Rehabilitation of Horizontal Insufficiency of the Maxillary Alveolar Crest by Two-Step Ridge Split Horizontal Alveolar Expansion: A Case Report
Öz
Abstract:
In implant surgery, it is very important to have healthy bone tissue of 1.5-2 mm around the implant. In order to apply an implant with 1.5-2 mm healthy peri-implant bone, the alveolar bone with a width of less than 5 mm must be expanded. Among the techniques introduced for horizontal expansion of the alveolar crest, the alveolar ridge split technique has proven to be a valid procedure. After the bone is expanded in the appropriate size with the ridge split technique, it is either grafted with bone graft (two-stage) or the implant is placed at the same appointment (single stage). The single-stage ridge split horizontal alveolar expansion method has rare complications such as resorption of the alveolar bone in the implanted area, non-osteintegration of the implant, and infection in the operation area. The two-stage technique, on the other hand, minimizes these risks and provides a safer surgical procedure.
Anahtar Kelimeler
Alveoler Kemik Atrofisi Alveoler Rezorpsiyon Alveoler Kemik Grefti Oral Cerrahi
Etik Beyan
This article is not the version of a presentation. This article has not been prepared on the basis of a master’s/ doctoral thesis. It is declared that during the preparation process of this study, scientific and ethical principles were followed and all the studies benefited are stated in the bibliography.
Kaynakça
- 1. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-323.
- 2. Pietrokovski J, Massler M. Alveolar ridge resorption following tooth extraction. J Prosthet Dent. 1967;17(1):21-27. doi:10.1016/0022-3913(67)90046-7
- 3. Cawood JI, Stoelinga PJW, Blackburn TK. The evolution of preimplant surgery from preprosthetic surgery. Int J Oral Maxillofac Surg. 2007;36(5):377-385. doi:10.1016/j.ijom.2007.01.024
- 4. Misch CE, Judy KW. Classification of partially edentulous arches for implant dentistry. Int J Oral Implantol. 1987;4(2):7-13.
- 5. Cawood JI, Stoelinga PJW, Blackburn TK. The evolution of preimplant surgery from preprosthetic surgery. Int J Oral Maxillofac Surg. 2007;36(5):377-385. doi:10.1016/j.ijom.2007.01.024
- 6. Yadav B, Himabindu L, Thakur R, Alqahtani A, Gufran K, Tiwary A. Clinical assessment of the bone width following lateral ridge expansion in augmentation of narrow alveolar ridges for placing immediate dental implants. J Pharm Bioallied Sci. 2022;14(5):986. doi:10.4103/jpbs.jpbs_816_21
- 7. Bidra AS. Surgical and Prosthodontic Consequences of Inadequate Treatment Planning for Fixed Implant-Supported Prosthesis in the Edentulous Mandible. Journal of Oral and Maxillofacial Surgery. 2010;68(10):2528-2536. doi:10.1016/j.joms.2010.05.054
- 8. Manekar V, Shenoi S, Manekar S, Jhon J. Alveolar ridge split and expansion with simultaneous implant placement in mandibular posterior sites using motorized ridge expanders – modified treatment protocol. Natl J Maxillofac Surg. 2022;13(3):411. doi:10.4103/njms.njms_417_21
- 9. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006;17(S2):136-159. doi:10.1111/j.1600-0501.2006.01357.x
- 10. Starch-Jensen T, Becktor JP. Maxillary Alveolar Ridge Expansion with Split-Crest Technique Compared with Lateral Ridge Augmentation with Autogenous Bone Block Graft: a Systematic Review. J Oral Maxillofac Res. 2019;10(4). doi:10.5037/jomr.2019.10402
