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Piezosurgery-assisted, flapless split crest surgery for implant site preparation.

Federico Brugnami1, Alfonso Caiazzo2, Pushkar Mehra3

  • 1Rome, Italy.

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Summary

This study introduces a novel flapless technique for alveolar ridge expansion using piezoelectric scalpel and bone expanders. The procedure successfully corrects ridge resorption during implant placement, offering a simpler, patient-accepted alternative.

Keywords:
AtrophyFlaplessImplantPiezosurgeryRidge augmentationRidge split

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Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Bone Grafting Techniques

Background:

  • Alveolar ridge resorption can complicate dental implant placement.
  • Traditional split crest procedures often involve invasive tools like mallets and chisels, requiring significant surgical skill and potentially causing patient discomfort.
  • Flapless approaches in implant dentistry are gaining popularity to minimize post-operative issues and enhance healing.

Purpose of the Study:

  • To present a novel, flapless technique for split crest procedures.
  • To combine piezoelectric scalpel and tapered bone expander for improved outcomes and patient acceptance.
  • To offer an alternative to conventional, more invasive split crest methods.

Main Methods:

  • A combined technique utilizing a piezoelectric scalpel and a tapered bone expander was employed.
  • The procedure was performed in a flapless manner to minimize surgical trauma.
  • Split crest procedures were conducted concurrently with dental implant placement.

Main Results:

  • Successful placement of all implants was achieved.
  • The resorbed alveolar ridge was effectively expanded during the same surgical session.
  • Postoperative cone beam computed tomography (CBCT) confirmed the successful ridge expansion and implant integration.

Conclusions:

  • The presented flapless technique offers a predictable method for split crest procedures.
  • This novel approach demonstrates high patient acceptability and is technically straightforward for surgeons.
  • The technique provides an effective solution for correcting bucco-lingual alveolar ridge resorption during implant placement.