Horizontal ridge augmentation using Sausage Technique with cerabone® +HyA and Jason® membrane
A 44-year-old female patient presented with missing teeth in the mandibular right posterior region (45–47).
Clinical and CBCT evaluation revealed a severe horizontal ridge defect with limited bone width and reduced vertical dimension, making implant placement impossible.
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Residual bone width: approx. 2.4mm
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Residual bone height: 9.2–9.6 mm
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Indication: horizontal ridge augmentation prior to implant placement
Surgical Procedure
A full-thickness flap was elevated and the recipient site was prepared.
Autologous bone was harvested from the retromolar region using a safe scraper.
The grafting material consisted of:
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Autologous bone
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cerabone® +HyA (xenograft with hyaluronic acid)
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Mixed in a 1:1 ratio
A Jason® membrane was fixed lingually using titanium pins.
The graft mixture was placed to achieve horizontal and partial vertical augmentation following the Sausage Technique .
The membrane was tensioned and stabilized, ensuring graft immobilization and space maintenance.
Tension-free primary wound closure was achieved using a combination of simple and mattress sutures.
Healing Phase
Healing was uneventful. Follow-up examinations were performed at 1, 3 and 6 months.
CBCT after 6 months demonstrated significant bone regeneration:
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Bone width increased to 7–9.2 mm
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Bone height increased to 12.6–12.8 mm
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Sufficient volume for implant placement
Implant Placement
Re-entry surgery was performed after 6 months. Two implants were placed in regions 45 and 47. Healing abutments were placed and soft tissue closure performed.
Prosthetic Restoration
After osseointegration, second-stage surgery was performed and impressions were taken. A screw-retained implant-supported bridge was delivered.
Outcome
Stable horizontal bone regeneration was achieved, allowing prosthetically driven implant placement.
Radiographic and clinical follow-up showed stable peri-implant bone conditions.
Follow-up period: 3 years
