Abstract:

Objective  To observe the short-term clinical effectiveness of bone ring graft technique and to summarize the key points of related surgical operation to provide comprehensive clinical guidelines. Methods Fifteen patients with severe alveolar bone absorption were selected to receive bone ring grafting and immediate dental implant. Final fixed prostheses were cemented   five  months after initial  implantation. Cone beam CT scans were conducted on all subjects before the procedure,as well as four months post-operation to evaluate alveolar bone height and level of bone height and absorption around the implants. Four to six months after prosthesis installation, each implant’s Jemt classification,gingiva attachment, and probing depth (PD) were analyzed. The difference of PD between implants and adjacent teeth, as well as the difference of the bone absorption between labial and lingual sides, was compared. The survival rate of the bone ring and the retention rate of implants were calculated. Complications and patient satisfaction were also investigated. Results  Bone graft survival rate was 94.4% and dental implantation retention rate was 100% four months post-operation. Average bone level increase was (6.06±1.06) mm, average bone absorption was (1.33±0.84) mm, and average bone thickness at the neck of the dental implant body was(6.94± 0.73) mm. Approximately 4 to 6 months after crown restoration, average bone level increase was (5.62±1.03) mm, average bone absorption was(1.51±1.02) mm, and average bone thickness at the neck of the dental implant body was(6.77±0.72) mm. The PD around the implant body and the adjacent teeth was statistically insignificant. No major post-operative complication was observed, restorations were successful,and patient satisfaction level was high.Conclusion  Bone ring graft technique and immediate dental implantation are relatively simple to perform, and these techniques facilitate reduction in required treatment time. Short-term effectis reliable and satisfactory, whereas long-term outcomes require further follow up and study.

Key words: bone rings, immediate implanting, autologous grafts