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Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges

Identifieur interne : 001344 ( Pmc/Checkpoint ); précédent : 001343; suivant : 001345

Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges

Auteurs : Jawad A. Abu Tair [Israël]

Source :

RBID : PMC:4073455

Abstract

Purpose:

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.

Materials and Methods:

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.

Results:

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.

Conclusion:

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


Affiliations:

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PMC:4073455

Le document en format XML

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<title xml:lang="en">Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges</title>
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<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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<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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<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>
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<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>
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<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>
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<journal-id journal-id-type="nlm-ta">Ann Maxillofac Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Maxillofac Surg</journal-id>
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<article-title>Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges</article-title>
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<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>
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<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>
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<li>Israël</li>
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<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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