Clinical Application of the ARi® Implant System in Severely Resorbed Anterior Alveolar Ridge: Case Series

Rehabilitation of severely resorbed anterior alveolar ridges presents considerable challenges due to compromised esthetics and insufficient bone volume. Conventional implant placement often necessitates extensive bone augmentation procedures, increasing patient morbidity, treatment duration, and overall complexity. Therefore, basal cortical implants have been developed to use basal cortical bone anchorage, offering enhanced initial stability and reducing the need for additional bone grafting. The ARi® Implant System, a novel basal cortical implant, combines a uniquely optimized thread design with a nanostructured, calcium-incorporated XPEED® surface treatment to promote early osteoblastic activity, rapid bone-to-implant integration, and improved biomechanical stability. This report describes two clinical cases involving patients with significant anterior alveolar ridge defects. The ARi® Implant System was used with vascularized interpositional periosteal (VIP) flap techniques, synthetic bone grafting, and collagen membrane coverage to optimize ridge augmentation and soft tissue stability. Both patients showed successful outcomes with stable osseointegration, minimal marginal bone loss, and excellent esthetic integration at 2-year follow-ups. The treatment approach reduced surgical complexity and healing time while enhancing patient satisfaction. The ARi® Implant System demonstrates promising clinical efficacy in anterior ridge augmentation, providing stable, esthetically pleasing outcomes without extensive bone grafting. Further biomechanical and long-term studies are necessary to confirm these findings.