Soft tissue rigde augmentation of maxillary anterior region using combination of allograft and gtr membrane

The evolution of periodontal plastic surgical techniques allowed the clinician to meet growing expectations and demands of today's dental patient. Newer techniques are evolving in restorative dentistry and periodontics to treat these defects to improve the esthetics, form and functions of the dentition. Aims: to determine the stability of the horizontal augmentation of the anterior maxilla using particulate bovine allograft under a membrane. The hypothesis to be tested was that bovine particulate graft material is effective for augmenting the narrow ridge of the anterior maxilla and can maintain its augmentation dimension over time. Case description: A 18year old boy presented with periodontally compromised maxillary central incisors due to trauma with no Buccal cortical bone present which was treated by extraction of the insiciors with augmentation of the alveolar bone using bone graft under a gtr membrane. Long term growth and development of clinical research in soft tissue and hard tissues has provided a means of treating problems of inadequate alveolar ridges necessary for restorative procedures. Multiple surgical procedures may be required to achieve predictable results. The technique described in this case report allows the gtr membrane over the graft to be folded before it is placed under the vestibular flap, favoring the gain in tissue volume with promising results without any postsurgical complication. Conclusion: soft tissue ridge augmentation resulted in 100% restoration of the ridge defect in anterior dentition. Clinical significance: As the thickness of connective tissue graft is limited in anterior palatal region, this technique is predictable for all types of ridge defects and can be used for routine patients.