Three-Dimensional Objective Evaluation of the Changes in the Alveolar Ridge Before and After Horizontal Bone Augmentation Along with Implant Placement Using Intraoral Digital Scanning: A Prospective Study.

Abstract

Implant treatment in the aesthetic regions of the jaw often requires hard and soft tissue augmentation to ensure optimal prosthetic outcomes. Radiological evaluation with cone-beam computed tomography (CBCT) and visual inspection of intraoral photographs are effective for assessing hard tissues but are limited in evaluating soft tissues. This study aimed to objectively evaluate volumetric and dimensional changes of the alveolar ridge, including both hard and soft tissues, following simultaneous horizontal bone augmentation and implant placement using intraoral digital scanning. Intraoral digital scans were obtained at baseline (T0) and at 2 (T1), 6 (T2), and 12 weeks (T3) post-surgery. Scans were superimposed using dedicated imaging software to measure volumetric and cross-sectional changes. Volumetric gain was significant at T1 but decreased significantly from T1 to T2 (<i>p</i> = 0.0006) and from T1 to T3 (<i>p</i> = 0.0002). Cross-sectional analysis showed significant increases in ridge width at T1 at all measured levels, accompanied by a significant vertical decrease at the alveolar crest from T1 to T2 (<i>p</i> = 0.0056) and T3 (<i>p</i> = 0.0106).These findings indicate that horizontal augmentation provides initial volumetric gain but is followed by substantial reduction at the crest, suggesting that rigid fixation may enhance stability; however, controlled clinical trials are required.