{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:17:19Z","timestamp":1783772239448,"version":"3.55.0"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009827","name":"Alexandria University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009827","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Insufficient bone width is a common obstacle when placing dental implants. Numerous methods have been devised to enhance bone thickness. Autogenous bone is considered the benchmark material owing to its superior properties. The split bone block technique showed favorable results in bone gain, although donor site morbidity and the need for a second surgical site were major concerns. The study aimed to assess bone augmentation in the anterior mandible, using the symphysis as both the donor and recipient site, while the original technique required two surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>This prospective, single-center, formal consecutive case series study focused on outcomes and involved 11 patients, each having a bone width of less than 4\u00a0mm in the anterior mandibular area. Patients underwent a procedure for horizontal ridge augmentation, with implants being placed after a four-month interval. The study assessed the healing of the surgical site, reported complications, and measured pain levels using a visual analogue scale. It evaluated bone gain in width, primary stability, secondary stability of implants, short-term implant success, and augmented bone stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The current study revealed postoperative swelling occurred in 45.5% of patients, while hematoma and flap dehiscence were each observed twice. Visual Analog Scale pain scores decreased over two weeks (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Mean radiographic bone width increased from (3.27\u2009\u00b1\u20090.80\u00a0mm) preoperatively to (5.88\u2009\u00b1\u20090.82\u00a0mm) at 4 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Furthermore, mean implant stability quotient scores improved from 72.80 (3.94) to 88.90 (2.10) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). The short-term implant success was 90.9%, and the mean linear augmented bone stability was 88.41% \u00b1 6.24% (median: 90.57%), with individual values ranging from a minimum of 74.39% to a maximum of 94.57%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings of this preliminary case series suggest that the auto-augmentation technique from the mandibular symphysis is a technically feasible protocol for horizontal ridge augmentation. By confining the surgery to a single localized window, it achieves adequate bone gain while minimizing donor-site trauma and optimizing patient recovery profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>The trial was registered on 12\/09\/2024 at clinicaltrials.gov (ID: NCT06727591).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-026-09134-4","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T10:23:51Z","timestamp":1783765431000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and radiographic outcomes of horizontal auto-augmentation of the anterior mandible using a single-site surgical technique prior to delayed implant placement: a case series"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1319-0652","authenticated-orcid":false,"given":"Hossam","family":"Saleh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riham","family":"Eldibany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina","family":"Metawie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"9134_CR1","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1111\/j.1708-8208.2012.00456.x","volume":"14","author":"D Buser","year":"2012","unstructured":"Buser D, Janner SF, Wittneben JG, Br\u00e4gger U, Ramseier CA, Salvi GE. 