Abstract
Aim and Objectives
Edentulism is an incapacitating and irretrievable condition which can lead unswervingly to functional limitation, physical, psychological and social handicap. Maintenance of bone after tooth loss to improve retention, function, and performance of the restoration is a challenging task. The existence of a thin edentulous ridge signifies a clinical situation that is more complex for the placement of endosseous implants. Dental rehabilitation of the edentulous ridges with oral implants has become a routine treatment modality in the last few decades with consistent long term results.
Methods
A staged ridge spilt procedure was performed in the maxillary posterior edentulous region employing piezosurgery for the augmentation of horizontal ridge deficiency which was followed by the successful placement of implant supported prosthesis.
Results
At the 20 months follow-up, stable results were appreciated with minimal bone loss around the implants.
Conclusion
This proficient technique precludes the need for a second surgical site for the procurement of graft which in turn decreases patient discomfort. Hence this procedure can be used as an alternative to other strenuous procedures.
References
Simion M, Baldoni M, Zaffe D (1992) Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restor Dent 12:462–473
Scipioni A, Bruschi GB, Calesini G (1994) The edentulous ridge expansion technique: a five- year study. Int J Periodontics Restor Dent 14:451–459
Sohn DS, Lee HJ, Heo JU, Moon JW, Park IS, Romanos GE (2010) Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge. J Oral Maxillofac Surg 68:2283–2290
Vercellotti T (2000) Piezoelectric surgery in implantology: a case report—a new piezoelectric ridge expansion technique. Int J Periodontics Restor Dent 20:359–365
Toffler M, Toscano N, Holtzclaw D, Corso MD, Ehrenfest DD (2009) Introducing Choukroun’s platelet rich fibrin (PRF) to the reconstructive surgery milieu. J Implant Adv clin dent 1:21–31
Sohn DS, Lee JS, An KM, Choi BJ (2009) Piezoelectric internal sinus elevation (PISE) technique: a new method for internal sinus elevation. Implant Dent 18:458–463
Emami E, De Souza RF, Kabawat M, Feine JS (2013) The impact of edentulism on oral and general health. Int J Dent. doi: 10.1155/2013/498305
Bravi F, Bruschi GB, Ferrini F (2007) A 10-year multicenter retrospective clinical study of 1,715 implants placed with the edentulous ridge expansion technique. Int J Periodontics Restor Dent 27:557–565
Anitua E, Begoña L, Orive G (2012) Controlled ridge expansion using a two-stage split-crest technique with ultrasonic bone surgery. Implant Dent 21:163–170
Coatoam GW, Mariotti A (2003) The segmental ridge-split procedure. J Periodontol 74:757–770
Abadzhiev M (2009) Alternative sinus lift techniques—literature review. J Int Med Assoc Bulgaria 15:23–27. doi:10.5272/jimab.1522009_23
Li Q, Pan S, Dangaria SJ, Gopinathan G, Kolokythas A, Chu S, Geng Y, Zhou Y, Luan X (2013) Platelet-rich fibrin promotes periodontal regeneration and enhances alveolar bone augmentation. BioMed Res. doi:10.1155/2013/638043
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Tarun Kumar, A.B., Triveni, M.G., Priyadharshini, V. et al. Staged Ridge Split Procedure in the Management of Horizontal Ridge Deficiency Utilizing Piezosurgery. J. Maxillofac. Oral Surg. 15, 542–546 (2016). https://doi.org/10.1007/s12663-015-0790-5
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DOI: https://doi.org/10.1007/s12663-015-0790-5