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A Novel Approach for Horizontal Augmentation of Posterior Maxilla Using Ridge Split Technique
Nazife Begüm Karan1, Hüseyin Ozan Akinci2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize.
The Journal of Craniofacial Surgery
|July 14, 2019
Summary
This study introduces a novel alveolar bone augmentation technique for maxillary implants. The new method ensures sufficient bone mass and stability, with no complications observed in two-year follow-ups.
Area of Science:
- Oral and Maxillofacial Surgery
- Periodontology
- Dental Implantology
Background:
- Alveolar bone augmentation is crucial for dental implant success.
- Existing techniques have limitations in achieving optimal bone dimensions and quality.
- Innovative approaches are needed for predictable outcomes in maxillary implant procedures.
Purpose of the Study:
- To propose and evaluate a novel alveolar bone augmentation technique for the posterior maxilla.
- To investigate the efficacy of this technique during the healing process before implant placement.
- To compare the novel technique with the traditional ridge-split method with simultaneous implant placement.
Main Methods:
- The novel technique involved a ridge-split procedure followed by horizontal augmentation using an autogenous bone graft.
- Implants were placed two months post-augmentation, with prosthetic rehabilitation after osseointegration.
- A comparative study included 14 patients, divided into a control group (ridge-split with simultaneous implant) and an experimental group (novel technique).
Main Results:
- The novel technique successfully achieved the required horizontal bone dimension and improved bone quality.
- Press-fit insertion facilitated multipoint contact healing of the grafted bone.
- The use of cortical block bone in the posterior maxilla provided superior stability for implant placement and survival.
Conclusions:
- The proposed surgical technique offers a significant innovation in alveolar bone augmentation.
- It provides enhanced stability for endosteal implants, meeting success criteria.
- No complications were observed during the two-year follow-up, indicating a high level of safety and efficacy.
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