Management of Inadequate Bone for Implant Placement in Esthetic Zone: A Case Series

Abstract

Introduction: In the past, it was thought that presence of sufficient bone was mandatory for dental implants for primary stability. However, in the modern era, several techniques and a variety of materials are available for management of such cases. Aim: Bone resorption followed by loss of teeth can lead to alveolar ridge defects, which can further impose problems in placement of dental implants. These defects can be in width or height of available bone. Vertical defects in alveolar ridge are quite difficult to manage for dental surgeons. This report describes several techniques for management of deficient bone in esthetic zone for implant placement. Case report: In this case series, authors have discussed several techniques like ridge splitting and expansion, guided bone regeneration (GBR), block graft, and alveolar distraction osteogenesis (DO) for the management of alveolar defects. Through this case series, authors have tried to describe indications and contraindications of each procedure. Conclusion: The choice of techniques depends upon the situation and clinician's choice. There are no specific guidelines for techniques to be used. Clinical significance: This case series describes several techniques, which can be employed routinely in cases of deficient bone and will facilitate placement of implants.