Multidisciplinary treatment for a young patient with severe bone loss from a trauma: A case report

Abstract

SUMMARYThe maxillofacial area is one of the most injury susceptible regions through road accidents, interpersonal violence, sports and falls. Due to high survival rates for implant supported restorations, many clinicians prefer dental implants for replacing missing teeth. The final success of dental implants placed in the esthetic zone depends on the available volume of hard and soft tissues. Autogenous bone grafts for the alveolar bone deficiencies still be the gold standard. For many years, practitioners have been using symphysis, ramus, tuberosity or the iliac crest for the alveolar ridge reconstruction and enhancement. The advantageous of using mandibular ramus area, as donor site is that provides denser bone quality with minimal resorption, easy access, minimal morbidity and no need for hospitalization. Herein, the 17-year-old patient was presented with recurrent fistula over tooth number 11, which were traumatized during soccer game two years ago. This case reports describes multidisciplinary esthetic rehabilitation of trauma patient with excessive alveolar bone loss in the anterior maxilla utilizing autogenous ramus bone graft and connective tissue graft.