scholarly journals Splitting expansion and palatal approach technique for implant placement in severely resorpted maxilla

2021 ◽  
Vol 10 (8) ◽  
pp. e26710817214
Author(s):  
Mauricio Aguirre ◽  
Gabriel Fiorelli Bernini ◽  
Fernando Arciniegas ◽  
Karina Maria Salvatore de Freitas
Keyword(s):  
Donor Site ◽  
Donor Site Morbidity ◽  
Alveolar Ridge ◽  
Surgical Time ◽  
Oral Rehabilitation ◽  
Splitting Technique ◽  
Implant Placement ◽  
Immediate Placement ◽  
Expansion Technique ◽  
Implant Dentistry

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.

Ridge Expansion and Immediate Placement With Piezosurgery and Screw Expanders in Atrophic Maxillary Sites: Two Case Reports

2013 ◽  
Vol 39 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Andrew Kelly ◽  
Dennis Flanagan
Keyword(s):  
Treatment Time ◽  
Case Reports ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Implant Placement ◽  
Immediate Placement ◽  
Narrow Ridge ◽  
Immediate Implant ◽  
Ridge Width ◽  
Cone Beam Computerized Tomography

Endosseous dental implants may require bone augmentation before implant placement. Herein is described an approach to edentulous ridge expansion with the use of piezosurgery and immediate placement of implants. This may allow for a shortened treatment time and the elimination of donor-site morbidity. Two cases are reported. This technique uses a piezoelectric device to cut the crestal and proximal facial cortices. Space is then created with motorized osteotomes to widen the split ridge. This technique allows for expansion of narrow, anatomically limiting, atrophic ridges, creating space for immediate implant placement. The facial and lingual cortices provide support with vital osteocytes for osteogenesis. The 2 patients presented had adequate bone height for implant placement but narrow edentulous ridges. In patient 1 at site #11, the ridge crest was 3.12 mm thick and was expanded to accept a 4.3 mm × 13 mm implant. The resulting ridge width was 8.88 mm, which was verified using cone beam computerized tomography (CBCT). In patient 2 at site #8 and site #9, the narrow ridge was expanded using the same technique to accept 2 adjacent 3.5 mm × 14 mm implants. The implants were restored to a functional and esthetic outcome.

A Modified Edentulous Ridge Expansion Technique for Immediate Placement of Implants: A Case Report

2011 ◽  
Vol 37 (sp1) ◽  
pp. 114-119 ◽  
Author(s):  
Mario Santagata ◽  
Luigi Guariniello ◽  
Gianpaolo Tartaro
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Postoperative Recovery ◽  
Healing Time ◽  
Autogenous Bone ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Implant Placement ◽  
Immediate Placement ◽  
Expansion Technique

This case report is focused on the possibility of treating atrophic ridge with a reduced number of surgical procedures and a reduced healing time. A 43-year-old female patient affected by edentulism associated with horizontal resorption of the ridge was treated by means of a sagittal osteotomy and expansion of the ridge with the new modified edentulous ridge expansion (MERE) technique to obtain a wider bony base for ideal implant placement. In the same procedure 2 implants were placed and connective tissue graft, covering the bony wound, was placed to achieve keratinized mucosa. The implants were placed immediately after the split crest of the ridge and covered by a connective tissue graft. Postoperative recovery was uneventful. Within the limits of this case report, the MERE technique appeared to be reliable and simple, and it reduced morbidity compared with other techniques such as autogenous bone grafts and guided bone regeneration.

scholarly journals Ridge Splitting Technique for Horizontal Augmentation and Immediate Implant Placement

2014 ◽  
Vol 18 (1) ◽  
pp. 41-47
Author(s):  
Ioannis Papathanasiou ◽  
Georgios Vasilakos ◽  
Sotirios Baltiras ◽  
Lampros Zouloumis
Keyword(s):  
Treatment Time ◽  
Guided Bone Regeneration ◽  
Invasive Technique ◽  
Alveolar Ridge ◽  
Classical Approach ◽  
Overall Treatment Time ◽  
Splitting Technique ◽  
Implant Placement ◽  
Horizontal Augmentation ◽  
Immediate Implant

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.

Myocutaneous Gracilis Free Flaps in Microsurgical Breast Reconstruction: A Systematic Review Comparing Variations of the Upper Gracilis Flap

2017 ◽  
Vol 33 (09) ◽  
pp. 630-635 ◽  
Author(s):  
Vicky Kang ◽  
Emilie Robinson ◽  
Eric Barker ◽  
Anuja Antony
Keyword(s):  
Systematic Review ◽  
Breast Reconstruction ◽  
Donor Site ◽  
Free Flaps ◽  
Donor Site Morbidity ◽  
Fat Grafting ◽  
Complication Rates ◽  
Implant Placement ◽  
Pubmed Database ◽  
Low Incidence

