Dental implants placement is often limited by the anatomy of the alveolar bone. Patients often lose their teeth due to alveolar bone resorption, tooth extraction, trauma thus making it difficult to place implants in an optimal prosthetic position. The loss of width of the residual alveolar ridge that is needed to place implants often needs a remodeling of the lost dimensions.
This case reports the successful management of such a patient where the placement of implants possible by autogenous bone block graft techniques obtained from the external oblique line of the mandible with predictable osseointegration and implant stability.

Implant fracture is a rare complication of dental implant treatment, but this complication represents failure of treatment. A case of fracture of an endosseous dental implant occurring in a middle-age woman, 18 months after placement is reported. The implant replaced the mandibular first premolar in a four-unit bridge supported by two implants. The treatment plan consist of placement of additional implants simultaneous with removal of the fractured implant and reconstruction of bone loss. The bone collected from implant placement and implant removal was used to regenerate surgical site.