Staged Ridge Splitting Technique for Horizontal Expansion in Mandible - A Case Report

Kheur, Supriya; Gokhale, Sneha; Sumanth, S; Jambekar, Shantanu

doi:10.1563/aaid-joi-d-12-00068.1

Cited by 4 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The author concluded that the staged approach provides 2-3 folds increase in the ridge width. Kheur et al, 25 obtained similar results with the same technique.…”

Section: Two Stage Split Technique Was the Technique Of Choice In This Study Although Conventional Immediate Delayed Expansion Technique mentioning

confidence: 59%

See 1 more Smart Citation

Evaluation of Delayed Split Expansion Technique for Horizontal Augmentation of Narrow Mandibular Alveolar Ridge for Implant Placement without Guided Bone Regeneration

Abdelsameaa

Yousef

Mansour

2021

Egyptian Dental Journal

View full text Add to dashboard Cite

Objective: To evaluate the effect of application of delayed split expansion technique without guided bone regeneration for implant placement in narrow posterior mandibular ridge. Patients and methods:Fourteen patients with narrow posterior mandibular ridge were included in this prospective study. All patients treated by a delayed expansion technique with implant placement, receiving a total of thirty implants. All patients were evaluated clinically and radiographically by multi-slice CT scan. The width of the alveolar ridge was measured before implantation, immediately after implantation, and after 6 months. Marginal bone loss was calculated buccally and lingually as the difference between bone height measurements immediately post-implant insertion and after 6 months. Results:The average increase of the alveolar ridge width was 4.22±0.94 mm after 6 months, which showed a high statistically significant value (P ≤0.001). The mean values of buccal and lingual marginal bone loss were 0.403±0.26 and 0.217±0.20 mm respectively, which showed statistically non-significant values (P=0.087 and P= 0.092 respectively). Conclusion:The use of delayed expansion technique without guided bone regeneration is a simple efficient technique for horizontal augmentation of the narrow posterior mandibular ridge for implant placement. It offers less incidence of complications, less morbidity, and less cost than other augmentation techniques. It represents a modification of the conventional technique and is especially interesting for those patients with highly compact bone and initial insufficient bone ridge width for implant placement.

show abstract

“…The author concluded that the staged approach provides 2-3 folds increase in the ridge width. Kheur et al, 25 obtained similar results with the same technique.…”

Section: Two Stage Split Technique Was the Technique Of Choice In This Study Although Conventional Immediate Delayed Expansion Technique mentioning

confidence: 59%

“…Since this technique was performed in two stages, the site of the greenstick fracture could be predicted and predetermined. 25 Piezoelectric device was used to perform corticotomies in this study. Its positive effects on bone viability have been reported by several studies in oral surgery.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Delayed Split Expansion Technique for Horizontal Augmentation of Narrow Mandibular Alveolar Ridge for Implant Placement without Guided Bone Regeneration

Abdelsameaa

Yousef

Mansour

2021

Egyptian Dental Journal

View full text Add to dashboard Cite

show abstract

“…Several modifications were introduced previously using various cutting tools for more precise placement of the osteotomies during ridge splitting technique for marginal bone preservation, some studies used the micro saw or piezoelectric devices, which greatly simplifies the split crest procedure. 12,13 Another study 14 compared ridgesplitting technique using surgical discs and piezotomes and concluded that both were effective in ridge splitting. In this study, the cuts were performed using carbide discs of 1.5 thickness allowing accurate placement of a very thin mid crestal and labial osteotomies through the slits of the guide.…”

Section: Discussionmentioning

confidence: 99%

Maxillary horizontal alveolar ridge augmentation using computer guided ridge splitting with simultaneous implant placement versus conventional technique: A randomized clinical trial

