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Narrow Ridge Management with Ridge Splitting with Piezotome for Implant Placement: Report of 2 Cases

Identifieur interne : 000884 ( Pmc/Curation ); précédent : 000883; suivant : 000885

Narrow Ridge Management with Ridge Splitting with Piezotome for Implant Placement: Report of 2 Cases

Auteurs : Deepak Agrawal ; Alka Sanjay Gupta ; Vilas Newaskar ; Amit Gupta ; Subhash Garg ; Deshraj Jain

Source :

RBID : PMC:4148521

Abstract

Narrow dentoalveolar ridges remain a serious challenge for the successful placement of endosseous implants. Several techniques for this procedure may be considered, such as guided bone regeneration, bone block grafting, and ridge splitting for bone expansion. The ridge split procedure provides a quicker method wherein an atrophic ridge can be predictably expanded and grafted with bone allograft or allograft, eliminating the need for second surgical site. Traditionally, osseous surgery has been performed by either manual or motor-driven instruments. Piezosurgery is a relatively new technique for osteotomy and osteoplasty that utilizes ultrasonic vibration which allows clean cutting with precise incisions. This case series describes reports of 2 such cases in which narrow mandibular ridge splitting was carried by mean of piezotome with immediate placement of implants in the osteotomy site. Five months later, the implants were uncovered followed by impression and restored with impant- supported porcelain-fused-to-metal crowns.


Url:
DOI: 10.1007/s13191-012-0216-8
PubMed: 25183917
PubMed Central: 4148521

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Deepak Agrawal
<affiliation>
<nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Govt. College of Dentistry, Indore, Madhya pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya pradesh India</wicri:noCountry>
</affiliation>
Alka Sanjay Gupta
<affiliation>
<nlm:aff id="Aff2">Department of Prosthodontics, Govt. College of Dentistry, Indore, Madhya pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya pradesh India</wicri:noCountry>
</affiliation>
Vilas Newaskar
<affiliation>
<nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, Govt. College of Dentistry, Indore, Madhya pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya pradesh India</wicri:noCountry>
</affiliation>
Amit Gupta
<affiliation>
<nlm:aff id="Aff3">Department of Orthodontics, Madern Dental College and Research Centre, Indore, Madhya Pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya Pradesh India</wicri:noCountry>
</affiliation>
Subhash Garg
<affiliation>
<nlm:aff id="Aff4">Department of Periodontics, Govt. College of Dentistry, Indore, Madhya pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya pradesh India</wicri:noCountry>
</affiliation>
Deshraj Jain
<affiliation>
<nlm:aff id="Aff2">Department of Prosthodontics, Govt. College of Dentistry, Indore, Madhya pradesh India</nlm:aff>
<wicri:noCountry code="subfield">Madhya pradesh India</wicri:noCountry>
</affiliation>

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<p>Narrow dentoalveolar ridges remain a serious challenge for the successful placement of endosseous implants. Several techniques for this procedure may be considered, such as guided bone regeneration, bone block grafting, and ridge splitting for bone expansion. The ridge split procedure provides a quicker method wherein an atrophic ridge can be predictably expanded and grafted with bone allograft or allograft, eliminating the need for second surgical site. Traditionally, osseous surgery has been performed by either manual or motor-driven instruments. Piezosurgery is a relatively new technique for osteotomy and osteoplasty that utilizes ultrasonic vibration which allows clean cutting with precise incisions. This case series describes reports of 2 such cases in which narrow mandibular ridge splitting was carried by mean of piezotome with immediate placement of implants in the osteotomy site. Five months later, the implants were uncovered followed by impression and restored with impant- supported porcelain-fused-to-metal crowns.</p>
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<journal-id journal-id-type="iso-abbrev">J Indian Prosthodont Soc</journal-id>
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<title-group>
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<name>
<surname>Agrawal</surname>
<given-names>Deepak</given-names>
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<address>
<email>fordeepak1@yahoo.co.in</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
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<name>
<surname>Gupta</surname>
<given-names>Alka Sanjay</given-names>
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<address>
<email>Dr.alka2000@gmail.com</email>
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<xref ref-type="aff" rid="Aff2"></xref>
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<name>
<surname>Newaskar</surname>
<given-names>Vilas</given-names>
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<address>
<email>vilasnewaskar@yahoo.com</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
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<contrib contrib-type="author">
<name>
<surname>Gupta</surname>
<given-names>Amit</given-names>
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<address>
<email>amidont@yahoo.com</email>
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<xref ref-type="aff" rid="Aff3"></xref>
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<name>
<surname>Garg</surname>
<given-names>Subhash</given-names>
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<address>
<email>drsubhasggarg@rediffmail.com</email>
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<xref ref-type="aff" rid="Aff4"></xref>
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<name>
<surname>Jain</surname>
<given-names>Deshraj</given-names>
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<address>
<email>drdeshrajjain@rediffmail.com</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<aff id="Aff1">
<label></label>
Department of Oral and Maxillofacial Surgery, Govt. College of Dentistry, Indore, Madhya pradesh India</aff>
<aff id="Aff2">
<label></label>
Department of Prosthodontics, Govt. College of Dentistry, Indore, Madhya pradesh India</aff>
<aff id="Aff3">
<label></label>
Department of Orthodontics, Madern Dental College and Research Centre, Indore, Madhya Pradesh India</aff>
<aff id="Aff4">
<label></label>
Department of Periodontics, Govt. College of Dentistry, Indore, Madhya pradesh India</aff>
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<pub-date pub-type="epub">
<day>25</day>
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>9</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<issue>3</issue>
<fpage>305</fpage>
<lpage>309</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>7</month>
<year>2012</year>
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<date date-type="accepted">
<day>11</day>
<month>11</month>
<year>2012</year>
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<permissions>
<copyright-statement>© Indian Prosthodontic Society 2012</copyright-statement>
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<abstract id="Abs1">
<p>Narrow dentoalveolar ridges remain a serious challenge for the successful placement of endosseous implants. Several techniques for this procedure may be considered, such as guided bone regeneration, bone block grafting, and ridge splitting for bone expansion. The ridge split procedure provides a quicker method wherein an atrophic ridge can be predictably expanded and grafted with bone allograft or allograft, eliminating the need for second surgical site. Traditionally, osseous surgery has been performed by either manual or motor-driven instruments. Piezosurgery is a relatively new technique for osteotomy and osteoplasty that utilizes ultrasonic vibration which allows clean cutting with precise incisions. This case series describes reports of 2 such cases in which narrow mandibular ridge splitting was carried by mean of piezotome with immediate placement of implants in the osteotomy site. Five months later, the implants were uncovered followed by impression and restored with impant- supported porcelain-fused-to-metal crowns.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Implants</kwd>
<kwd>Narrow ridge</kwd>
<kwd>Ridge split</kwd>
<kwd>Piezotome</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© Indian Prosthodontic Society 2014</meta-value>
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