Splitting expansion and palatal approach technique for implant placement in severely resorpted maxilla
DOI:
https://doi.org/10.33448/rsd-v10i8.17214Keywords:
Dental Implants; Implant Placement; Maxillary atrophy; Palatal approach; Alveolar ridge splitting/expansion.Abstract
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.
References
Adell, R., Lekholm, U., Grondahl, K., Branemark, P. I., Lindstrom, J., & Jacobsson, M. (1990). Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. International Journal of Oral and Maxillofacial Implants, 5(3), 233-246.
Araujo, M. G., & Lindhe, J. (2009). Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clinical Oral Implants Research, 20(6), 545-549. doi:10.1111/j.1600-0501.2008.01703.x
Baffone, G. M., Botticelli, D., Pereira, F. P., Favero, G., Schweikert, M., & Lang, N. P. (2013). Influence of buccal bony crest width on marginal dimensions of peri-implant hard and soft tissues after implant installation. An experimental study in dogs. Clinical Oral Implants Research, 24(3), 250-254. doi:10.1111/j.1600-0501.2012.02512.x
Basa, S., Varol, A., & Turker, N. (2004). Alternative bone expansion technique for immediate placement of implants in the edentulous posterior mandibular ridge: a clinical report. . International Journal of Oral and Maxillofacial Implants, 19(4), 554-558.
Bassetti, M. A., Bassetti, R. G., & Bosshardt, D. D. (2016). The alveolar ridge splitting/expansion technique: a systematic review. Clinical Oral Implants Research, 27(3), 310-324. doi:10.1111/clr.12537
Blus, C., & Szmukler-Moncler, S. (2006). Split-crest and immediate implant placement with ultra-sonic bone surgery: a 3-year life-table analysis with 230 treated sites. Clinical Oral Implants Research, 17(6), 700-707. doi:10.1111/j.1600-0501.2006.01206.x
Buser, D., Janner, S. F., Wittneben, J. G., Bragger, U., Ramseier, C. A., & Salvi, G. E. (2012). 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clinical Implant Dentistry and Related Research, 14(6), 839-851. doi:10.1111/j.1708-8208.2012.00456.x
Cawood, J. I., & Howell, R. A. (1988). A classification of the edentulous jaws. International Journal of Oral and Maxillofacial Surgery, 17(4), 232-236.
Doimi, J. R., Balseca, G. M. A., & La Torre, A. C. (2017). Placement of dental implants in atrophic jaw with divided crest and ridge expansion technique. Revista Odontologica Mexicana, 21(3), 192-198.
Felice, P., Pistilli, R., Lizio, G., Pellegrino, G., Nisii, A., & Marchetti, C. (2009). Inlay versus onlay iliac bone grafting in atrophic posterior mandible: a prospective controlled clinical trial for the comparison of two techniques. Clinical Implant Dentistry and Related Research, 11 Suppl 1, e69-82. doi:10.1111/j.1708-8208.2009.00212.x
Lekholm, U., Sennerby, L., Roos, J., & Becker, W. (1996). Soft tissue and marginal bone conditions at osseointegrated implants that have exposed threads: a 5-year retrospective study. . International Journal of Oral and Maxillofacial Implants, 11(5), 599-604.
Nedir, R., Bischof, M., Briaux, J. M., Beyer, S., Szmukler-Moncler, S., & Bernard, J. P. (2004). A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clinical Oral Implants Research, 15(2), 150-157.
Nevins, M., & Langer, B. (1993). The successful application of osseointegrated implants to the posterior jaw: a long-term retrospective study. International Journal of Oral and Maxillofacial Implants, 8(4), 428-432.
Nkenke, E., Schultze-Mosgau, S., Radespiel-Troger, M., Kloss, F., & Neukam, F. W. (2001). Morbidity of harvesting of chin grafts: a prospective study. Clinical Oral Implants Research, 12(5), 495-502.
Santagata, M., Guariniello, L., & Tartaro, G. (2011). A modified edentulous ridge expansion technique for immediate placement of implants: a case report. Journal of Oral Implantology, 37 Spec No, 114-119. doi:10.1563/AAID-JOI-D-10-00035.1
Schropp, L., Wenzel, A., Kostopoulos, L., & Karring, T. (2003). Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. International Journal of Periodontics and Restorative Dentistry, 23(4), 313-323.
Scipioni, A., Bruschi, G. B., & Calesini, G. (1994). The edentulous ridge expansion technique: a five-year study. International Journal of Periodontics and Restorative Dentistry, 14(5), 451-459.
Scipioni, A., Bruschi, G. B., Calesini, G., Bruschi, E., & De Martino, C. (1999). Bone regeneration in the edentulous ridge expansion technique: histologic and ultrastructural study of 20 clinical cases. International Journal of Periodontics and Restorative Dentistry, 19(3), 269-277.
Simion, M., Baldoni, M., & Zaffe, D. (1992). Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. International Journal of Periodontics and Restorative Dentistry, 12(6), 462-473.
Stricker, A., Fleiner, J., Dard, M., Voss, P., Sauerbier, S., & Bosshardt, D. D. (2014). Evaluation of a new experimental model to study bone healing after ridge expansion with simultaneous implant placement--a pilot study in minipigs. Clinical Oral Implants Research, 25(11), 1265-1272. doi:10.1111/clr.12265
Suh, J. J., Shelemay, A., Choi, S. H., & Chai, J. K. (2005). Alveolar ridge splitting: a new microsaw technique. International Journal of Periodontics and Restorative Dentistry, 25(2), 165-171.
Summers, R. B. (1994). The osteotome technique: Part 2--The ridge expansion osteotomy (REO) procedure. Compendium, 15(4), 422, 424, 426, passim; quiz 436.
Tatum, H., Jr. (1986). Maxillary and sinus implant reconstructions. Dental Clinics of North America, 30(2), 207-229.
Vercellotti, T. (2000). Piezoelectric surgery in implantology: a case report--a new piezoelectric ridge expansion technique. International Journal of Periodontics and Restorative Dentistry, 20(4), 358-365.
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