Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips

Abstract

The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.

Effect of Ridge Splitting Simultaneous With Implant Placement for Treatment of Narrow Ridge

“…In the current study, there was a significant increase in the pain in the first day of implant placement which became minimal at seventh day similar to the study performed by Ramal et al (23) and Moro et al (24) that showed that soft tissue healing after ridge splitting was uneventful as well as the pain and swelling were comparable to usual dentoalveolar surgical procedures.…”

A Modified Ridge Splitting Technique Using Autogenous Bone Blocks—A Case Series

“…Probably the most controversy surrounding the ridge splitting technique is the type of grafting material applied. In the literature autografts, xenografts and alloplastic materials were applied successfully in ridge splitting [ 6 , 12 , 13 , 26 , 28 ]. Furthermore, ridge expansion could be carried out without the use of graft materials.…”

“…The healing period in ridge splitting described in the literature varies between 4 and 6 months [ 26 , 28 ], with most techniques involving implant placement simultaneously [ 6 , 20 , 29 , 42 ]. The modified approach described in the present study consists of grafting with autologous bone blocks and second stage implant placement after 3 months.…”

Patient and Operator Centered Outcomes in Implant Dentistry: Comparison between Fully Digital and Conventional Workflow for Single Crown and Three-Unit Fixed-Bridge

“…In both groups, it was possible to achieve the planned prosthetic rehabilitation. It should be remembered that, in this study, patients with adequate bone volume in which stock devices were indicated have been selected [35]. However, the present study has limitations, in particular the retrospective nature, the small and strictly selected sample and the short term follow-up.…”