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The aim of this prospective, clinical study was to evaluate the clinical performance and histological outcome of a new equine hydroxyapatite collagenated bone block (eHAC) for horizontal bone grafting prior to implant placement. Five patients (two male/three female) with a mean age of 51.6years (range 22-66years) and a reduced horizontal bone width of the alveolar ridge (mean 3.5mm) underwent horizontal bone grafting using eHAC at 10 grafting sites. Reentry was performed 6.9months after the horizontal grafting procedure. Clinical follow-