Skip to main content

Advertisement

Log in

The Comparison of Utilizing Piezotome and Surgical Disc in Ridge Splitting of Atrophic Edentulous Maxillary Ridge

  • Original Article
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

Narrow dentoalveolar ridges remain a serious challenge for the successful placement of dental implants. The aim of this study was to compare the clinical outcomes of piezosurgery versus surgical disc on ridge splitting in the atrophic edentulous maxilla.

Materials and Methods

This was a double-blinded randomized clinical trial. The healthy subjects who were candidates for maxillary ridge expansion were included in this experiment. Patients were randomly divided into two groups: piezosurgery group and surgical disc group. The width of the bone in the surgical site was measured by surgical calliper before the osteotomy. The bone width was remeasured after ridge-split completion (before suturing) and during the implant placement (4 months later). Then data were analysed by SPSS software, and the P value was set at 0.05.

Results

The study sample size included 20 cases. Our outcomes showed that both techniques (surgical disc and piezotome) were effective in ridge splitting (P < 0.001). However, the average bone width which was obtained after ridge splitting was significantly higher in the piezosurgery group (P < 0.05).

Conclusion

It can be concluded that both methods of piezosurgery and surgical disc can significantly lead to increase in the ridge width. However, the piezosurgery technique was more effective in ridge splitting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bassetti MA, Bassetti RG, Bosshardt DD (2016) The alveolar ridge splitting/expansion technique: a systematic review. Clin Oral Implant Res 27(3):310–324

    Article  Google Scholar 

  2. Zakhary IE, El-Mekkawi HA, Elsalanty ME (2012) Alveolar ridge augmentation for implant fixation: status review. Oral Surg Oral Med Oral Pathol Oral Radiol 114(5):179–189

    Article  Google Scholar 

  3. Samieirad S, Soofizadeh R, Shokouhifar A, Mianbandi V (2018) A two-step method for the preparation of implant recipient site in severe atrophic maxilla: a case report of the alveolar ridge split technique followed by bone expansion. J Dent Mater Tech 8:10–20

    Google Scholar 

  4. Moro A, Gasparini G, Foresta E, Saponaro G, Falchi M, Cardarelli L et al (2017) Alveolar ridge split technique using piezosurgery with specially designed tips. Biomed Res Int 17:1–8

    Article  Google Scholar 

  5. Stricker A, Stübinger S, Voss P, Duttenhöfer F, Fleiner J (2014) The bone splitting stabilisation technique—a modified approach to prevent bone resorption of the buccal wall. Oral Health Dent Manag 13(3):870–876

    PubMed  Google Scholar 

  6. Pereira CCS, Gealh WC, Meorin-Nogueira L, Garcia-Júnior IR, Okamoto R (2014) Piezosurgery applied to implant dentistry: clinical and biological aspects. J Oral Implantol 40(S1):401–408

    Article  Google Scholar 

  7. Kelly A, Flanagan D (2013) Ridge expansion and immediate placement with piezosurgery and screw expanders in atrophic maxillary sites: two case reports. J Oral Implantol 39(1):85–90

    Article  Google Scholar 

  8. Agrawal D, Gupta AS, Newaskar V, Gupta A, Garg S, Jain D (2014) Narrow ridge management with ridge splitting with piezotome for implant placement: report of 2 cases. J Indian Prosthodont Soc 14(3):305–309

    Article  Google Scholar 

  9. Pavlíková G, Foltán R, Horká M, Hanzelka T, Borunská H, Šedý J (2011) Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 40(5):451–457

    Article  Google Scholar 

  10. González-García R, Monje F, Moreno C (2011) Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: a modified technique. Int J Oral Maxillofac Surg 40(1):57–64

    Article  Google Scholar 

  11. Demetriades N, Park JI, Laskarides C (2011) Alternative bone expansion technique for implant placement in atrophic edentulous maxilla and mandible. J Oral Implantol 37(4):463–471

    Article  Google Scholar 

  12. Sohn D-S, Lee H-J, Heo J-U, Moon J-W, Park I-S, Romanos GE (2010) Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge. J Oral Maxillofac Surg 68(9):2283–2290

    Article  Google Scholar 

  13. Suh J-J, Shelemay A, Choi S-H, Chai J-K (2005) Alveolar ridge splitting: a new microsaw technique. Int J Periodont Restor Dent 25(2):209–214

    Google Scholar 

  14. Han JY, Shin SI, Herr Y, Kwon YH, Chung JH (2011) The effects of bone grafting material and a collagen membrane in the ridge splitting technique: an experimental study in dogs. Clin Oral Implant Res 22(12):1391–1398

    Article  Google Scholar 

  15. Martini M, Röhrig A, Reich RH, Messing-Jünger M (2017) Comparison between piezosurgery and conventional osteotomy in cranioplasty with fronto-orbital advancement. J Cranio Maxillofac Surg 45(3):395–400

    Article  Google Scholar 

  16. Spinelli G, Lazzeri D, Conti M, Agostini T, Mannelli G (2014) Comparison of piezosurgery and traditional saw in bimaxillary orthognathic surgery. J Cranio Maxillofac Surg 42(7):1211–1220

    Article  Google Scholar 

  17. Kheur M, Gokhale S, Sumanth S, Jambekar S (2014) Staged ridge splitting technique for horizontal expansion in mandible: a case report. J Oral Implantol 40(4):479–483

    Article  Google Scholar 

  18. Tatum JH (1986) Maxillary and sinus implant reconstructions. Dent Clin North Am 30(2):207–229

    PubMed  Google Scholar 

  19. Aly LAA (2018) Piezoelectric surgery: applications in oral and maxillofacial surgery. Fut Dent J 14(2):129–136

    Google Scholar 

  20. Jiang Q, Qiu Y, Yang C, Yang J, Chen M, Zhang Z (2015) Piezoelectric versus conventional rotary techniques for impacted third molar extraction: a meta-analysis of randomized controlled trials. Medicine 94(41):23–34

    Article  Google Scholar 

Download references

Acknowledgements

The authors appreciate the continued support of the research counsellor of Mashhad University of medical sciences, Mashhad, Iran. The data were extracted from the undergraduated Thesis No. 2984.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sahand Samieirad.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest in this study.

Ethical Approval

All procedures performed in this study involving the human participant were in accordance with the ethical standards of our institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The experimental design of this study has been approved by the Ethical Committee of Mashhad University of Medical Sciences with the code of IR.mums.sd.REC1394.313.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Shahakbari, R., Eshghpour, M., Mianbandi, V. et al. The Comparison of Utilizing Piezotome and Surgical Disc in Ridge Splitting of Atrophic Edentulous Maxillary Ridge. J. Maxillofac. Oral Surg. 19, 374–379 (2020). https://doi.org/10.1007/s12663-019-01253-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-019-01253-6

Keywords

Navigation