Simultaneous Implant Placement with Modified Ridge Splitting/Expansion Technique in the Narrow Edentulous Alveolar Ridge : 3 Cases Report

좁은 치조골에 변형된 치조능 분할술/확장술을 이용한 임플란트 동시 식립 : 3 가지 증례보고

  • Lee, Jong-Bin (Department of Periodontology, Ilsan Hospital, National Health Insurance Service) ;
  • Lee, Jae-Hong (Department of Periodontology, Ilsan Hospital, National Health Insurance Service) ;
  • Kim, Young-Taek (Department of Periodontology, Ilsan Hospital, National Health Insurance Service)
  • 이종빈 (국민건강보험공단 일산병원 치주과) ;
  • 이재홍 (국민건강보험공단 일산병원 치주과) ;
  • 김영택 (국민건강보험공단 일산병원 치주과)
  • Received : 2015.03.04
  • Accepted : 2015.06.30
  • Published : 2015.08.01

Abstract

The modified ridge splitting/expansion technique combined with guided bone regeneration (GBR) for implant surgery is used to expand the narrow and atrophied edentulous alveolar ridge. Also, the simultaneous implant placement after ridge splitting/expansion technique can reduce the treatment and healing time. This case report includes three patients with a narrow edentulous alveolar ridge of the 2 to 4mm. All three patients underwent a fracture of thin buccal cortical bone plate, and these defects were corrected by the use of the guided bone regeneration (GBR). After 7 to 18 months, all surgical area was stable, and all implant showed a good healing state on the clinical and radiographic examination. In conclusion, though this surgical method is technique sensitive, the modified ridge splitting/expansion technique combined with GBR for implant surgery is recommended for a horizontal augmentation in the narrow edentulous alveolar ridge.

Keywords

References

  1. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res 2006;17 Suppl 2:136-159 https://doi.org/10.1111/j.1600-0501.2006.01357.x
  2. Chiapasco M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants 2009;24 Suppl:237-259
  3. Sohn DS, Lee HJ, Heo JU, et al. Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge. J Oral Maxillofac Surg 2010;68(9):2283-2290 https://doi.org/10.1016/j.joms.2010.04.009
  4. McAllister BS, Haghighat K. Bone augmentation techniques. J Periodontol 2007;78(3):377-396 https://doi.org/10.1902/jop.2007.060048
  5. Buser D, Ingimarsson S, Dula K, et al. Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent 2002;22(2):109-117
  6. Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: a five-year study. Int J Periodontics Restorative Dent 1994;14(5):451-459
  7. Scipioni A, Bruschi GB, Calesini G, et al. Bone regeneration in the edentulous ridge expansion technique: histologic and ultrastructural study of 20 clinical cases. Int J Periodontics Restorative Dent 1999;19(3):269-277
  8. Coatoam GW, Mariotti A. The segmental ridge-split procedure. J Periodontol 2003;74(5):757-770 https://doi.org/10.1902/jop.2003.74.5.757
  9. Scipioni A, Bruschi GB, Giargia M, et al. Healing at implants with and without primary bone contact. An experimental study in dogs. Clin Oral Implants Res 1997;8(1):39-47 https://doi.org/10.1111/j.1600-0501.1997.tb00006.x
  10. Han JY, Shin SI, Herr Y, et al. The effects of bone grafting material and a collagen membrane in the ridge splitting technique: an experimental study in dogs. Clin Oral Implants Res 2011;22(12):1391-1398 https://doi.org/10.1111/j.1600-0501.2010.02127.x
  11. Chiapasco M, Ferrini F, Casentini P, et al. Dental implants placed in expanded narrow edentulous ridges with the Extension Crest device. A 1-3-year multicenter follow-up study. Clin Oral Implants Res 2006;17(3):265-272 https://doi.org/10.1111/j.1600-0501.2005.01196.x
  12. Blus C, Szmukler-Moncler S. Split-crest and immediate implant placement with ultra-sonic bone surgery: a 3-year life-table analysis with 230 treated sites. Clin Oral Implants Res 2006;17(6):700-707 https://doi.org/10.1111/j.1600-0501.2006.01206.x
  13. Scipioni A, Calesini G, Micarelli C, et al. Morphogenic bone splitting: description of an original technique and its application in esthetically significant areas. Int J Prosthodont 2008;21(5):389-397
  14. Santagata M, Guariniello L, Tartaro G. A modified edentulous ridge expansion technique for immediate placement of implants: a case report. J Oral Implantol 2011;37 Spec No:114-119 https://doi.org/10.1563/AAID-JOI-D-10-00035.1
  15. Kolerman R, Nissan J, Tal H. Combined osteotome-induced ridge expansion and guided bone regeneration simultaneous with implant placement: a biometric study. Clin Implant Dent Relat Res 2014;16(5):691-704 https://doi.org/10.1111/cid.12041
  16. Oikarinen KS, Sandor GK, Kainulainen VT, Salonen-Kemppi M. Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dent Traumatol 2003;19(1):19-29 https://doi.org/10.1034/j.1600-9657.2003.00125.x
  17. Ashman A. Postextraction ridge preservation using a synthetic alloplast. Implant Dent 2000;9(2):168-176 https://doi.org/10.1097/00008505-200009020-00011
  18. Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Surg 1988;17(4):232-236 https://doi.org/10.1016/S0901-5027(88)80047-X
  19. Misch CM. Implant site development using ridge splitting techniques. Oral Maxillofac Surg Clin North Am 2004;16(1):65-74, vi https://doi.org/10.1016/j.coms.2003.10.001
  20. Bruschi GB, Scipioni A, Calesini G, Bruschi E. Localized management of sinus floor with simultaneous implant placement: a clinical report. Int J Oral Maxillofac Implants 1998;13(2):219-226
  21. Elian N, Jalbout Z, Ehrlich B, et al. A two-stage full-arch ridge expansion technique: review of the literature and clinical guidelines. Implant Dent 2008;17(1):16-23 https://doi.org/10.1097/ID.0b013e318166d3a3
  22. Engelke WG, Diederichs CG, Jacobs HG, Deckwer I. Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 1997;12(3):310-318
  23. Sethi A, Kaus T. Maxillary ridge expansion with simultaneous implant placement: 5-year results of an ongoing clinical study. Int J Oral Maxillofac Implants 2000;15(4):491-499
  24. Annibali S, Bignozzi I, Sammartino G, et al. Horizontal and vertical ridge augmentation in localized alveolar deficient sites: a retrospective case series. Implant Dent 2012;21(3):175-185 https://doi.org/10.1097/ID.0b013e31824ee3e9
  25. Javed F, Romanos GE. The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent 2010;38(8):612-620 https://doi.org/10.1016/j.jdent.2010.05.013
  26. Funaki K, Takahashi T, Yamuchi K. Horizontal alveolar ridge augmentation using distraction osteogenesis: comparison with a bone-splitting method in a dog model. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(3):350-358 https://doi.org/10.1016/j.tripleo.2008.10.005
  27. Tolstunov L. Classification of the alveolar ridge width: implant-driven treatment considerations for the horizontally deficient alveolar ridges. J Oral Implantol 2014;40 Spec No:365-370 https://doi.org/10.1563/AAID-JOI-D-14-00023