Because of its superior osteogenesis and resistance to infection, autogenous bone has long been considered the gold standard. However, autogenous bone is not always easy to extract, and volume loss is unavoidable during long-term follow-up. In general, adequate bone formation can take place in the case of xenogenic bone graft material, which is frequently employed in clinical practice, under favorable regeneration settings, such as sinus lift or socket preservation. Although adequate volume was maintained, it was uncertain whether bone development had truly advanced to the end despite extensive vertical and/or horizontal augmentation. Furthermore, infections in sinus graft cases could not be addressed until the xenograft was removed completely. A patient who has had implants may also have this susceptible feature of infection. The application of ATBG, which has been enhanced for the flaws, is covered in this section.

Table 1 Advantage of autogenous tooth-bone graft material

The most significant clinical outcome of ATBG use, when taking into account its clinical uses, was that it was easily obtained with a compact bone structure due to its advantageous composition, as previously mentioned. According to a prior study, new bone and densified lamellated bone production histologically might produce outstanding crestal bone stability in a variety of clinical scenarios (maxillary sinus augmentation, ridge augmentation).