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 2012;14:839\u201351.","journal-title":"Clin Implant Dent Relat Res"},{"key":"9134_CR2","doi-asserted-by":"publisher","first-page":"4616","DOI":"10.3390\/ijerph16234616","volume":"16","author":"HK Lin","year":"2019","unstructured":"Lin HK, Pan YH, Salamanca E, Lin YT, Chang WJ. Prevention of bone resorption by HA\/\u03b2-TCP\u2009+\u2009collagen composite after tooth extraction: a case series. Int J Environ Res Public Health. 2019;16:4616.","journal-title":"Int J Environ Res Public Health"},{"key":"9134_CR3","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1111\/jcpe.13390","volume":"48","author":"E Couso-Queiruga","year":"2021","unstructured":"Couso-Queiruga E, Stuhr S, Tattan M, Chambrone L, Avila-Ortiz G. Post-extraction dimensional changes: a systematic review and meta-analysis. J Clin Periodontol. 2021;48:126\u201344.","journal-title":"J Clin Periodontol"},{"key":"9134_CR4","doi-asserted-by":"publisher","first-page":"2348","DOI":"10.3390\/diagnostics11122348","volume":"11","author":"R Alshenaiber","year":"2021","unstructured":"Alshenaiber R, Cowan C, Barclay C, Silikas N. Analysis of residual ridge morphology in a group of edentulous patients seeking NHS dental implant provision-a retrospective observational lateral cephalometric study. Diagnostics (Basel). 2021;11:2348.","journal-title":"Diagnostics (Basel)"},{"key":"9134_CR5","first-page":"346","volume":"66","author":"E Zmys\u0142owska","year":"2007","unstructured":"Zmys\u0142owska E, Ledzion S, Jedrzejewski K. Factors affecting mandibular residual ridge resorption in edentulous patients: a preliminary report. Folia Morphol (Warsz). 2007;66:346\u201352.","journal-title":"Folia Morphol (Warsz)"},{"key":"9134_CR6","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1016\/S0901-5027(88)80047-X","volume":"17","author":"JI Cawood","year":"1988","unstructured":"Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Surg. 1988;17:232\u20136.","journal-title":"Int J Oral Maxillofac Surg"},{"key":"9134_CR7","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/j.1834-7819.2011.01646.x","volume":"57","author":"M Stimmelmayr","year":"2012","unstructured":"Stimmelmayr M, G\u00fcth JF, Schlee M, G\u00f6hring TN, Beuer F. Use of a modified shell technique for three-dimensional bone grafting: description of a technique. Aust Dent J. 2012;57:93\u20137.","journal-title":"Aust Dent J"},{"key":"9134_CR8","doi-asserted-by":"publisher","first-page":"41","DOI":"10.11607\/jomi.5581","volume":"33","author":"G Lim","year":"2018","unstructured":"Lim G, Lin GH, Monje A, Chan HL, Wang HL. Wound healing complications following guided bone regeneration for ridge augmentation: a systematic review and meta-analysis. Int J Oral Maxillofac Implants. 2018;33:41\u201350.","journal-title":"Int J Oral Maxillofac Implants"},{"key":"9134_CR9","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s40729-022-00421-7","volume":"8","author":"R Smeets","year":"2022","unstructured":"Smeets R, Matthies L, Windisch P, Gosau M, Jung R, Brodala N, Stefanini M, Kleinheinz J, Payer M, Henningsen A, Al-Nawas B, Knipfer C. Horizontal augmentation techniques in the mandible: a systematic review. Int J Implant Dent. 2022;8:23.","journal-title":"Int J Implant Dent"},{"key":"9134_CR10","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1563\/aaid-joi-D-16-00095","volume":"43","author":"ER Silva","year":"2017","unstructured":"Silva ER, Ferraz EP, Neto EC, Chaushu G, Chaushu L, Xavier SP. Volumetric stability of fresh frozen bone blocks in atrophic posterior mandible augmentation. J Oral Implantol. 