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Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: How much is the added width?

Identifieur interne : 001947 ( Pmc/Checkpoint ); précédent : 001946; suivant : 001948

Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: How much is the added width?

Auteurs : Amin Rahpeyma [Iran] ; Saeedeh Khajehahmadi [Iran] ; Vahid Reza Hosseini [Iran]

Source :

RBID : PMC:3858733

Abstract

Background:

Lateral ridge split technique is a way to solve the problem of the width in narrow ridges with adequate height. Simultaneous insertion of dental implants will considerably reduce the edentulism time.

Materials and Methods:

Twenty-five patients who were managed with ridge splitting technique were enrolled. Thirty-eight locations in both jaws with near equal distribution in quadrants received 82 dental fixtures. Beta Tricalcium phosphate (Cerasorb® ) was used as biomaterial to fill the intercortical space. Submerged implants were used and 3 months later healing caps were placed. Direct bone measurements before and after split were done with a Collis. Patients were clinically re-evaluated at least 6 months after implant loading. All the data were analyzed by Statistical Package for Social Sciences (SPSS) software version 11.5 (SPSS Inc, Chicago Illinois, USA). Frequency of edentulous spaces and pre/post operative bone width was analyzed. Paired t-test was used for statistical analysis. Difference was considered significant if P value was less than 0.05.

Results:

Mean value for presplit width was 3.2 ± 0.34 mm while post-split mean width was 5.57 ± 0.49 mm. Mean gain in crest ridge after ridge splitting was 2 ± 0.3 mm. Statistical analysis showed significant differences in width before and after operation ((P > 0.05). All implants (n = 82) survived and were in full function at follow up (at least 6 months after implant loading).

Conclusion:

Ridge splitting technique in both jaws showed the predictable outcomes, if appropriate cases selected and special attention paid to details; then the waiting time between surgery and beginning of prosthodontic treatment can be reduced to 3 month.


Url:
PubMed: 24348616
PubMed Central: 3858733


Affiliations:


