Piezoelectric Alveolar Ridge-Splitting Technique with Simultaneous Implant Placement: A Cohort Study with 2-Year Radiographic Results

2013 ◽  
Vol 28 (6) ◽  
pp. 1570-1580 ◽  
Author(s):  
Renzo Bassetti ◽  
Mario Bassetti ◽  
Regina Mericske-Stern ◽  
Norbert Enkling
2014 ◽  
Vol 18 (1) ◽  
pp. 41-47
Author(s):  
Ioannis Papathanasiou ◽  
Georgios Vasilakos ◽  
Sotirios Baltiras ◽  
Lampros Zouloumis

Abstract Insufficient width of the alveolar ridge often prevents ideal implant placement. Guided bone regeneration, bone grafting, alveolar ridge splitting and combinations of these techniques are used for the lateral augmentation of the alveolar ridge. Ridge splitting is a minimally invasive technique indicated for alveolar ridges with adequate height, which enables immediate implant placement and eliminates morbidity and overall treatment time. The classical approach of the technique involves splitting the alveolar ridge into 2 parts with use of ostetomes and chisels. Modifications of this technique include the use of rotating instrument, screw spreaders, horizontal spreaders and ultrasonic device. The purpose of this article is to thoroughly describe all the different approaches in ridge splitting technique. 2 interesting clinical cases of narrow alveolar ridges treated with ridge splitting and immediate implant placement are also presented.


2020 ◽  
Vol 3 (1) ◽  
pp. 37-43
Author(s):  
N Agarwal ◽  
U Y Pai ◽  
S J Rodrigues ◽  
S Baral

Horizontal lack of residual ridge width can complicate the implant procedures. Therefore, ridge construction prior to implant placement is a biomechanical requirement. Guided bone regeneration, bone grafting, alveolar ridge splitting and combinations of these techniques are used for the lateral augmentation of the alveolar ridge. The ridge splitting technique with simultaneous implant placement seems to be a minimally invasive treatment option for horizontal augmentation of narrow alveolar ridges with adequate vertical height. This paper thoroughly describes a segmental ridge splitting technique with both vertical and horizontal osteotomy cuts followed by the use of chisel and mallet to lateralise the buccal bone which was accompanied by GBR and simultaneous implant placement.


Materials ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4036
Author(s):  
Dorottya Pénzes ◽  
Fanni Simon ◽  
Eitan Mijiritsky ◽  
Orsolya Németh ◽  
Márton Kivovics

Background: Alveolar atrophy following tooth loss is a common limitation of rehabilitation with dental implant born prostheses. Ridge splitting is a well-documented surgical method to restore the width of the alveolar ridge prior to implant placement. The aim of this case series is to present a novel approach to ridge expansion using only autogenous bone blocks. Methods: Patients with Kennedy Class I. and II. mandibles with insufficient bone width were included in this study. Ridge splitting was carried out with the use of a piezoelectric surgery device by preparing osteotomies and after mobilization of the buccal cortical by placing an autologous bone block harvested from the retromolar region as a spacer between the buccal and lingual cortical plates. Block-grafts were stabilized by osteosynthesis screws. Implant placement was carried out after a 3-month healing period. A total of 13 implants were placed in seven augmented sites of six patients. Results: Upon re-entry, all sites healed uneventfully. Mean ridge width gain was 2.86 mm, range: 2.0–5.0 mm. Conclusions: Clinical results of our study show that the modified ridge splitting technique is a safe and predictable method to restore width of the alveolar ridge prior to implant placement.


2021 ◽  
Vol 10 (8) ◽  
pp. e26710817214
Author(s):  
Mauricio Aguirre ◽  
Gabriel Fiorelli Bernini ◽  
Fernando Arciniegas ◽  
Karina Maria Salvatore de Freitas

The treatment of patients with atrophic maxillary alveolar ridge who need oral rehabilitation is a common problem in Implant Dentistry. One of the techniques used is the alveolar ridge splitting technique to expand alveolar ridges with a horizontal bone decrease. The palatal approach technique is also recommended in cases with an insufficient thickness of the alveolar ridge for the placement of implants in the bone envelope. The aim of this work is to describe the splitting expansion and palatal approach technique for the treatment of atrophic maxillary ridges with a horizontal bone deficit and rehabilitation with implant placement. This technique combines the alveolar ridge splitting/expansion technique and the palatal approach technique. It allows alveolar ridge expansion using piezosurgery and immediate placement of implants without thread exposure in the palatal aspect. With one surgical time, this technique avoids the fracture of the buccal bone plate due to the expansion, eliminates the need for bone graft and donor-site morbidity, is simple and effective, and shows great esthetic results and implant success.


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