2017;43:25\u201332.","journal-title":"J Oral Implantol"},{"key":"9134_CR11","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1186\/s40729-017-0084-4","volume":"3","author":"A Sakkas","year":"2017","unstructured":"Sakkas A, Wilde F, Heufelder M, Winter K, Schramm A. Autogenous bone grafts in oral implantology-is it still a gold standard? A consecutive review of 279 patients with 456 clinical procedures. Int J Implant Dent. 2017;3:23.","journal-title":"Int J Implant Dent"},{"key":"9134_CR12","volume-title":"Medical statistics at a glance","author":"A Petrie","year":"2009","unstructured":"Petrie A, Sabin C. Medical statistics at a glance. 3rd ed. Chichester, West Sussex: Wiley; 2009.","edition":"3"},{"key":"9134_CR13","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1111\/cid.12808","volume":"21","author":"SM Meloni","year":"2019","unstructured":"Meloni SM, Jovanovic SA, Urban I, Baldoni E, Pisano M, Tallarico M. Horizontal ridge augmentation using GBR with a native collagen membrane and 1:1 ratio of particulate xenograft and autologous bone: A 3-year after final loading prospective clinical study. Clin Implant Dent Relat Res. 2019;21:669\u201377.","journal-title":"Clin Implant Dent Relat Res"},{"key":"9134_CR14","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1007\/s12663-015-0790-5","volume":"15","author":"AB Tarun Kumar","year":"2016","unstructured":"Tarun Kumar AB, Triveni MG, Priyadharshini V, Mehta DS. Staged ridge split procedure in the management of horizontal ridge deficiency utilizing piezosurgery. J Maxillofac Oral Surg. 2016;15:542\u20136.","journal-title":"J Maxillofac Oral Surg"},{"key":"9134_CR15","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.tripleo.2008.10.005","volume":"107","author":"K Funaki","year":"2009","unstructured":"Funaki K, Takahashi T, Yamuchi K. Horizontal alveolar ridge augmentation using distraction osteogenesis: comparison with a bone-splitting method in a dog model. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:350\u20138.","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"9134_CR16","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1111\/cid.12809","volume":"21","author":"M Atef","year":"2019","unstructured":"Atef M, Osman AH, Hakam M. Autogenous interpositional block graft vs onlay graft for horizontal ridge augmentation in the mandible. Clin Implant Dent Relat Res. 2019;21:678\u201385.","journal-title":"Clin Implant Dent Relat Res"},{"key":"9134_CR17","doi-asserted-by":"publisher","first-page":"471","DOI":"10.11607\/jomi.6869","volume":"34","author":"F Khoury","year":"2019","unstructured":"Khoury F, Hanser T. Three-dimensional vertical alveolar ridge augmentation in the posterior maxilla: a 10-year clinical study. Int J Oral Maxillofac Implants. 2019;34:471\u201380.","journal-title":"Int J Oral Maxillofac Implants"},{"key":"9134_CR18","doi-asserted-by":"publisher","unstructured":"Agha RA, Mathew G, Rashid R, Kerwan A, Al-Jabir A, Sohrabi C, Franchi T, Nicola M, Agha M, Thoma A, Coppola A. Revised preferred reporting of case series in surgery (PROCESS) guideline: an update for the age of artificial intelligence. Premier Premier J Sci. 2025;10:100080. https:\/\/doi.org\/10.70389\/PJS.100080.","DOI":"10.70389\/PJS.100080"},{"key":"9134_CR19","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1097\/01.ASM.0001073116.40041.ee","volume":"79","author":"AE Abouleish","year":"2015","unstructured":"Abouleish AE, Leib ML, Cohen NH. ASA provides examples to each ASA physical status class. ASA Monit. 2015;79:38\u201349.","journal-title":"ASA Monit"},{"key":"9134_CR20","first-page":"e20872","volume":"14","author":"RA Koduganti","year":"2022","unstructured":"Koduganti RA, Harika RR, Rajaram TSL. Ridge augmentation is a prerequisite for successful implant placement: a literature review. Cureus. 