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Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note.

Identifieur interne : 002735 ( PubMed/Curation ); précédent : 002734; suivant : 002736

Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note.

Auteurs : Georg Enislidis [Autriche] ; Gerd Wittwer ; Rolf Ewers

Source :

RBID : pubmed:16796289

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English descriptors

Abstract

Narrow edentulous alveolar ridges less than 5 mm wide require horizontal augmentation for the placement of screw-type dental implants. A staged approach to ridge splitting in the mandible to decrease the risk of malfracture during osteotomy is presented.

PubMed: 16796289

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Le document en format XML

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<title xml:lang="en">Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note.</title>
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<name sortKey="Enislidis, Georg" sort="Enislidis, Georg" uniqKey="Enislidis G" first="Georg" last="Enislidis">Georg Enislidis</name>
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<nlm:affiliation>University-Clinic for Oral and Maxillofacial Surgery, Medical University Vienna, Vienna, Austria. georg.enislidis@meduniwien.ac.at</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>University-Clinic for Oral and Maxillofacial Surgery, Medical University Vienna, Vienna</wicri:regionArea>
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<name sortKey="Wittwer, Gerd" sort="Wittwer, Gerd" uniqKey="Wittwer G" first="Gerd" last="Wittwer">Gerd Wittwer</name>
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<name sortKey="Ewers, Rolf" sort="Ewers, Rolf" uniqKey="Ewers R" first="Rolf" last="Ewers">Rolf Ewers</name>
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<title xml:lang="en">Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note.</title>
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<name sortKey="Enislidis, Georg" sort="Enislidis, Georg" uniqKey="Enislidis G" first="Georg" last="Enislidis">Georg Enislidis</name>
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<term>Adolescent</term>
<term>Adult</term>
<term>Alveolar Process (diagnostic imaging)</term>
<term>Alveolar Process (surgery)</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Weight-Bearing</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Mise en charge</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Processus alvéolaire ()</term>
<term>Processus alvéolaire (imagerie diagnostique)</term>
<term>Radiographie</term>
<term>Transplantation osseuse ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Alveolar Process</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Processus alvéolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Process</term>
<term>Jaw, Edentulous, Partially</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Weight-Bearing</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Mise en charge</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Processus alvéolaire</term>
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<div type="abstract" xml:lang="en">Narrow edentulous alveolar ridges less than 5 mm wide require horizontal augmentation for the placement of screw-type dental implants. A staged approach to ridge splitting in the mandible to decrease the risk of malfracture during osteotomy is presented.</div>
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<DateCompleted>
<Year>2006</Year>
<Month>08</Month>
<Day>07</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>24</Day>
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<ISSN IssnType="Print">0882-2786</ISSN>
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<Volume>21</Volume>
<Issue>3</Issue>
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<MedlineDate>2006 May-Jun</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note.</ArticleTitle>
<Pagination>
<MedlinePgn>445-9</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Narrow edentulous alveolar ridges less than 5 mm wide require horizontal augmentation for the placement of screw-type dental implants. A staged approach to ridge splitting in the mandible to decrease the risk of malfracture during osteotomy is presented.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Five consecutive patients with 6 long-span edentulous areas of the mandibular ridge were included in this study. After corticotomy of a rectangular buccal segment and a 40-day healing period, the mandibular ridge was split, leaving the buccal periosteum attached to the lateralized segment. Seventeen dental implants were placed, and the gap between the implants and the bone filled with a mixture of venous blood and a porous algae-derived hydroxyapatite.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All buccal segments fractured as planned at the basal corticotomy during ridge splitting. After 6 months, all implants were stable and surrounded by bone; prosthetic loading with fixed partial dentures was successful in all cases.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">In the mandible, greenstick fracture during widening with osteotomes has not been controllable to date because of cortical thickness of the bone; the risk of malfracture during single-stage ridge splitting was high. With this approach, the location of the greenstick fracture is predetermined, and the perfusion for the buccal segment remains intact, although vascularization shifts from internal perfusion from spongy bone after the first intervention to external perfusion from the periosteum after the second intervention. The buccal cortical segment remains a pedicled graft after ridge splitting.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The preliminary results of this report indicate that staged ridge splitting can be a safe technique which overcomes the problems associated with single-stage ridge expansion/ridge splitting procedures without causing significant delay in treatment.</AbstractText>
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