- 11. Tolstunov L, Hamrick JFE, Broumand V, Shilo D, Rachmiel A. Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology. Oral Maxillofac Surg Clin North Am. 2019;31(2):163-191. doi:10.1016/j.coms.2019.01.005
- 12. Goyal S, Iyer S. Bone Manipulation Techniques. International Journal of Clinical Implant Dentistry with DVD. 2009;1:22-31. doi:10.5005/jp-journals-10004-1003
- 13. Pandey KP, Kherdekar RS, Advani H, Dixit S, Dixit A. Mandibular Alveolar Ridge Split With Simultaneous Implant Placement: A Case Report. Cureus. Published online November 6, 2022. doi:10.7759/cureus.31156
- 14. 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. doi:10.1111/j.1600-0501.2006.01206.x
- 15. Waechter J, Leite FR, Nascimento GG, Carmo Filho LC, Faot F. The split crest technique and dental implants: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2017;46(1):116-128. doi:10.1016/j.ijom.2016.08.017
- 16. Elnayef B, Monje A, Lin GH, et al. Alveolar Ridge Split on Horizontal Bone Augmentation: A Systematic Review. Int J Oral Maxillofac Implants. 2015;30(3):596-606. doi:10.11607/jomi.4051
- 17. Starch-Jensen T, Becktor JP. Maxillary Alveolar Ridge Expansion with Split-Crest Technique Compared with Lateral Ridge Augmentation with Autogenous Bone Block Graft: a Systematic Review. J Oral Maxillofac Res. 2019;10(4). doi:10.5037/jomr.2019.10402
- 18. Yadav B, Himabindu L, Thakur R, Alqahtani A, Gufran K, Tiwary A. Clinical assessment of the bone width following lateral ridge expansion in augmentation of narrow alveolar ridges for placing immediate dental implants. J Pharm Bioallied Sci. 2022;14(5):986. doi:10.4103/jpbs.jpbs_816_21
- 19. Manekar V, Shenoi S, Manekar S, Jhon J. Alveolar ridge split and expansion with simultaneous implant placement in mandibular posterior sites using motorized ridge expanders – modified treatment protocol. Natl J Maxillofac Surg. 2022;13(3):411. doi:10.4103/njms.njms_417_21
- 20. Elayah SA, Younis H, Cui H, et al. Alveolar ridge preservation in post-extraction sockets using concentrated growth factors: a split-mouth, randomized, controlled clinical trial. Front Endocrinol (Lausanne). 2023;14. doi:10.3389/fendo.2023.1163696
- 21. Cavalcanti R, Oreglia F, Manfredonia MF, Gianserra R, Esposito M. The influence of smoking on the survival of dental implants: a 5-year pragmatic multicentre retrospective cohort study of 1727 patients. Eur J Oral Implantol. 2011;4(1):39-45.
- 22. Enislidis G, Wittwer G, Ewers R. Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note. Int J Oral Maxillofac Implants. 2006;21(3):445-449.
- 23. Tang YL, Yuan J, Song YL, Ma W, Chao X, Li DH. Ridge expansion alone or in combination with guided bone regeneration to facilitate implant placement in narrow alveolar ridges: a retrospective study. Clin Oral Implants Res. 2015;26(2):204-211. doi:10.1111/clr.12317
- 24. Moro A, Gasparini G, Foresta E, et al. Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips. Biomed Res Int. 2017;2017:1-8. doi:10.1155/2017/4530378
- 25. Pénzes D, Simon F, Mijiritsky E, Németh O, Kivovics M. A Modified Ridge Splitting Technique Using Autogenous Bone Blocks—A Case Series. Materials. 2020;13(18):4036. doi:10.3390/ma13184036
- 26. Coatoam GW, Mariotti A. The Segmental Ridge-Split Procedure. J Periodontol. 2003;74(5):757-770. doi:10.1902/jop.2003.74.5.757
- 27. Coatoam GW, Mariotti A. The Segmental Ridge-Split Procedure. J Periodontol. 2003;74(5):757-770. doi:10.1902/jop.2003.74.5.757
- 28. 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.
