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Aim/Hypothesis The aim of the study was to evaluate the horizontal ridge augmentation by means of computerized tomographic scans using autogenous bone graft from retromolar area and the implant clinical success after 4-year follow-up. Material and methods Ten patients (five female, five male aged) check details between 29 and 63?year-old were undergone to horizontal ridge augmentation using autogenous bone graft. The computed tomography scans were taken before the surgery and 6?months after it. The implants were placed after 6?months of the first surgery and the torque values were measured. The implant survival was defined when the prosthesis had been delivered and followed for 4?years without infection, pain, or more than 2-mm peri-implant bone loss. The horizontal bone formation was calculated using the Somaris Sienet Magic View software. The data were analyzed with paired t-test and non-parametric test (P?=?0.05) using the Graph Pad Prism 4.0. Results Thirty-two sites were augmented and all sites were located in the anterior maxilla. The mean of initial and final measure crest thickness were 3.06?mm and 7.66?mm respectively and the average gain of horizontal thickness was 4.6?mm. There were a statically GS-7340 price significant difference in horizontal augmentation after 6?months (P?Adenylyl cyclase of Insubria, Gallarate, Italy6Maxillofacial Surgeon, Dental Medicine Faculty and Carol Davila University, General Medicine Faculty, Bucharest, Romania Background In the anterior aesthetic zone patients value the aesthetic outcome as a priming factor together with the functional one of a dental implant. Aesthetic outcome plays a fundamental role in patients self perception and esteem. For this reason the prosthetic restoration needs to guide the soft tissues at the desired place and stability.