2022;14:e20872.","journal-title":"Cureus"},{"key":"9134_CR21","first-page":"335","volume":"22","author":"HL Wang","year":"2002","unstructured":"Wang HL, Al-Shammari K. HVC ridge deficiency classification: a therapeutically oriented classification. Int J Periodontics Restor Dent. 2002;22:335\u201343.","journal-title":"Int J Periodontics Restor Dent"},{"key":"9134_CR22","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1097\/01.id.0000247855.75691.03","volume":"15","author":"D Hwang","year":"2006","unstructured":"Hwang D, Wang HL. Medical contraindications to implant therapy: part I: absolute contraindications. Implant Dent. 2006;15:353\u201360.","journal-title":"Implant Dent"},{"key":"9134_CR23","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1016\/j.jobcr.2022.09.010","volume":"12","author":"J Roshan","year":"2022","unstructured":"Roshan J, Surej Kumar LK, Rahim SN, Adersh GA, Thuruthel MJ, Haris HA. Reconstruction of osseous defect with symphysis block graft for implant placement. J Oral Biol Craniofac Res. 2022;12:853\u20138.","journal-title":"J Oral Biol Craniofac Res"},{"key":"9134_CR24","doi-asserted-by":"publisher","unstructured":"Botros MA, Gaber HK, Abbas EA, El-Mofty MS, Bissar MW. Split-block graft versus cortico-cancellous block graft for horizontal ridge augmentation: cone beam computed tomography and histomorphometric study. Braz dent sci. 2021;24(3):e2464. https:\/\/doi.org\/10.14295\/bds.2021.v24i3.2464.","DOI":"10.14295\/bds.2021.v24i3.2464"},{"key":"9134_CR25","doi-asserted-by":"publisher","first-page":"121","DOI":"10.3109\/00016356408993968","volume":"22","author":"J Silness","year":"1964","unstructured":"Silness J, Loe H. Periodontal disease in pregnancy. Ii. Correlation between oral hygiene and periodontal condtion. Acta odontol scand. 1964;22:121\u201335.","journal-title":"Acta odontol scand"},{"issue":"Suppl","key":"9134_CR26","first-page":"S173","volume":"89","author":"PN Papapanou","year":"2018","unstructured":"Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Periodontol. 2018;89(Suppl):S173\u201382.","journal-title":"J Periodontol"},{"key":"9134_CR27","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1902\/cap.2014.140009","volume":"5","author":"Y Hur","year":"2015","unstructured":"Hur Y, Bui MN, Griffin TJ, Ogata Y. Modified periosteal releasing incision for flap advancement: a practical technique for tensionless closure. Clin Adv Periodontics. 2015;5:229\u201334.","journal-title":"Clin Adv Periodontics"},{"key":"9134_CR28","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1891\/1061-3749.9.3.219","volume":"9","author":"M Good","year":"2001","unstructured":"Good M, Stiller C, Zauszniewski JA, Anderson GC, Stanton-Hicks M, Grass JA. Sensation and distress of pain scales: reliability, validity, and sensitivity. J Nurs Meas. 2001;9:219\u201338.","journal-title":"J Nurs Meas"},{"key":"9134_CR29","doi-asserted-by":"crossref","unstructured":"Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008;17:5\u201315.","DOI":"10.1097\/ID.0b013e3181676059"},{"key":"9134_CR30","doi-asserted-by":"publisher","unstructured":"Gupta G. Implant Stability Quotient (ISQ): A reliable guide for implant treatment. In: Gabric D, Vuletic M, editors. Current Concepts in Dental Implantology: From Science to Clinical Research. London: IntechOpen. 2022. https:\/\/doi.org\/10.5772\/intechopen.101359.\u00a0Chapter 5.","DOI":"10.5772\/intechopen.101359"},{"key":"9134_CR31","unstructured":"Osstell AB. Clinical guidelines. Sweden: Gothenburg. 2023 Available at: https:\/\/www.osstell.com\/clinical-guidelines."},{"key":"9134_CR32","doi-asserted-by":"publisher","first-page":"688","DOI":"10.11607\/jomi.4117","volume":"30","author":"F Khoury","year":"2015","unstructured":"Khoury F, Hanser T. Mandibular bone block harvesting from the retromolar region: a 10-year prospective clinical study. Int J Oral Maxillofac Implants. 2015;30:688\u201397.","journal-title":"Int J Oral Maxillofac Implants"},{"key":"9134_CR33","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.1111\/cid.13263","volume":"25","author":"C Mertens","year":"2023","unstructured":"Mertens C, B\u00fcsch C, Goldenbaum K, Ristow O, Hoffmann J, Wang HL, Hoffmann KJ. Full block or split block?