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There is a paucity of information in the literature regarding stability of the bone and esthetic outcomes following horizontal bone augmentation in the anterior maxilla. Confounding variables include the vertical component of the augmentation, defect morphology, periodontal status of the neighboring teeth, number of missing teeth, position of the site, soft tissue characteristics, time between augmentation and implant placement, implant design and diameter, prosthetic connection type and material, and provisional prostheses.
Studies available in the literature were not designed for esthetic outcome assessment and included no decision criteria relating to the choice of a simultaneous or staged approach. Combined vertical and horizontal augmentation procedures should also be evaluated in the esthetic area.
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