Background The transverse upper gracilis (TUG) flap has gained increasing acceptance as a reliable option for breast reconstruction, specifically in patients without adequate abdominal tissue. Three major flap designs of the upper gracilis flap have been proposed to balance volume needs with flap vascularity. A systematic review was performed to identify outcomes of the major gracilis flaps: TUG, vertical-transverse upper gracilis (V-TUG), and longitudinal gracilis myocutaneous (LGM) flaps. This study is the first and only systematic review to date reviewing the variations of the upper gracilis flap in microsurgical breast reconstruction. Methods A systematic review of the literature was conducted using PubMed database from 1966 through 2015. Inclusion and exclusion criteria were applied. Outcomes assessed included total flap volumes, additional breast procedures to achieve intended breast volume, and complication rates. Results A total of 485 gracilis-type flaps were performed in 335 patients. V-TUG flaps provided the largest mean flap weights and did not require additional lipofilling or implant placement, whereas the majority of TUG flaps (50.6%) required additional fat grafting or implant placements. All flap types demonstrated a low incidence of donor-site morbidity. Overall flap loss rate was low; TUG flaps reported 2.3% total and 2.0% partial flap losses, while V-TUG and LGM flaps reported no flap losses. Conclusion This review found V-TUG yielded highest mean flap weights and did not require additional breast augmentation procedures as compared with the TUG. Also, the V-TUG was a safer donor-site option with fewer flap and donor-site morbidities.

A Modified Crestal Ridge Expansion Technique for Immediate Placement of Implants: A Report of Three Cases

2008 ◽  
Vol 34 (6) ◽  
pp. 319-324 ◽  
Author(s):  
Mario Santagata ◽  
Luigi Guariniello ◽  
Alfredo D'Andrea ◽  
Gianpaolo Tartaro
Keyword(s):  
Dental Implants ◽  
Treatment Time ◽  
Oral Rehabilitation ◽  
Ridge Augmentation ◽  
Receptor Sites ◽  
Patient Morbidity ◽  
Immediate Placement ◽  
Expansion Technique ◽  
Edentulous Jaws

Abstract Atrophic edentulous jaws can pose a significant challenge to successful oral rehabilitation with endosseous dental implants. Although ridge augmentation can help to restore ridge volume, grafting procedures can significantly increase patient morbidity, costs, and treatment time, depending on the case, before dental implants can be placed. This article reports on an alternative technique used in 3 patients to expand ridge volume and place dental implants in a single procedure. A partial-thickness flap was elevated to expose the alveolar crest, and conventional implant osteotomies were partially prepared. Along the crest of the ridge, a furrow with terminal vertical releases 1 to 3 mm deep were created, and a bone chisel was used to deepen the furrow. Osteotomes were used to complete preparation of the implant receptor sites, and the implants were placed. Bony plates were stabilized through the use of resorbable sutures. Furrows more than 2 mm deep between the plates were augmented with a xenograft. Collegen membranes were placed over the sites, and soft tissue was sutured. Healing was unremarkable, and all implants were successfully restored. For these patients, the ridge expansion technique resulted in substantial bone reconstruction with little or no grafting. Long-term, prospective studies on this procedure are required before definitive conclusions can be drawn.

scholarly journals Surgical Treatments and Immediate Denture Prior to Comprehensive Oral Rehabilitation

2018 ◽  
Vol 2 (1) ◽  
pp. 433-441
Author(s):  
Paulina Salazar
Keyword(s):  
Point Of View ◽  
Ridge Preservation ◽  
Alveolar Ridge ◽  
Sinus Lift ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Comprehensive Rehabilitation ◽  
Mandibular Teeth ◽  
Left Maxillary Sinus ◽  
Surgical Treatments

Commonly after the early loss of teeth, extractions, presence of periodontal disease, or pneumatization of the sinus cavities, bone resorption occurs leading to atrophy of the alveolar ridge. This presents several challenges from the point of view of implant and rehabilitation when planning implant placement and rehabilitation. However at present the procedures for the solution of these problems with the use of bone graft, either autologous or xenograft allow predictable results. The aim of this case report is to describe the surgical procedures prior to the comprehensive rehabilitation treatment of female patient, 53 years old, partially toothed jaw and mandibular teeth overall. The extraction of all the upper teeth along the jaw ridge preservation using autogenous graft and xenograft bone tissue, besides the left maxillary sinus lift, culminating with the insertion of an immediate acrylic maxillary prosthesis was performed.

scholarly journals Masseter Flap for Reconstruction of Defects After Excision of Buccal Mucosa Cancers with Intact Mandible

2020 ◽  
pp. 014556132096344
Author(s):  
Pankaj Chaturvedi ◽  
Sandeep Lerra ◽  
Farheen Ustad ◽  
Prathamesh S. Pai ◽  
Devendra A. Chaukar ◽  
...  
Keyword(s):  
Buccal Mucosa ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Nasolabial Flap ◽  
Microvascular Anastomosis ◽  
Surgical Time ◽  
No Donor ◽  
Patient Load ◽  
Time Required ◽  
Better Than

Among the reconstructive options available for buccal mucosa defects with an intact mandible, free flap with microvascular anastomosis is the best option. However, in the developing world, with poor resources, limited in- frastructure, and high patient load, this cannot be offered to all patients. We report on the success of the masseter flap for reconstruction of such defects in carefully selected patients. Despite some known limitations, this flap is easy to learn and carries acceptable complications. The results of this flap may not be comparable to those of microvas- cular reconstructions, but they are better than those from other options such as skin graft, nasolabial flap, submental flap, etc. in terms of surgical time required, no donor site morbidity, and minimal aesthetic deformity.

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