Horizontal Augmentation with Onlay Autogenous Grafting & Implant Placement via Kazandjian VestibuloplastyOnur Cavus DDS PhD

Horizontal defect with slight vertical loss at the site of missing #46 and #47.Planned surgery is horizontal onlay grafting and with autogenous block harvested from right ramus Vertical loss is planned to be fixed by overlaping block bone and augmenting with autogenous bone chips.

Intra-operative view showing the block on the recipient site fixed with two screws.Post-op x-ray also showing implants at the maxilla

Kazandjian vestibuloplasty for maintaining attached gingiva and alveolar mucosa at implant placement surgery.

3 bego s - line implants in place.Implant at #43 site is augmented with autogenous chips harvested via drilling

Primary closure using connective tissue to epithelial tissue fashion maintaining vestibular depth.