title: Hard and Soft Tissue Management of a Localized Alveolar Ridge Atrophy with Autogenous Sources and Biomaterials: A Challenging Clinical Case.
abstract: Particularly in the premaxillary area, the stability of hard and soft tissues plays a pivotal role in the success of the rehabilitation from both a functional and aesthetic aspect. The present case report describes the clinical management of a localized alveolar ridge atrophy in the area of the upper right canine associated with a thin gingival biotype with a lack of keratinized tissue. An autogenous bone block harvested from the chin associated with heterologous bone particles was used to replace the missing bone, allowing for a prosthetic driven implant placement. Soft tissues deficiency was corrected by means of a combined epithelialized and subepithelial connective tissue graft. The 3-year clinical and radiological follow-up demonstrated symmetric gingival levels of the upper canines, with physiological peri-implant probing depths and bone loss. Thus, the use of autogenous tissues combined with biomaterials might be considered a reliable technique in case of highly aesthetic demanding cases.
authors.affiliation: Oral Surgery and Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, School of Dentistry, University of Milan, Milan, Italy.
authors.forename: C
authors.identifier: 0000-0001-8748-9483
authors.initials: C
authors.lastname: Maiorana
authors.affiliation: Private Practice, Milan, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Andreoni
authors.affiliation: Center for Maxillary Atrophies, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
authors.forename: P P
authors.identifier: 0000-0003-3739-1490
authors.initials: PP
authors.lastname: Poli