Authors : Dr. Alfas Rasi M. P.; Dr. Shaleen Khetarpal; Dr. Deepali Engla; Dr. Reshama Bansal

Volume/Issue : Volume 10 - 2025, Issue 12 - December

Google Scholar : https://tinyurl.com/envcwfea

Scribd : https://tinyurl.com/4ey38ae6

DOI : https://doi.org/10.38124/ijisrt/25dec065

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Abstract : Background: Implant rehabilitation in the esthetic zone demands both successful osseointegration and the recreation of natural hard- and soft-tissue contours for optimal esthetic outcomes. Ridge deficiencies and soft-tissue limitations pose challenges to this goal.  Purpose: To demonstrate the combined use of osteotome-assisted ridge expansion and buccal roll flap soft-tissue augmentation in a narrow anterior maxillary ridge for improved implant stability and esthetics.  Materials and Methods: A 25-year-old male with a narrow maxillary right central incisor ridge (5 mm width, 2 mm buccolingual deficiency) underwent ridge expansion using conical osteotomes, followed by implant placement achieving primary stability at 35 Ncm. At second-stage surgery, soft-tissue augmentation was performed using a modified buccal roll flap to correct buccal soft-tissue deficiency.  Results: The osteotome technique preserved cortical plates while expanding bone and enhancing implant stability. Soft-tissue augmentation improved peri-implant mucosal thickness and buccal contour without requiring a secondary donor site. Healing was uneventful, with harmonious integration of augmented tissues and an esthetic peri-implant emergence profile.  Conclusion: The combined approach of osteotome-assisted ridge expansion and buccal roll flap soft-tissue augmentation offers a minimally invasive, predictable method for managing hard- and soft-tissue deficiencies in the esthetic zone. This strategy preserves native bone, enhances soft-tissue architecture, and supports long-term esthetic implant outcomes.

Keywords : Ridge Expansion, Buccal Roll Flap, Implant.

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