-Comparison of two different autogenous block grafting techniques for alveolar ridge reconstruction. Clin Implant Dent Relat Res. 2023;25:1149\u201363.","journal-title":"Clin Implant Dent Relat Res"},{"key":"9134_CR34","doi-asserted-by":"publisher","first-page":"3193","DOI":"10.21608\/edj.2021.82900.1694","volume":"67","author":"ALIA Kheir El Din","year":"2021","unstructured":"Kheir El Din ALIA. Horizontal alveolar ridge augmentation with autogenous block bone graft a cone beam computed tomography evaluation case series. Egypt Dent J. 2021;67:3193\u2013202. https:\/\/doi.org\/10.21608\/edj.2021.82900.1694.","journal-title":"Egypt Dent J"},{"key":"9134_CR35","first-page":"749","volume":"10","author":"J S\u00e1nchez-S\u00e1nchez","year":"2021","unstructured":"S\u00e1nchez-S\u00e1nchez J, Pickert FN, S\u00e1nchez-Labrador L, Gf Tresguerres F, Mart\u00ednez-Gonz\u00e1lez JM. Meniz-Garc\u00eda C. Horizontal ridge augmentation: a comparison between khoury and urban technique. Biology (Basel). 2021;10:749.","journal-title":"Biology (Basel)"},{"key":"9134_CR36","first-page":"25","volume":"2012","author":"B Pommer","year":"2012","unstructured":"Pommer B, Zechner W, Watzek G, Palmer R. To graft or not to graft? Evidence-based guide to decision making in oral bone graft surgery. Bone grafting. 2012;2012:25.","journal-title":"Bone grafting"},{"key":"9134_CR37","doi-asserted-by":"publisher","first-page":"3220","DOI":"10.3390\/jcm10153220","volume":"10","author":"M Vallecillo-Rivas","year":"2021","unstructured":"Vallecillo-Rivas M, Reyes-Botella C, Vallecillo C, Lisbona-Gonz\u00e1lez MJ, Vallecillo-Capilla M, Olmedo-Gaya MV. Comparison of implant stability between regenerated and non-regenerated bone. a prospective cohort study. J Clin Med. 2021;10:3220.","journal-title":"J Clin Med"},{"key":"9134_CR38","doi-asserted-by":"publisher","first-page":"6994","DOI":"10.3390\/ijerph18136994","volume":"18","author":"V Ivanova","year":"2021","unstructured":"Ivanova V, Chenchev I, Zlatev S, Mijiritsky E. Correlation between primary, secondary stability, bone density, percentage of vital bone formation and implant size. Int J Environ Res Public Health. 2021;18:6994.","journal-title":"Int J Environ Res Public Health"},{"key":"9134_CR39","doi-asserted-by":"publisher","first-page":"805","DOI":"10.1016\/j.prosdent.2014.02.011","volume":"112","author":"M Herekar","year":"2014","unstructured":"Herekar M, Sethi M, Ahmad T, Fernandes AS, Patil V, Kulkarni H. A correlation between bone (B), insertion torque (IT), and implant stability (S): BITS score. J Prosthet Dent. 2014;112:805\u201310.","journal-title":"J Prosthet Dent"},{"key":"9134_CR40","first-page":"265","volume":"31","author":"F Fontana","year":"2011","unstructured":"Fontana F, Maschera E, Rocchietta I, Simion M. Clinical classification of complications in guided bone regeneration procedures by means of a nonresorbable membrane. Int J Periodontics Restor Dent. 2011;31:265\u201373.","journal-title":"Int J Periodontics Restor Dent"},{"key":"9134_CR41","doi-asserted-by":"publisher","first-page":"512","DOI":"10.1902\/jop.2001.72.4.512","volume":"72","author":"EE Machtei","year":"2001","unstructured":"Machtei EE. The effect of membrane exposure on the outcome of regenerative procedures in humans: a meta-analysis. J Periodontol. 