Hamzah

Mounir

Ali

et al. 2021

Clin Implant Dent Rel Res

View full text Add to dashboard Cite

Background Ridge splitting technique is considered one of the successful horizontal bone augmentation procedures especially for the maxillary bone, the aim of this study was to compare marginal bone loss using a novel ridge splitting protocol versus the conventional technique. Material & Methods This was a randomized clinical trial including 20 patients who were randomly assigned to ridge splitting with simultaneous implant placement at the anterior maxillary aesthetic zone (10 patients, 29 dental implant) using patient specific guides (PSGs) or conventional technique (10 patients, 29 dental implant). In the control group free hand ridge splitting was done, while in the study group all the splitting and drilling procedures were done through specific slits and sleeves at the patient specific guides. Radiographic Assessment included measurements of linear changes in the vertical dimensions of the labial plate of bone on cross sectional cuts of computed tomography (CBCT) using mimics software. Results Wound healing was uneventful for all the patients except one patient in the control group that showed bad split and another showed buccal fenestration. The study group showed lower bone loss (1.38 ± 0.61 mm) compared to the control group (2.42 ± 0.63 mm), with statistical significance difference (P value = 0.001). The loss percentage also was higher in the study group (10.99 ± 4.76%) compared to the control group (19.12 ± 4.53%), and there was statistical significance difference between the two groups (P value = 0.001). Conclusion Ridge splitting using PSGs appear to be efficient and promising than the free hand technique.

show abstract

“…in “staged ridge splitting technique for horizontal expansion in mandible,” the ridge was expanded and bone graft ossify containing biphasic beta tricalcium phosphate and hydroxyapatite was placed to maintain the gap between the cortices. [17] In the present study, the bone plates were maintained in place by using small bone chips inserted deep in between the separated cortical plates and then the mucosa sutured from buccal to lingual to aid in fixing the lateralized plate in place. The gap was between 3 and 5 mm and was left to be filled with a blood clot giving the opportunity for normal wound healing resembling an extraction socket.…”

Section: Discussionmentioning

confidence: 99%

Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges

Abu-Tair¹

2014

Ann Maxillofac Surg

View full text Add to dashboard Cite

Purpose:A two stage approach of ridge splitting and lateral expansion in the mandible to achieve enough bone width for the purpose of dental implants is presented.Materials and Methods:A total of 13 consecutive patients with 16 long-span edentulous areas of the mandibular ridge were included in this study and 42 dental implants were inserted. Corticotomy of a rectangular buccal segment was carried out followed by 3 weeks of recovery; the mandibular ridge was stretched laterally, leaving the buccal periosteum attached to the lateralized segment. In this modification, there was no need for the use of grafted foreign materials to fill the defect and neither the use of barrier membranes, since it was treated practically as a fresh extraction site. To prevent the undesirable movement of the lateral plate, a small chip (2-3 mm in diameter) of bone spacer was properly fixed. The dental implants were placed 3-5 months later on.Results:Approximately, 86% of the expanded areas were successful in providing an adequate width to accommodate an implant. The average gain in width was 3.22 ± 0.97 mm. All intended implants were inserted. Prosthetic loading with fixed prosthesis was successfully implemented in all cases.Conclusion:This modified technique is a simple and short procedure with satisfactory results and minimal morbidity. Of note, this approach is devoid of foreign materials usage and has a low rate cost, therefore, should be employed more often.

show abstract

Staged Ridge Splitting Technique for Horizontal Expansion in Mandible - A Case Report

Cited by 4 publications

References 0 publications

Evaluation of Delayed Split Expansion Technique for Horizontal Augmentation of Narrow Mandibular Alveolar Ridge for Implant Placement without Guided Bone Regeneration

Evaluation of Delayed Split Expansion Technique for Horizontal Augmentation of Narrow Mandibular Alveolar Ridge for Implant Placement without Guided Bone Regeneration

Maxillary horizontal alveolar ridge augmentation using computer guided ridge splitting with simultaneous implant placement versus conventional technique: A randomized clinical trial

Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges

Contact Info

Product

Resources

About