Immediate and Delayed Lateral Ridge Expansion Technique in the Atrophic Posterior Mandibular Ridge

Sohn, Dong-Seok; Lee, Hyun-Jin; Heo, Jeung-Uk; Moon, Jee-Won; Park, In-Suk; Romanos, Georgios E.

doi:10.1016/j.joms.2010.04.009

Cited by 68 publications

(53 citation statements)

References 16 publications

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“…Our results have shown good success and low morbidity with the technique, performing the osteotomy exclusively at alveolar crest level, enabled mainly by the piezoelectric system insert scale. Sohn et al (2010) reported a study of 32 patients using the ARST; they used an osteotomy in the alveolar crest and then a vertical osteotomy to enable displacement of the vestibular bone plate, initially proceeding with an ultrasonic system and later separating with a smaller chisel. In the ARST sequence with immediate implant, 5 out of 21 cases presented a bone plate fracture.…”

Section: Discussionmentioning

confidence: 99%

Alveolar Ridge Splitting for Implant Installation in Atrophic Sites: Analysis of a Case Series

Olate

Marín

Oporto

et al. 2015

Int. J. Odontostomat.

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ABSTRACT:The alveolar ridge splitting technique (ARST) has been developed for close to 20 years, demonstrating effectiveness and efficiency in some cases. The aim of this study was to evaluate the behavior of the technique in a series of surgical cases using a piezoelectric system. Eleven patients (ASA I and ASA II) were included in this study. Subjects who smoked or who presented previous implant treatments or reconstructive surgeries in the treatment area were excluded. The surgeries took place under local anesthesia without sedation and consisted of a straight crestal incision and subsequent bone management with 4 different types of inserts mounted on a piezoelectric system, which were used gradually on the alveolar crest, moving down approximately 10 mm. Once the approximately 3 mm expansion had been achieved, the implants were installed under controlled torque and the implant sites and defects present were filled with lyophilized bovine bone. In the splitting technique, there was a fracture of the bone plate in 4 cases, although in each case the implants were installed. A total of 34 implants were installed, of which 27 reached 35 N in installation and the rest between 20 N and 35 N. In the second surgery 2 implants were lost. It can be concluded that the technique is predictable, of low morbidity and with rapid treatment completion, presenting limited intraoperative complications.

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Section: Discussionmentioning

confidence: 99%

Alveolar Ridge Splitting for Implant Installation in Atrophic Sites: Analysis of a Case Series

Olate

Marín

Oporto

et al. 2015

Int. J. Odontostomat.

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“…1118 implants were placed in the split crest sites. Assessment for smoking habits was unclear in 6 studies 8,[21][22][23][24][25] . Patients were all smokers in 2 studies 20,26 , while in 4 studies 1, 17-19 patients were non-smokers.…”

Section: Results:-mentioning

confidence: 99%

“…Eleven studies applied the technique in the upper arch anteriorly 1,8,[17][18][19][20][22][23][24][25] , posterior 1,8,[18][19][20][22][23][24][25][26] , while 8 papers applied the technique in the lower arch namely anterior 1,8,18,19,22,24,25 and posterior 1,8,18,19,21,22,24,25 . Initial alveolar ridge width was different between the studies with a range between 1.5-5 mm, while in one study 22 it was not mentioned.…”

Section: Results:-mentioning

confidence: 99%

“…Full thickness flap was applied in 9 studies 1,8,17,[20][21][22][24][25][26] , while partial thickness flap was applied in 5 studies 1,[17][18][19]23 . Regarding the methods used for ridge splitting, chisels and osteotomes have been used in 6 studies 1,8,17,19,20,23 , burs and discs have been used in 4 studies 22,[24][25][26] , electrical mallet has been used in 1 study 19 while piezo-electric device has been used in 3 studies 18,21,24 .…”

Section: Results:-mentioning

confidence: 99%

“…Regarding the methods used for ridge splitting, chisels and osteotomes have been used in 6 studies 1,8,17,19,20,23 , burs and discs have been used in 4 studies 22,[24][25][26] , electrical mallet has been used in 1 study 19 while piezo-electric device has been used in 3 studies 18,21,24 . Regarding the methods used for ridge expansion, chisels and osteotomes have been used in 8 studies 17, 19-23, 25, 26, wedges have been used in 1 study 18 while extension crest device has been used in another study 1 .…”

Section: Results:-mentioning

confidence: 99%

See 2 more Smart Citations

Effect of Guided Bone Regeneration on Ridge Splitting With or Without Expansion in Adults: A Systematic Review.

Hanafy¹,

Kholy²,

Mostafa³

2017

IJAR

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Background: Several modifications have been applied to the ridge splitting with or without expansion technique to allow for implant placement in the atrophic ridges. Some studies utilized guided bone regeneration and others not. Aim: This systematic review will try to present the different studies discussing the effects of conjunction of bone grafting materials and/or membranes or not with the ridge splitting with or without expansion for patients having insufficient bucco-palatal ridge width. Methods: A thorough PUBMED (Medline) and COCHRANE databases search in addition to hand-search of journals of relevance was performed on related terms in the period from 1992 to 2016 and resulted in 3247 titles of which 21 abstracts were selected and collected as full articles for further evaluation while the rest were excluded by title or abstract. According to the inclusion criteria 14 studies were included and discussed in this article. Results: Of the 14 studies included in the present study only one study (cohort-retrospective) compared ridge splitting with/without expansion technique alone and with guided bone regeneration. Twelve studies applied guided bone regeneration while three studies did not. Conclusion:The studies included in the present review showed high success and survival rates of implants placed in narrow ridges where ridge splitting and/or expansion technique were used with/without the application of guided bone regeneration. While the conjunction of guided bone regeneration with the ridge splitting and/or expansion technique showed more complications than using the technique alone. Studies included in the present study were of high or moderate risk of bias with only one randomized controlled clinical trial. So, the results of the present study should be reviewed cautiously.

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Diagnosis and Treatment Planning

Tolstunov¹

2016

Horizontal Alveolar Ridge Augmentation in Implant Dentistry: A Surgical Manual

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Immediate and Delayed Lateral Ridge Expansion Technique in the Atrophic Posterior Mandibular Ridge

Cited by 68 publications

References 16 publications

Alveolar Ridge Splitting for Implant Installation in Atrophic Sites: Analysis of a Case Series

Alveolar Ridge Splitting for Implant Installation in Atrophic Sites: Analysis of a Case Series

Effect of Guided Bone Regeneration on Ridge Splitting With or Without Expansion in Adults: A Systematic Review.

Diagnosis and Treatment Planning

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