Simultaneous Impacted Third Molar Extraction and Lateral Ramus Block Graft Harvest for Horizontal Ridge Augmentation: A Case Series

J Oral Maxillofac Surg. 2017 Mar;75(3):509-513. doi: 10.1016/j.joms.2016.11.014. Epub 2016 Dec 1.

Abstract

Purpose: The purpose of this study was to confirm the efficiency of using a lateral ramus block graft taken at the time of impacted mandibular third molar removal for horizontal ridge augmentation and implant placement.

Patients and methods: Ten patients had grafts obtained from the lateral aspect of the mandible during impacted third molar removal and placed in areas of horizontal ridge deficiency.

Results: Measurements made on cone-beam computerized tomograms after 4 months showed gains of 2.7 to 3.5 mm and 16 implants were placed successfully.

Conclusions: In patients with impacted third molars requiring dental implants, simultaneous harvest of a lateral block bone graft is an efficient way of obtaining bone for horizontal ridge augmentation.

MeSH terms

  • Adolescent
  • Adult
  • Alveolar Ridge Augmentation / methods*
  • Autografts
  • Bone Transplantation / methods*
  • Cone-Beam Computed Tomography
  • Dental Implantation, Endosseous
  • Female
  • Humans
  • Male
  • Mandible / transplantation*
  • Maxilla / diagnostic imaging
  • Maxilla / surgery*
  • Molar, Third / surgery*
  • Tooth, Impacted / surgery*
  • Treatment Outcome