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Abstract The present study was conducted on fourteen patients randomly divided into two equal groups to compare between autogenous block onlay bone graft and xenogenic cortical bone lamina in alveolar ridge augmentation. All patients had a maxillary partially edentulous ridge which required horizontal width augmentation labiolingually prior to implant placement. Two surgeries were carried out for each patient; the first surgery was for alveolar ridge augmentation (bone grafting) while the second surgery was for implant placement in a routine fashion. Alveolar ridge augmentation was performed in group one using intraoral autogenous onlay block bone graft harvested from the mandibular symphysis using piezoelectric surgery, while in group two alveolar ridge augmentation was performed using xenogenic soft cortical bone lamina. Implant placement was performed six months after the ridge augmentation surgery. A trephine bur was used to obtain bone biopsy at the implant site before preparation of the implant recipient bed for histological examination. Three months after placement of the implant, prosthetic procedures were performed. The alveolar ridge buccolingual (BL) horizontal width was measured before and after the augmentation procedures clinically by using the bone caliper and radiographically by using the cone beam computed tomography. In conclusion, the results showed that the cortical bone lamina used in the present study can be safely and successfully used in horizontal alveolar ridge augmentation as an alternative to the intraoral autogenous block onlay bone graft. |