Maksiller Alveol Kretin Horizontal Yetersizliğinin İki Aşamalı Kret Split Horizontal Alveolar Genişletme Yöntemiyle Rehabilitasyonu: Bir Olgu Sunumu
Öz
İmplant cerrahisinde implant çevresi 1.5-2 mm'lik sağlıklı kemik dokunun bulunması oldukça önemlidir. İmplant çevresi 1.5-2 mm'lik sağlıklı kemiğe sahip bir implantı uygulayabilmek için 5 mm’den az genişliği bulunan alveoler kemiğinin genişletilmesi gerekmektedir. Alveolar kretin horizontal genişletilmesi için tanıtılan teknikler arasında olan alveoler kret split tekniğinin geçerli bir prosedür olduğu kanıtlanmıştır ve implantların yerleştirilmesini takiben %98 ila %100'lük bir hayatta kalma oranı bildirilmiştir. Kret split tekniği ile uygun boyutta kemik genişletilmesi yapıldıktan sonra ya kemik grefti ile greftlenir (iki aşamalı) veya aynı randevuda implant yerleştirilir (tek aşamalı). Tek aşamalı kret split horizontal alveolar genişletme yönteminin implant yerleştirilmiş bölgedeki alveolar kemikte rezorpsiyon, implantın osteoentegre olmaması ve operasyon alanında enfeksiyon oluşması gibi az görülen komplikasyon riskleri mevcuttur. İki aşamalı teknik ise bu riskler en aza indirilerek daha güvenli bir cerrahi işlem imkânı tanır. Bu cerrahide operasyon tekniğinin yanında hasta kooperasyonunun ve ağız hijyeninin de iyi olması cerrahinin başarılı olmasında önemli bir rol almaktadır.
Anahtar Kelimeler
Alveoler Kemik Atrofisi Alveoler Rezorpsiyon Alveoler Kemik Grefti Oral Cerrahi
Etik Beyan
Bu makale, sempozyum ya da kongrede sunulan bir tebliğin içeriği geliştirilerek ve kısmen değiştirilerek üretilmemiştir. Bu çalışma, yüksek lisans ya da doktora tezi esas alınarak hazırlanmamıştır. Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.
Kaynakça
- 1. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-323.
- 2. Pietrokovski J, Massler M. Alveolar ridge resorption following tooth extraction. J Prosthet Dent. 1967;17(1):21-27. doi:10.1016/0022-3913(67)90046-7
- 3. Cawood JI, Stoelinga PJW, Blackburn TK. The evolution of preimplant surgery from preprosthetic surgery. Int J Oral Maxillofac Surg. 2007;36(5):377-385. doi:10.1016/j.ijom.2007.01.024
- 4. Misch CE, Judy KW. Classification of partially edentulous arches for implant dentistry. Int J Oral Implantol. 1987;4(2):7-13.
- 5. Cawood JI, Stoelinga PJW, Blackburn TK. The evolution of preimplant surgery from preprosthetic surgery. Int J Oral Maxillofac Surg. 2007;36(5):377-385. doi:10.1016/j.ijom.2007.01.024
- 6. Yadav B, Himabindu L, Thakur R, Alqahtani A, Gufran K, Tiwary A. Clinical assessment of the bone width following lateral ridge expansion in augmentation of narrow alveolar ridges for placing immediate dental implants. J Pharm Bioallied Sci. 2022;14(5):986. doi:10.4103/jpbs.jpbs_816_21
- 7. Bidra AS. Surgical and Prosthodontic Consequences of Inadequate Treatment Planning for Fixed Implant-Supported Prosthesis in the Edentulous Mandible. Journal of Oral and Maxillofacial Surgery. 2010;68(10):2528-2536. doi:10.1016/j.joms.2010.05.054
- 8. Manekar V, Shenoi S, Manekar S, Jhon J. Alveolar ridge split and expansion with simultaneous implant placement in mandibular posterior sites using motorized ridge expanders – modified treatment protocol. Natl J Maxillofac Surg. 2022;13(3):411. doi:10.4103/njms.njms_417_21
- 9. Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res. 2006;17(S2):136-159. doi:10.1111/j.1600-0501.2006.01357.x
- 10. Starch-Jensen T, Becktor JP. Maxillary Alveolar Ridge Expansion with Split-Crest Technique Compared with Lateral Ridge Augmentation with Autogenous Bone Block Graft: a Systematic Review. J Oral Maxillofac Res. 2019;10(4). doi:10.5037/jomr.2019.10402
- 11. Tolstunov L, Hamrick JFE, Broumand V, Shilo D, Rachmiel A. Bone Augmentation Techniques for Horizontal and Vertical Alveolar Ridge Deficiency in Oral Implantology. Oral Maxillofac Surg Clin North Am. 2019;31(2):163-191. doi:10.1016/j.coms.2019.01.005
