Localized soft tissue ridge augmentation at phase 2 implant surgery: a case report

Area of Science:

• Dentistry
• Oral Surgery
• Periodontics

Background:

• Congenitally missing maxillary lateral incisors are a common dental anomaly.
• Abrams's roll technique is a common surgical approach for ridge augmentation.
• Localized buccal ridge atrophy can complicate implant placement or aesthetic outcomes.

Observation:

• A modified Abrams's roll technique was applied to a case of congenitally missing maxillary lateral incisors.
• Buccal releasing incisions were omitted by utilizing an intrasulcular incision.
• Tissue was strategically transferred to address buccal ridge atrophy.

Findings:

• The modified technique successfully corrected localized buccal ridge atrophy.
• Avoiding buccal releasing incisions simplified the surgical procedure.
• The transferred tissue facilitated optimal ridge contouring.

Implications:

• This modified technique offers a less invasive alternative for managing buccal ridge atrophy in cases of missing maxillary lateral incisors.
• The approach may improve predictability and patient comfort during ridge augmentation procedures.
• It provides a valuable technique for dental surgeons and periodontists managing complex anterior esthetic cases.