Does use of advanced osteoperiosteal flap reconstruct resorbed anterior maxillary alveolus both vertically and horizontally?

Background: Lack of sufficient bone to place an implant at the functionally and aesthetically most appropriate position is a common problem, especially in the upper anterior jaw. Several modalities have been developed to overcome horizontal and vertical ridge atrophy in anterior maxilla with several disadvantages and limitations.
Purpose: The aim was to evaluate the reconstructed anterior maxillary alveolar ridge by using an advanced osteoperiosteal flap.
Patients and methods: Patients with atrophic edentulous anterior alveolar ridge indicated for alveolar ridge augmentation to allow rehabilitation with fixed implant-supported prosthesis were included in this study. The patients were selected from those attending outpatient clinic of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine, Al-Azhar University. Preoperative panoramic and Cone beam Computed tomography radiographs were taken for screening and measurements of both initial ridge width as well as vertical dimensions of both labial and palatal plates of bone preoperatively and immediate postoperatively.
Results: Ten partially edentulous patients were selected fulfilling the planned inclusion and exclusion criteria. Their ages ranged from 22 to 43 years with an average age of 31 +/-8.06 years old. Highly significant increase in the final ridge width. Also, noticeable coronal movement of labial plate of bone which is a part of the osteoperiosteal flap. 
Conclusion: Using a labially based advanced osteoperiosteal flap allows for horizontal ridge augmentation and vertical reconstruction of labially resorbed labial plate of bone in a simple procedure.