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Assessment of Modified Ridge Split With Autogenous Versus Xenogenic Augmentation: Randomized Clinical Trial.

Mohammed Atef¹, Mohamed Shawky¹, Mohamed Mounir^1,2

¹Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Cairo, Egypt.

Clinical Implant Dentistry and Related Research

|May 9, 2025

Summary

This study shows that a modified ridge split procedure effectively reconstructs horizontal mandibular defects using either autogenous bone or Anorganic Bone Bovine Mineral (ABBM) grafts. Both materials provide stable bone for dental implant insertion.

Keywords:

anorganic bone bovine mineral autogenous cancellous particulates cortical shells histomorphometric bone area percent mandibular ridge‐split radiographic bone gain

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Area of Science:

Oral and Maxillofacial Surgery
Dental Implantology
Bone Grafting Techniques

Background:

Posterior mandibular alveolar bone deficiency often hinders dental implant placement.
A modified ridge split technique was developed to address horizontal bone insufficiency.

Purpose of the Study:

To evaluate the efficacy of a modified ridge split procedure for horizontal mandibular alveolar reconstruction.
To compare autogenous bone particulates with Anorganic Bone Bovine Mineral (ABBM) as graft materials.

Main Methods:

Twenty patients with posterior horizontal mandibular alveolar deficiency underwent a modified ridge split procedure.
Grafting was performed using autogenous bone (study group) or ABBM (control group).
Horizontal bone gain and histomorphometric bone area were assessed after 6 months, followed by implant insertion.

Main Results:

All bone grafts achieved consolidation.
No statistically significant difference was observed in mean 6-month horizontal bone width or bone gain between the autogenous and ABBM groups.
A statistically significant difference in new bone formation percentage favored the autogenous group (34.40%) over the ABBM group (38.83%).

Conclusions:

The modified ridge split procedure is reliable for reconstructing horizontally deficient posterior alveolar ridges.
Both autogenous bone and ABBM grafts offer volumetric stability and adequate bone quality for dental implants.
The choice of graft material may influence new bone formation rates.