2001;72:512\u20136.","journal-title":"J Periodontol"},{"key":"9134_CR42","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.5037\/jomr.2020.11302","volume":"11","author":"T Starch-Jensen","year":"2020","unstructured":"Starch-Jensen T, Deluiz D, Tinoco EMB. Horizontal alveolar ridge augmentation with allogeneic bone block graft compared with autogenous bone block graft: a systematic review. J Oral Maxillofac Res. 2020;11:e1.","journal-title":"J Oral Maxillofac Res"},{"key":"9134_CR43","unstructured":"Vel\u00e1zquez \u00d3I, Tresguerres FGF, Berrocal IL, Tresguerres IF, L\u00f3pez-Pintor RM, Carballido J, L\u00f3pez-Quiles J, Torres J. Split bone block technique: 4-month results of a randomised clinical trial comparing clinical and radiographic outcomes between autogenous and xenogeneic cortical plates. Int J Oral Implantol (Berl). 2021;14(1):41\u201352. Erratum in: Int J Oral Implantol (Berl). 2021;14:226."},{"key":"9134_CR44","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1007\/s00784-024-05613-6","volume":"28","author":"F Bayram","year":"2024","unstructured":"Bayram F, G\u00f6\u00e7men G, \u00d6zkan Y. Evaluating risk factors and complications in mandibular ramus block grafting: a retrospective cohort study. Clin Oral Investig. 2024;28:226.","journal-title":"Clin Oral Investig"},{"key":"9134_CR45","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1016\/j.ijom.2013.09.007","volume":"43","author":"K Andersen","year":"2014","unstructured":"Andersen K, N\u00f8rholt SE, Knudsen J, K\u00fcseler A, Jensen J. Donor site morbidity after reconstruction of alveolar bone defects with mandibular symphyseal bone grafts in cleft patients\u2013111 consecutive patients. Int J Oral Maxillofac Surg. 2014;43:428\u201332.","journal-title":"Int J Oral Maxillofac Surg"},{"key":"9134_CR46","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1038\/sj.bdj.4810987","volume":"196","author":"A Joshi","year":"2004","unstructured":"Joshi A. An investigation of post-operative morbidity following chin graft surgery. Br Dent J. 2004;196:215\u20138. discussion 211.","journal-title":"Br Dent J"},{"key":"9134_CR47","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1007\/s12663-024-02192-7","volume":"24","author":"JV Fanai","year":"2025","unstructured":"Fanai JV, Dhuvad J, Anchlia S, Bhatt U, Trivedi B, Jogani H. Quantitative evaluation of zygomatic buttress, ramal, and symphysis onlay grafts in ridge augmentation prior to implant placement. J Maxillofac Oral Surg. 2025;24:1575\u201384.","journal-title":"J Maxillofac Oral Surg"},{"issue":"11","key":"9134_CR48","first-page":"1216","volume":"21","author":"V Chappuis","year":"2010","unstructured":"Chappuis V, Rahman O, Buser R, Bornstein MM, Belser UC, Buser D. Clinical relevance of donor site morbidity and patient\u2019s perception after autogenous bone harvesting from the mandibular ramus: a prospective study. Clin Oral Implants Res. 2010;21(11):1216\u201325.","journal-title":"Clin Oral Implants Res"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-026-09134-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-026-09134-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-026-09134-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:02:11Z","timestamp":1783771331000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12903-026-09134-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,11]]},"references-count":48,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["9134"],"URL":"https:\/\/doi.org\/10.1186\/s12903-026-09134-4","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,11]]},"assertion":[{"value":"4 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This research was approved by the Institutional Review Board of the Research Ethics Committee of the Faculty of Dentistry, Alexandria University, Egypt (International Number IORG0008839; Ethics Committee Number No: 0741-08\/2023). These research activities followed the Declaration of Helsinki for human subjects. Each participant signed a formal written informed consent form before the operation. IRB registration number: SCCREIRB-DNTSTRYALX-GU-001-180325-042. IORG: 0008839. IRB by OHRP: 00010556. Ethics committee No: 0741-08\/2023.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1243"}}