Alveolar Ridge Reconstruction With the Khoury Shell Technique in a Patient With Sarcoidosis: A Clinical Case Report
THE JOURNAL OF ORAL IMPLANTOLOGY, cilt.1, sa.1, ss.1, 2025 (Scopus)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 1 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.1563/aaid-joi-d-25-00165
- Dergi Adı: THE JOURNAL OF ORAL IMPLANTOLOGY
- Derginin Tarandığı İndeksler: Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Scopus, EMBASE, MEDLINE
- Sayfa Sayıları: ss.1
- Kocaeli Üniversitesi Adresli: Evet
Özet
Abstract
Background
Sarcoidosis is a chronic multisystem granulomatous disease with rare oral and intraosseous manifestations. Alveolar bone loss associated with sarcoidosis can complicate implant based rehabilitation. There is limited evidence on the outcomes of autogenous ridge augmentation in patients with systemic granulomatous conditions.
Case Presentation
A 52-year-old female with a 15-year history of stable sarcoidosis presented with horizontal ridge deficiency in the right posterior mandible. CBCT revealed a residual ridge width of approximately 3 mm. Ridge augmentation was performed with cortical plates and particulate bone from the mandibular ramus. A localized graft infection developed at 3 months, which was successfully managed with partial graft removal and irrigation. Despite this complication, adequate bone volume was maintained, and three implants were placed without additional grafting. All implants achieved primary stability and remained functional at the 2-year follow-up.
Conclusion
This case demonstrates that alveolar ridge augmentation using the Khoury Shell Technique with autogenous bone can be successfully achieved in patients with stable sarcoidosis. Long term prospective studies are needed to validate these findings and develop standardized protocols for implant therapy in systemic granulomatous diseases.