JOURNAL OF ISTANBUL UNIVERSITY FACULTY OF DENTISTRY, vol.42, pp.51-57, 2008 (ESCI)
Severe osseous defects often require block grafts harvested from the symphysis or the ramus buccal shelf region before implant placement. The mandibular symphysis graft technique offers ease of access, good bone quantity for localized repair, a corticocancellous block graft morphology and minimal graft resorption. This procedure is important for the placement of dental implants in a favorable position. A 33-year old woman was referred to the Department of Periodontology, Faculty of Dentistry, University of Istanbul for diagnosis and treatment with an unusual clinical situation: a major, inflammatory, unilateral enlargement of the interproximal, marginal and attached gingiva around molar teeth of the right side of the mandible. The patient was diagnosed with generalized aggressive periodontitis and localized gingival enlargement based on detailed dental and medical history, clinical examination and radiographic findings. Periodontal management included full mouth scaling and root planing followed by extraction of gingival enlargement and related teeth. Histological examination of gingival enlargement tissue disclosed giant cell reperatif granuloma. Monthly periodontal check-ups were scheduled to control the periodontal inflammation. Vertical and horizontal localized bone defect seen following the extraction in operation site. Autogenous bone graft, harvested from the symphysis used for ridge augmentation. Two implants were placed and restored. This case report presents the augmentation of a localized alveolar ridge with block graft harvested from the mandibular symphysis for implant placement.