Vertical Ridge Augmentation and Soft Tissue Reconstruction of the Anterior Atrophic Maxillae: A Case Series

Int J Periodontics Restorative Dent. 2015 Sep-Oct;35(5):613-23. doi: 10.11607/prd.2481.


Severe vertical ridge deficiency in the anterior maxilla represents one of the most challenging clinical scenarios in the bone regeneration arena. As such, a combination of vertical bone augmentation using various biomaterials and soft tissue manipulation is needed to obtain successful outcomes. The present case series describes a novel approach to overcome vertical deficiencies in the anterior atrophied maxillae by using a mixture of autologous and anorganic bovine bone. Soft tissue manipulation including, but not limited to, free soft tissue graft was used to overcome the drawbacks of vertical bone augmentation (eg, loss of vestibular depth and keratinized mucosa). By combining soft and hard tissue grafts, optimum esthetic and long-term implant prosthesis stability can be achieved and sustained.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alveolar Bone Loss / surgery*
  • Alveolar Ridge Augmentation / methods*
  • Animals
  • Atrophy
  • Bone Regeneration
  • Bone Substitutes / therapeutic use
  • Bone Transplantation
  • Cattle
  • Connective Tissue / transplantation
  • Dental Implantation, Endosseous*
  • Esthetics, Dental
  • Female
  • Gingivoplasty / methods
  • Humans
  • Jaw, Edentulous, Partially / surgery
  • Male
  • Maxilla / surgery*
  • Middle Aged
  • Oral Surgical Procedures, Preprosthetic
  • Surgical Flaps
  • Treatment Outcome


  • Bone Substitutes