Alveolar Ridge Reconstruction With the Khoury Shell Technique in a Patient With Sarcoidosis: A Clinical Case Report
THE JOURNAL OF ORAL IMPLANTOLOGY, vol.1, no.1, pp.1, 2025 (Scopus)
- Publication Type: Article / Case Report
- Volume: 1 Issue: 1
- Publication Date: 2025
- Doi Number: 10.1563/aaid-joi-d-25-00165
- Journal Name: THE JOURNAL OF ORAL IMPLANTOLOGY
- Journal Indexes: Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Scopus, EMBASE, MEDLINE
- Page Numbers: pp.1
- Kocaeli University Affiliated: Yes
Abstract
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.