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

Kheur, Mohit; Gokhale, Sneha; Sumanth, S.; Jambekar, Shantanu

doi:10.1563/aaid-joi-d-12-00068

Cited by 18 publications

(7 citation statements)

References 9 publications

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“…The deficiency of alveolar bone presents a clinical problem for implant placement. The width of residual bone on buccal and lingual aspects must be at least 1 mm in order to maintain crestal bone levels, which means bone augmentation procedures should be performed when the width of alveolar ridge is <5-mm wide [ 3 ]. Hence, guided bone regeneration (GBR) technique, using barrier membranes and bone substitutes such as autografts, allografts, xenografts and alloplasts, has been applied for the reconstruction of defect region [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of concentrated growth factors combined with mineralized collagen on quality of life and bone reconstruction of guided bone regeneration

Dai

Han

Hu³

et al. 2020

Regenerative Biomaterials

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To evaluate the clinical efficacy of concentrated growth factors (CGFs) combined with mineralized collagen (MC) in guided bone regeneration (GBR). A retrospective study involving 29 patients treated with GBR technique, which was performed either CGF and MC complexes or MC alone. Implants were inserted simultaneously and cone-beam computed tomography was taken immediately, at 3 and 6 months postoperation. Questionnaires were completed by all patients so as to evaluate the main symptoms and daily activities during the first week after surgery. The outcomes of the two groups were statistically compared. All implants healed uneventfully. Patients in both groups suffered from different levels of discomfort for the reason of swelling, pain and chewing impairment on 1–2 days. Meanwhile, swelling of the Trial group was weaker than the Control group. When compared with the Control group, pain levels in Trial group were more rapidly reduced and patients took fewer analgesics from Day 3. Furthermore, the reconstitution mean value of the graft was thicker at 3 and 6 months in Trial group. CGFs complex with MC were beneficial to relieve the clinical symptoms, promote the peri-implant bone regeneration and shorten the healing time.

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Section: Introductionmentioning

confidence: 99%

Efficacy of concentrated growth factors combined with mineralized collagen on quality of life and bone reconstruction of guided bone regeneration

Dai

Han

Hu³

et al. 2020

Regenerative Biomaterials

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“…While there is a lack of long-term studies, preliminary evidence suggests that the success rates for implant placement using ARST in cases with narrow arches are comparable to those in pristine bone but with a slightly increased buccal bone loss [3,8]. In addition to the introduction of the microsaw or piezoelectric devices, precise cutting is possible, which greatly simplifies the split crest procedure [7,16]. The ultrasonic frequency does not cut soft tissue and consequently causes less collateral tissue damage [17].…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, several ridge-splitting techniques have been developed, including split crest osteotomy, ridge expansion osteotomy, and various other modifications [5]. A wide array of tools for splitting have also been developed, including hammers, spatulas, motorized ridge expanders, and rotating or oscillating saws [3,5,7].…”

Section: Introductionmentioning

confidence: 99%

Interantral alveolar ridge splitting for maxillary horizontal expansion and simultaneous dental implant insertion: A case report

Berger

Hakl²,

Sutter

et al. 2019

Annals of Medicine and Surgery

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IntroductionDental implants present an advanced technique for the rehabilitation of partial or edentulous patients. Tooth loss caused by caries, periodontal disease or systemic factors often results in a decline of the bucco-lingual alveolar ridge dimension. Within one year the initial bone width can be resorbed up to 50%. As a consequence dental implants may be limited for rehabilitation and cannot be performed in a conventional manner because of the risk of dehiscence and fenestrations. Bone blocks, guided bone regeneration (GBR), horizontal osteogenic distraction and bone grafts may be used for augmentation procedures. In case of sufficient vertical bone dimension, an alveolar ridge splitting and augmentation technique (ARST) can be conducted. This case has been reported in line with PROCESS criteria [1].Case presentationWe present a 51-year old female patient, who has had a full denture for about 30 years. The reason for consultation was the demand for a fixed prosthesis. Dental implants in combination of the ARST with GBR allowed us to correct horizontal deformities of the alveolar ridge.DiscussionWe discuss the possibility of using the ARST in the interantral region for a full arch rehabilitation of the maxilla with simultaneous dental implant placement in a narrow alveolar ridge.ConclusionThe ARST in addition to simultaneous implant placement with a GBR can be successfully used for a full arch rehabilitation of the maxilla in a narrow alveolar ridge.

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“…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

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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.

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

Cited by 18 publications

References 9 publications

Efficacy of concentrated growth factors combined with mineralized collagen on quality of life and bone reconstruction of guided bone regeneration

Efficacy of concentrated growth factors combined with mineralized collagen on quality of life and bone reconstruction of guided bone regeneration

Interantral alveolar ridge splitting for maxillary horizontal expansion and simultaneous dental implant insertion: A case report

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

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