Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges
Identifieur interne : 005260 ( Ncbi/Merge ); précédent : 005259; suivant : 005261Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges
Auteurs : Jawad A. Abu Tair [Israël]Source :
- Annals of Maxillofacial Surgery [ 2231-0746 ] ; 2014.
Abstract
A two stage approach of ridge splitting and lateral expansion in the mandible to achieve enough bone width for the purpose of dental implants is presented.
A total of 13 consecutive patients with 16 long-span edentulous areas of the mandibular ridge were included in this study and 42 dental implants were inserted. Corticotomy of a rectangular buccal segment was carried out followed by 3 weeks of recovery; the mandibular ridge was stretched laterally, leaving the buccal periosteum attached to the lateralized segment. In this modification, there was no need for the use of grafted foreign materials to fill the defect and neither the use of barrier membranes, since it was treated practically as a fresh extraction site. To prevent the undesirable movement of the lateral plate, a small chip (2-3 mm in diameter) of bone spacer was properly fixed. The dental implants were placed 3-5 months later on.
Approximately, 86% of the expanded areas were successful in providing an adequate width to accommodate an implant. The average gain in width was 3.22 ± 0.97 mm. All intended implants were inserted. Prosthetic loading with fixed prosthesis was successfully implemented in all cases.
This modified technique is a simple and short procedure with satisfactory results and minimal morbidity. Of note, this approach is devoid of foreign materials usage and has a low rate cost, therefore, should be employed more often.
Url:
DOI: 10.4103/2231-0746.133066
PubMed: 24987593
PubMed Central: 4073455
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<author><name sortKey="Abu Tair, Jawad A" sort="Abu Tair, Jawad A" uniqKey="Abu Tair J" first="Jawad A." last="Abu Tair">Jawad A. Abu Tair</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, Dental School, Arab American University, Jenin, Palestinian Authority, Jerusalem, Israel</nlm:aff>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, Dental School, Arab American University, Jenin, Palestinian Authority, Jerusalem</wicri:regionArea>
<wicri:noRegion>Jerusalem</wicri:noRegion>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges</title>
<author><name sortKey="Abu Tair, Jawad A" sort="Abu Tair, Jawad A" uniqKey="Abu Tair J" first="Jawad A." last="Abu Tair">Jawad A. Abu Tair</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Surgery, Dental School, Arab American University, Jenin, Palestinian Authority, Jerusalem, Israel</nlm:aff>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title>
<p>A two stage approach of ridge splitting and lateral expansion in the mandible to achieve enough bone width for the purpose of dental implants is presented.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>A total of 13 consecutive patients with 16 long-span edentulous areas of the mandibular ridge were included in this study and 42 dental implants were inserted. Corticotomy of a rectangular buccal segment was carried out followed by 3 weeks of recovery; the mandibular ridge was stretched laterally, leaving the buccal periosteum attached to the lateralized segment. In this modification, there was no need for the use of grafted foreign materials to fill the defect and neither the use of barrier membranes, since it was treated practically as a fresh extraction site. To prevent the undesirable movement of the lateral plate, a small chip (2-3 mm in diameter) of bone spacer was properly fixed. The dental implants were placed 3-5 months later on.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Approximately, 86% of the expanded areas were successful in providing an adequate width to accommodate an implant. The average gain in width was 3.22 ± 0.97 mm. All intended implants were inserted. Prosthetic loading with fixed prosthesis was successfully implemented in all cases.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>This modified technique is a simple and short procedure with satisfactory results and minimal morbidity. Of note, this approach is devoid of foreign materials usage and has a low rate cost, therefore, should be employed more often.</p>
</sec>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Maxillofac Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Maxillofac Surg</journal-id>
<journal-id journal-id-type="publisher-id">AMS</journal-id>
<journal-title-group><journal-title>Annals of Maxillofacial Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">2231-0746</issn>
<issn pub-type="epub">2249-3816</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24987593</article-id>
<article-id pub-id-type="pmc">4073455</article-id>
<article-id pub-id-type="publisher-id">AMS-4-19</article-id>
<article-id pub-id-type="doi">10.4103/2231-0746.133066</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original articles - Prospective Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Abu Tair</surname>
<given-names>Jawad A.</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Oral and Maxillofacial Surgery, Dental School, Arab American University, Jenin, Palestinian Authority, Jerusalem, Israel</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Jawad A. Abu Tair, Department of Oral and Maxillofacial Surgery, Dental School, Arab American University, Jenin, West Bank, Palestinian Authority, P.O. Box 73200, East Jerusalem 97970, Jerusalem, Israel. E-mail: <email xlink:href="djawadat@gmail.com">djawadat@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jan-Jun</season>
<year>2014</year>
</pub-date>
<volume>4</volume>
<issue>1</issue>
<fpage>19</fpage>
<lpage>23</lpage>
<permissions><copyright-statement>Copyright: © Annals of Maxillofacial Surgery</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec id="st1"><title>Purpose:</title>
<p>A two stage approach of ridge splitting and lateral expansion in the mandible to achieve enough bone width for the purpose of dental implants is presented.</p>
</sec>
<sec id="st2"><title>Materials and Methods:</title>
<p>A total of 13 consecutive patients with 16 long-span edentulous areas of the mandibular ridge were included in this study and 42 dental implants were inserted. Corticotomy of a rectangular buccal segment was carried out followed by 3 weeks of recovery; the mandibular ridge was stretched laterally, leaving the buccal periosteum attached to the lateralized segment. In this modification, there was no need for the use of grafted foreign materials to fill the defect and neither the use of barrier membranes, since it was treated practically as a fresh extraction site. To prevent the undesirable movement of the lateral plate, a small chip (2-3 mm in diameter) of bone spacer was properly fixed. The dental implants were placed 3-5 months later on.</p>
</sec>
<sec id="st3"><title>Results:</title>
<p>Approximately, 86% of the expanded areas were successful in providing an adequate width to accommodate an implant. The average gain in width was 3.22 ± 0.97 mm. All intended implants were inserted. Prosthetic loading with fixed prosthesis was successfully implemented in all cases.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>This modified technique is a simple and short procedure with satisfactory results and minimal morbidity. Of note, this approach is devoid of foreign materials usage and has a low rate cost, therefore, should be employed more often.</p>
</sec>
</abstract>
<kwd-group><kwd>Bone augmentation</kwd>
<kwd>dental implants</kwd>
<kwd>ridge expansion</kwd>
<kwd>ridge osteotomy</kwd>
<kwd>ridge splitting</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Israël</li>
</country>
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<tree><country name="Israël"><noRegion><name sortKey="Abu Tair, Jawad A" sort="Abu Tair, Jawad A" uniqKey="Abu Tair J" first="Jawad A." last="Abu Tair">Jawad A. Abu Tair</name>
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