Split Crest Technique with Immediate Implant to Treat Horizontal Defects of the Alveolar Ridge: Analysis of Increased Thickness and Implant Survival

Souza, Carolina Santos Ventura de; Sá, Bruno Costa Martins de; Goulart, Douglas Rangel; Guillen, Gabriel Albuquerque; Macêdo, F.G.C.; Nóia, Cláudio Ferreira

doi:10.1007/s12663-020-01332-z

Cited by 14 publications

(12 citation statements)

References 10 publications

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“…The three groups in the present study acquired significant ACW. The results at the time of loading were nearly equal to those of Waechter et al (31) , de Souza et al (32) , and Anitua et al (33) . At all evaluation periods of the present study, patients in the three groups showed generally good oral hygiene habits, and a healthy state of the soft tissue around the implants, as well as no statistically significant difference in mean gingival and plaque indices scores.…”

Section: Discussionsupporting

confidence: 78%

A Xenograft versus PRF alone or mixed with metformin in horizontal ridge augmentation with split-crest technique for implant installation.

aboamo

Madany

destawy

2023

Al-Azhar Journal of Dental Science

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Objective:The aim of this study was to evaluate and compare the efficacy of xenograft and PRF alone, or mixed with metformin, in horizontal ridge augmentation with split-crest technique, for implant placement. Subjects & Methods: eighteen patients with narrow ridges were divided into Group 1: Patients received a split crest technique (SCT) with implant placement and xenograft. Group 2: Patients received an SCT with implant placement and PRF only. Group 3: Patients received an SCT with implant placement and metformin mixed with PRF. Implant stability was recorded immediately after implant placement, and at loading. Modified gingival index (mGI), modified plaque index (mPI), and probing depth (PD) were recorded and repeated after one, 3, and 6 months of prostheses. Alveolar crest width (ACW), crestal bone loss (CBL) as well as relative bone density (RBD) evaluated immediately after surgery, at the time of loading, and 6 months after loading. Results: The mean Alveolar Crest Width (ACW) measurements of the present study showed significantly higher ACW in (SCT / PRF) and (SCT / metformin / PRF) than (SCT / xenograft). CBL at loading and 6 months in favor of xenograft and metformin mixed with PRF groups. Conclusion: Compared to PRF alone, xenograft and 1% MF gel mixed with PRF might provide better implant stability, and less CBL. Both xenograft and 1%MF mixed with PRF may be used as peri-implant graft materials with expected comparable clinical outcomes.

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Section: Discussionsupporting

confidence: 78%

A Xenograft versus PRF alone or mixed with metformin in horizontal ridge augmentation with split-crest technique for implant installation.

aboamo

Madany

destawy

2023

Al-Azhar Journal of Dental Science

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“…[ 16 ] The second case of ridge split had a horizontal bone gain in the range of 2.9–3.7 mm, which had similar results as by de Souza et al . [ 17 ] The titanium screws were screwed horizontally on the buccal expanded ridge for space creation. Le et al .…”

Section: Discussionmentioning

confidence: 99%

Tent screws: Predictable guided bone regeneration

Durrani

Singh

Pandey

et al. 2023

Journal of Indian Society of Periodontology

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Bone regeneration of large maxillary and mandibular alveolar ridge defects is clinically challenging. Various techniques have been described for the reconstruction of these deficiencies before implant placement. The tent screw-pole technique is one of the effective methods available for clinicians to perform the predictable functional and esthetic reconstruction. The aim of this prospective report was to evaluate clinical and three-dimensional radiographic analyses of two patients treated with xenograft and particulate autogenous bone using tenting screws for regeneration of compromised partial edentulous ridges.

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“…Ridge splitting with simultaneous implant insertion has been successfully applied over 20 years ago due to achieving immediate gain of bone width for immediate implant placement in cases with at least 3 mm of buccolingual ridge diameter. This guarantees that there is at least 1 mm of cancellous bone between buccal and lingual cortical plates, as well as 1.5 mm of compact and cancellous bone on both sides of the split ridge, allowing bony expansion and maintenance of blood supply [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Within the present study limitations, dental implants were simultaneously placed with ridge split procedure to shorten the edentulism interval, reduce the duration of treatment, and decrease the overall costs of implant treatment without the need of second surgery compared with staged approaches [ 14 ]. Anitua and colleagues [ 15 ] and Crespi and coworkers [ 16 ] confirmed the findings of the present study that simultaneous approach had minimal intraosseous complication with high success rate.…”

Section: Discussionmentioning

confidence: 99%

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Autogenous Bone and Bioactive Glass around Implants Placed Simultaneously with Ridge Splitting for the Treatment of Horizontal Bony Defects: A Randomised Clinical Trial

Elamrousy

Osama

Issa

2021

International Journal of Dentistry

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Objective. To compare using autogenous bone with or without bioactive glass in ridge splitting of horizontal bone defects combined with simultaneous implant placement. Materials and Methods. In control group, bone expansion was performed and autogenous bone was used to augment the intercortical bone defect. In study group, autogenous bone was mixed with bioactive glass (1 : 1 in volume). In both groups, the implants were inserted simultaneously with ridge splitting. Six months following implant insertion, bone width and height were evaluated. Statistical analysis utilizing paired Student’s t-test was used for comparing results within the same group, whereas independent samples t-test was used for intergroup variables comparison. Results. The mean bone width and labial and mesiodistal crestal bone height values were increased significantly in both groups from baseline to 6 months postoperatively. Comparing the two groups showed nonstatistical significant difference regarding the labial crestal bone loss, while the ridge width gain values were significantly higher in the study group than in the control group. The mesiodistal bone loss was significantly higher in control group than in study group. Conclusion. Autogenous bone was mixed with bioactive glass (1 : 1 in volume) to fill intercortical defect created after ridge splitting to decrease peri-implant bone resorption associated with autogenous bone alone. This trial is registered with clinical trial registration: NCT04814160.

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Split Crest Technique with Immediate Implant to Treat Horizontal Defects of the Alveolar Ridge: Analysis of Increased Thickness and Implant Survival

Cited by 14 publications

References 10 publications

A Xenograft versus PRF alone or mixed with metformin in horizontal ridge augmentation with split-crest technique for implant installation.

A Xenograft versus PRF alone or mixed with metformin in horizontal ridge augmentation with split-crest technique for implant installation.

Tent screws: Predictable guided bone regeneration

Autogenous Bone and Bioactive Glass around Implants Placed Simultaneously with Ridge Splitting for the Treatment of Horizontal Bony Defects: A Randomised Clinical Trial

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