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PMC:3858733

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<name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name>
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<name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
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<name sortKey="Hosseini, Vahid Reza" sort="Hosseini, Vahid Reza" uniqKey="Hosseini V" first="Vahid Reza" last="Hosseini">Vahid Reza Hosseini</name>
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<name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
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<name sortKey="Hosseini, Vahid Reza" sort="Hosseini, Vahid Reza" uniqKey="Hosseini V" first="Vahid Reza" last="Hosseini">Vahid Reza Hosseini</name>
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<title>Background:</title>
<p>Lateral ridge split technique is a way to solve the problem of the width in narrow ridges with adequate height. Simultaneous insertion of dental implants will considerably reduce the edentulism time.</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Twenty-five patients who were managed with ridge splitting technique were enrolled. Thirty-eight locations in both jaws with near equal distribution in quadrants received 82 dental fixtures. Beta Tricalcium phosphate (Cerasorb
<sup>®</sup>
) was used as biomaterial to fill the intercortical space. Submerged implants were used and 3 months later healing caps were placed. Direct bone measurements before and after split were done with a Collis. Patients were clinically re-evaluated at least 6 months after implant loading. All the data were analyzed by Statistical Package for Social Sciences (SPSS) software version 11.5 (SPSS Inc, Chicago Illinois, USA). Frequency of edentulous spaces and pre/post operative bone width was analyzed. Paired t-test was used for statistical analysis. Difference was considered significant if
<italic>P</italic>
value was less than 0.05.</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Mean value for presplit width was 3.2 ± 0.34 mm while post-split mean width was 5.57 ± 0.49 mm. Mean gain in crest ridge after ridge splitting was 2 ± 0.3 mm. Statistical analysis showed significant differences in width before and after operation ((
<italic>P</italic>
> 0.05). All implants (
<italic>n</italic>
= 82) survived and were in full function at follow up (at least 6 months after implant loading).</p>
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<title>Conclusion:</title>
<p>Ridge splitting technique in both jaws showed the predictable outcomes, if appropriate cases selected and special attention paid to details; then the waiting time between surgery and beginning of prosthodontic treatment can be reduced to 3 month.</p>
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<journal-id journal-id-type="nlm-ta">Dent Res J (Isfahan)</journal-id>
<journal-id journal-id-type="iso-abbrev">Dent Res J (Isfahan)</journal-id>
<journal-id journal-id-type="publisher-id">DRJ</journal-id>
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<issn pub-type="epub">2008-0255</issn>
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<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
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<article-id pub-id-type="pmid">24348616</article-id>
<article-id pub-id-type="pmc">3858733</article-id>
<article-id pub-id-type="publisher-id">DRJ-10-602</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
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<title-group>
<article-title>Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: How much is the added width?</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rahpeyma</surname>
<given-names>Amin</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khajehahmadi</surname>
<given-names>Saeedeh</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hosseini</surname>
<given-names>Vahid Reza</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
Oral and Maxillofacial Diseases Research Center, Mashhad University of Medical Sciences, Mashhad, Iran</aff>
<aff id="aff2">
<label>2</label>
Dental Research Center, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
Dr. Saeedeh Khajehahmadi, Dental Research Center of Mashhad University of Medical Sciences, Vakilabad Blvd, P.O. Box: 91735-984, Mashhad, Iran. E-mail:
<email xlink:href="khajehahmadis@mums.ac.ir">khajehahmadis@mums.ac.ir</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Sep-Oct</season>
<year>2013</year>
</pub-date>
<volume>10</volume>
<issue>5</issue>
<fpage>602</fpage>
<lpage>608</lpage>
<history>
<date date-type="received">
<month>12</month>
<year>2012</year>
</date>
<date date-type="accepted">
<month>5</month>
<year>2013</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © Dental Research Journal</copyright-statement>
<copyright-year>2013</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>Background:</title>
<p>Lateral ridge split technique is a way to solve the problem of the width in narrow ridges with adequate height. Simultaneous insertion of dental implants will considerably reduce the edentulism time.</p>
</sec>
<sec id="st2">
<title>Materials and Methods:</title>
<p>Twenty-five patients who were managed with ridge splitting technique were enrolled. Thirty-eight locations in both jaws with near equal distribution in quadrants received 82 dental fixtures. Beta Tricalcium phosphate (Cerasorb
<sup>®</sup>
) was used as biomaterial to fill the intercortical space. Submerged implants were used and 3 months later healing caps were placed. Direct bone measurements before and after split were done with a Collis. Patients were clinically re-evaluated at least 6 months after implant loading. All the data were analyzed by Statistical Package for Social Sciences (SPSS) software version 11.5 (SPSS Inc, Chicago Illinois, USA). Frequency of edentulous spaces and pre/post operative bone width was analyzed. Paired t-test was used for statistical analysis. Difference was considered significant if
<italic>P</italic>
value was less than 0.05.</p>
</sec>
<sec id="st3">
<title>Results:</title>
<p>Mean value for presplit width was 3.2 ± 0.34 mm while post-split mean width was 5.57 ± 0.49 mm. Mean gain in crest ridge after ridge splitting was 2 ± 0.3 mm. Statistical analysis showed significant differences in width before and after operation ((
<italic>P</italic>
> 0.05). All implants (
<italic>n</italic>
= 82) survived and were in full function at follow up (at least 6 months after implant loading).</p>
</sec>
<sec id="st4">
<title>Conclusion:</title>
<p>Ridge splitting technique in both jaws showed the predictable outcomes, if appropriate cases selected and special attention paid to details; then the waiting time between surgery and beginning of prosthodontic treatment can be reduced to 3 month.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Atrophic ridge</kwd>
<kwd>dental implant</kwd>
<kwd>ridge splitting</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Iran</li>
</country>
</list>
<tree>
<country name="Iran">
<noRegion>
<name sortKey="Rahpeyma, Amin" sort="Rahpeyma, Amin" uniqKey="Rahpeyma A" first="Amin" last="Rahpeyma">Amin Rahpeyma</name>
</noRegion>
<name sortKey="Hosseini, Vahid Reza" sort="Hosseini, Vahid Reza" uniqKey="Hosseini V" first="Vahid Reza" last="Hosseini">Vahid Reza Hosseini</name>
<name sortKey="Khajehahmadi, Saeedeh" sort="Khajehahmadi, Saeedeh" uniqKey="Khajehahmadi S" first="Saeedeh" last="Khajehahmadi">Saeedeh Khajehahmadi</name>
</country>
</tree>
</affiliations>
</record>

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