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September 14, 2026Journal Of Clinical PeriodontologyOpen Access

Postoperative Sequelae and Complications of Alveolar Ridge Augmentation With Simultaneous Implant Placement. A Retrospective Cohort‐Based Predictive Risk Modelling

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Authors

MSMuhammad H. A. SalehHAHend AbulatifaFFFrancesco Fanelli

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Overview

Retrospective cohort study reveals complication rates and predictors in alveolar ridge augmentation with simultaneous implants, indicating surgical technique and defect morphology drive risk.

Key Points

  • To quantify the incidence of postoperative sequelae, complications, and need for additional grafting following alveolar ridge augmentation with simultaneous implant placement, and to develop predictive risk models.
  • Conducted a single-center retrospective cohort study of adult patients (N=391, one site per patient) with ridge deficiencies undergoing simultaneous augmentation and implant placement between 2019 and 2024.
  • Categorized complications by severity and intervention needs, utilizing multivariable stepwise logistic regression and Firth penalized logistic regression to model risks, with model accuracy evaluated via ROC-AUC and Hosmer–Lemeshow calibration.
  • Postoperative sequelae occurred in 31.5% and complications in 25.8% of patients; vertical/combined defects increased membrane exposure risk (aOR 2.52; 95% CI: 1.50–4.23), while microsurgical technique reduced incision-line dehiscence (aOR 0.76; 95% CI: 0.57–1.00; p = 0.049).
  • Additional grafting was required in 6.14% of patients and was independently predicted by adjacent clinical attachment loss ≥5 mm (OR 14.07; 95% CI: 3.79–52.18; p < 0.001), current smoking (OR 5.11; 95% CI: 1.38–18.95; p = 0.015), and systemic corticosteroid therapy (OR 1.61; 95% CI: 1.04–2.51; p = 0.035; AUC 0.744).

Cite This Study

Saleh et al. (2026) studied this question.

synapsesocial.com/papers/6aa7dfc60926e14a848b3e6ahttps://doi.org/10.1111/jcpe.70196
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