Mandibular Ridge Splitting and Gradual Bone Expansion Technique for Immediate Placement of Implant in the Posterior Thin Region: A Clinical Report

The use of dental implants for the rehabilitation of missing teeth has broadened the treatment options for patients and clinicians equally. As a result of advances in research in implant design, materials, and techniques, the use of dental implants has increased dramatically in the past two decades and is expected to expand further in the future. Success of dental implants depends largely on the quality and quantity of the available bone in the recipient site. This however may be compromised or unavailable due to tumor, trauma, periodontal disease, etc., which in turn necessitates the need for additional bone manipulation. This review outlines the various bone manipulation techniques that are used to achieve a predictable long-term success of dental implants.

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“…There must be adequate available bone height for implant placement, and no vertical bone defect should be present. [ 23 ]…”

Section: Discussionmentioning

confidence: 99%

Bone manipulation procedures in dental implants

Mittal¹,

Jindal²,

Garg³

2016

Indian J Dent

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“…The split-crest technique should be delineated as a bone expansion procedure, which potentially eliminates the overall disadvantages of Onlay grafting for esthetic and functional demands. 36 Chiapasco et al evaluated the efficiency of different sur-gical techniques for ridge reconstruction and success rates of implants placed in the augmented areas. 11 The surgical success and the implant survival rates were as high as the guided bone regeneration and onlay graft procedure, with the advantage of a shorter treatment time.…”

Section: Discussionmentioning

confidence: 99%

Implant Placement in a Compromised Region - Ridge Split Technique

2016

IJDA

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Introduction: Narrow alveolar ridges especially in the posterior mandibular remains a serious challenge for successful placement of endosseous implants.Case presentation: The present case report addresses surgical procedures for widening the atrophic ridge of edentulous ridge as thin as 3mm and gradual expansion in the posterior mandibular ridge, then simultaneous placement of dental implant. A significant increase was achieved in the bone dimension, which enabled the placement of endosseous dental implants successfully.Discussion: This segmental ridge slit procedure with gradual bone expansion provides a quicker method wherein an atrophic ridge can be predictably expanded and eliminating the need for a second surgical site. This technique also shows that immediate implantation in split ridge of mandible can be performed.

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“…Khosshal et al (2013). 22 Ridge splitting is more efficient when there is cancellous bone present between thick outer cortical plates, the edentulous span is long enough, and the bone height is sufficient. In our study, a midline incision on the edentulous ridge was followed by the raising a full thickness mucoperiosteal flap on the buccal and lingual sections of the cortical plates.…”

Section: Determination Of Change In Angulation Of Second Molarmentioning

confidence: 99%

“…Khosshal et al (2013). 22 Due to their convenience compared to dental implants, titanium screws have recently gained popularity for absolute anchorage throughout various types of tooth movement. 1 One major drawback of molar protraction utilizing traditional mechanics is the loss of anterior anchoring.…”

Section: Determination Of Change In Angulation Of Second Molarmentioning

confidence: 99%

Ridge split assisted molar protraction

Rawat,

Prasad,

Kumar

et al. 2024

IJODR

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Protraction of a second molar into the gap left by a missing first molar is an option, although it is challenging to maintain root parallelism during mesial migration due to the thick and dense cortical bone. This study was carried out to make an attempt to evaluate whether molar protraction in subjects with missing mandibular first molar and knife edge ridges is possible or not using ridge split procedure (expansion).The sample consisted of 12 subjects with missing mandibular first molar and knife edge ridges. All pre-treatment records were taken, after initial leveling and alignment ridge split procedure was performed and molar protraction was carried out using mini implants. Data was collected at a fixed interval of every six weeks. Statistical analysis using Repeated-measures ANOVA and Paired t test were done for evaluation of the rate of molar protraction and mesial molar tipping 0.12mm per week and 0.9 mm per six weeks was the rate of molar protraction that was accomplished. The mean edentulous space decreased from pre protraction to third visit significantly with a p value of ≤ 0.001.There is mesial tipping of molar post protraction with a P value of 0.148 which is statistically non-significant. On an average duration for molar protraction was 8.4 months.Ridge split made molar protraction possible in subjects with missing mandibular molar and knife edge ridges and enhanced the rate of tooth movement. The absolute anterior dental anchorage for the desired orthodontic movement was achieved by utilisation of mini implants.

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Mandibular Ridge Splitting and Gradual Bone Expansion Technique for Immediate Placement of Implant in the Posterior Thin Region: A Clinical Report

Cited by 4 publications

References 11 publications

Bone manipulation procedures in dental implants

Bone manipulation procedures in dental implants

Implant Placement in a Compromised Region - Ridge Split Technique

Ridge split assisted molar protraction

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