Effect of Alveolar Segmental Sandwich Osteotomy on Alveolar Height: A Preliminary Study
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Bone loss following extraction is maximum in horizontal dimension. Height is also reduced which is pronounced on the buccal aspect. Various surgical procedures are available to correct the bone volume viz. GBR, onlay bone grafting, alveolar distraction and sandwich osteotomy. Sandwich osteotomy has been found to increase the vertical alveolar bone height successfully.
The objective of the study was to assess the effect of alveolar segmental sandwich osteotomy on alveolar height and crestal width.
Materials and Methodology
A prospective study was undertaken from December 2012 to August 2014. Seven patients with 12 implant sites with a mean age of 36 years were recruited. All seven patients with 12 implant sites underwent alveolar segmental sandwich osteotomy and interpositional bone grafting. Alveolar bone height was assessed radiographically preoperatively, immediate post-op, and at 3 months post-op. Alveolar bone width was assessed radiographically preoperatively and at 3 months post-op. Statistical significance was inferred at p < 0.05.
The mean vertical augmentation at immediate post-op was 6.58 mm (p = 0.001). The vertical augmentation that was achieved 3 months post-op was a mean of 3.75 mm which was statistically significant (p = 0.004). The change in alveolar height from immediate post-op to 3 month post-op was a mean 1.69 mm. The mean change in alveolar crestal width at 3 months was a mean of −0.29 mm (p = 0.57).
Sandwich osteotomy can be used as an alternative technique to increase alveolar bone height prior to implant placement. Moderate alveolar deficiency can be predictably corrected by this technique.
KeywordsAlveolar bone height Sandwich osteotomy Interpositional grafting Buccal onlay Sinus lift
I would like to acknowledge my entire department (Department of Oral and Maxillofacial Surgery) for their continuous support and guidance during the period of study. Also, acknowledge the Department of Prosthodontics and Implantology for referring cases and the support for providing optimal patient care.
The study was partly supported by M. S. Ramaiah Dental College and Hospital.
Compliance with Ethical Standards
Conflict of interest
All authors have no conflict of interest in the study.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.