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Autogenous bone grafting remains the gold standard in alveolar ridge augmentation due to its superior osteogenic, osteoinductive, and osteoconductive properties. Harvested from intraoral or extraoral donor sites, autogenous grafts provide living bone cells and growth factors that promote rapid integration and volume stability. The procedure involves careful recipient site preparation, graft adaptation and fixation, followed by a healing phase to ensure sufficient bone regeneration before implant placement.