- 12. Goyal S, Iyer S. Bone Manipulation Techniques. International Journal of Clinical Implant Dentistry with DVD. 2009;1:22-31. doi:10.5005/jp-journals-10004-1003
- 13. Pandey KP, Kherdekar RS, Advani H, Dixit S, Dixit A. Mandibular Alveolar Ridge Split With Simultaneous Implant Placement: A Case Report. Cureus. Published online November 6, 2022. doi:10.7759/cureus.31156
- 14. 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. doi:10.1111/j.1600-0501.2006.01206.x
- 15. Waechter J, Leite FR, Nascimento GG, Carmo Filho LC, Faot F. The split crest technique and dental implants: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2017;46(1):116-128. doi:10.1016/j.ijom.2016.08.017
- 16. Elnayef B, Monje A, Lin GH, et al. Alveolar Ridge Split on Horizontal Bone Augmentation: A Systematic Review. Int J Oral Maxillofac Implants. 2015;30(3):596-606. doi:10.11607/jomi.4051
- 17. Starch-Jensen T, Becktor JP. Maxillary Alveolar Ridge Expansion with Split-Crest Technique Compared with Lateral Ridge Augmentation with Autogenous Bone Block Graft: a Systematic Review. J Oral Maxillofac Res. 2019;10(4). doi:10.5037/jomr.2019.10402
- 18. Yadav B, Himabindu L, Thakur R, Alqahtani A, Gufran K, Tiwary A. Clinical assessment of the bone width following lateral ridge expansion in augmentation of narrow alveolar ridges for placing immediate dental implants. J Pharm Bioallied Sci. 2022;14(5):986. doi:10.4103/jpbs.jpbs_816_21
- 19. Manekar V, Shenoi S, Manekar S, Jhon J. Alveolar ridge split and expansion with simultaneous implant placement in mandibular posterior sites using motorized ridge expanders – modified treatment protocol. Natl J Maxillofac Surg. 2022;13(3):411. doi:10.4103/njms.njms_417_21
- 20. Elayah SA, Younis H, Cui H, et al. Alveolar ridge preservation in post-extraction sockets using concentrated growth factors: a split-mouth, randomized, controlled clinical trial. Front Endocrinol (Lausanne). 2023;14. doi:10.3389/fendo.2023.1163696
- 21. Cavalcanti R, Oreglia F, Manfredonia MF, Gianserra R, Esposito M. The influence of smoking on the survival of dental implants: a 5-year pragmatic multicentre retrospective cohort study of 1727 patients. Eur J Oral Implantol. 2011;4(1):39-45.
- 22. Enislidis G, Wittwer G, Ewers R. Preliminary report on a staged ridge splitting technique for implant placement in the mandible: a technical note. Int J Oral Maxillofac Implants. 2006;21(3):445-449.
- 23. Tang YL, Yuan J, Song YL, Ma W, Chao X, Li DH. Ridge expansion alone or in combination with guided bone regeneration to facilitate implant placement in narrow alveolar ridges: a retrospective study. Clin Oral Implants Res. 2015;26(2):204-211. doi:10.1111/clr.12317
- 24. Moro A, Gasparini G, Foresta E, et al. Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips. Biomed Res Int. 2017;2017:1-8. doi:10.1155/2017/4530378
- 25. Pénzes D, Simon F, Mijiritsky E, Németh O, Kivovics M. A Modified Ridge Splitting Technique Using Autogenous Bone Blocks—A Case Series. Materials. 2020;13(18):4036. doi:10.3390/ma13184036
- 26. Coatoam GW, Mariotti A. The Segmental Ridge-Split Procedure. J Periodontol. 2003;74(5):757-770. doi:10.1902/jop.2003.74.5.757
- 27. Coatoam GW, Mariotti A. The Segmental Ridge-Split Procedure. J Periodontol. 2003;74(5):757-770. doi:10.1902/jop.2003.74.5.757
- 28. 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.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Diş Hekimliği |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 26 Nisan 2024 |
| Gönderilme Tarihi | 6 Şubat 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 11 Sayı: 1 |
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