Yibo   

  1. Department of Fourth Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing 100025,China
  • Received:2024-07-16 Online:2024-10-30 Published:2024-10-30
  • Contact: Zhu Yibo, Email: zhuyibo_bjmu@hotmail.com, Tel: 0086-10-85715965
  • Supported by:
    Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology (PKUSSNCT-18A05)

Abstract: Severe bone defects in the alveolar ridge of edentulous areas pose significant challenges for prosthetically-driven implant placement. Although there are currently several reliable techniques for alveolar ridge augmentation, they present certain limitations, such as high technical sensitivity, significant trauma, prolonged treatment periods, and high costs. The patient in this case presented with multiple missing teeth in both the upper and lower jaws, with a severe horizontal bone defect in the left lower posterior area. Autogenous dentin block augmentation was performed using her wisdom tooth. Two and a half years postoperatively, satisfactory alveolar bone width was achieved, allowing for the placement of a 5 mm diameter implant in dense alveolar bone with good primary stability. Intraoperative histological analysis of tissue specimens showed no abnormalities. One year after the final restoration, marginal bone stability was maintained. In this case, the application of autogenous dentin blocks for alveolar ridge augmentation effectively reconstructed the width of the alveolar ridge, with stable clinical outcomes observed nearly 4 years postoperatively.

Key words: Dental implant, Ridge augmentation, Autogenous dentin block augmentation