Rehabilitation with dental implant in an atrophic region of the mandible using the Split Crest technique: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19116

Keywords:

Rehabilitation, Atrophic; Split Crest; Implant dental.

Abstract

Introduction: The loss of alveolar volume is a clinical implication resulting from dental extractions, which bring potentially important compromises in the aesthetic and functional results of implant-supported rehabilitations. Surgical treatment is indicated in cases of patients with the presence of an important anatomical accident as to the quantity and quality of the remaining bone that is involved in thickness. Objective: The aim of this paper is to report a clinical case of rehabilitation with a dental implant using the Split crest technique. Case Report: A 37 year-old female patient presented as main complaint the absence of dental element 35.  After anamnesis, clinical examination and tomographic evaluation of the region of interest it was observed the remaining bone tissue with presence of important anatomical accident regarding the buccal volume. After presentation of treatment alternatives, we opted for bone crest expansion using the Split crest technique and immediate implant installation. The Split crest technique in the mandible is a predictable technique for expanding atrophic ridges. The technique proved to be feasible, providing a significant increase in ridge thickness, absence of complications and reduced treatment time for the patient. Final considerations: Allowing implant installation together with ridge expansion is the major advantage of using the technique to correct potentially important clinical implications in the aesthetic and functional outcome of implant-supported rehabilitations.

References

Anitua E, Begona L, Orive G. Two-stage split-crest technique with ultrasonic bone surgery for controlled ridge expansion: a novel modified technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:708–10.

Blus C, Szmukler-Moncler S. Split-crest and immediate implant placement with ultra-sonic bone surgery: A 3-year life-table analysis with 230 treated sites. Clin Oral Implants Res 2006;17:700–707.

Blus C, Szumukler-Moncler S, Vozza L, Rispoli L, Polastri C. Split- crest and immediate implant placement with ultra-sonic bone Surgery (piezosurgery): 3-year life-table analysis with 180 treated sites. Quintessence Int 2010;41:463–469.

Bravi F, Bruschi GB, Ferrini F. A 10-year multicenter retrospective clinical study of 1,715 implants placed with the edentulous ridge expansion technique. Int J Periodontics Restorative Dent 2007;27:557–565.

Chiapasco M, Ferrini F, Casentini P, Accardi S, Zaniboni M. Dental implants placed in expanded narrow edentulous ridges with the Extension Crest device. A 1-3-year multicenter follow-up study. Clin Oral Implants Res 2006;17:265–272.

Crespi R, Capparè P, Gherlone EF. Electrical mallet provides essential advantages in split-crest and immediate implant placement. J Oral Maxillofac Surg 2014;18:59–64.

Mestas G, Alarcón M, Chambrone L. Long-Term Survival Rates of Titanium Implants Placed in Expanded Alveolar Ridges Using Split Crest Procedures: A Systematic Review. Int J Oral Maxillofac Implants. 2016 May-Jun;31(3):591-9. doi: 10.11607/jomi.4453.

Montero J, López-Velarde A, de Diego RG. A retrospective study of the risk factors for ridge expansion with self-tapping osteotimes in dental implant surgery. Int J Oral Maxillofac Implants 2012;27:203–210.

Nentwig GH. Technic of bone splitting for alveolar recession in anterior maxillary region. Quintessenz 1986;37:1825–34.

Rahpeyma A, Khajehahmadi S, Hosseini VR. Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: how much is the added width. Dent Res J 2013;10:602–8.

Sakamoto Y, Takasu R, Hongo T, Harada N, Hasegawa Y, Tsuyama Y. The conservative surgical strategy for insufficient alveolar ridge employing split crest and socket lift procedure. Int J Oral Maxillofac Surg 2011;40:1047.

Tolstunov L, Hicke B. Horizontal augmentation through the ridge-split procedure: a predictable surgical modality in implant reconstruction. J Oral Implantol 2013;39:

Waechter J, Leite FR, Nascimento GG, Carmo Filho LC, Faot F. The split crest technique and dental implants: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2017 Jan;46(1):116-128. doi: 10.1016/j.ijom.2016.08.017.

Published

03/09/2021

How to Cite

MARCHIOLLI, C. L. .; MORENO, J. M. L. .; DENARDI, R. J. .; DENARDI, C. M. .; ASSUNÇÃO, W. G. .; RECALDE, J. L. B. A. .; SANTOS, I. K. dos R. .; TOSCANO, R. A. . Rehabilitation with dental implant in an atrophic region of the mandible using the Split Crest technique: case report. Research, Society and Development, [S. l.], v. 10, n. 11, p. e329101119116, 2021. DOI: 10.33448/rsd-v10i11.19116. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19116. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences