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Radiographic Assessment of Bone Width Improvement in Narrow Ridge Patients Managed with Ridge Split Technique: A
Bhavya Sharma1, Vilas P Newaskar1, Deepak Agrawal1
1Department of Oral and Maxillofacial Surgery, GDC, Indore, Madhya Pradesh, India.
The ridge split technique effectively widens narrow mandibular bone for dental implants. This less invasive method offers a predictable solution for bone augmentation, improving implant site preparation.
Area of Science:
- Oral Surgery
- Periodontology
- Dental Implantology
Background:
- Narrow dentoalveolar ridges pose challenges for endosseous implant placement.
- Techniques like guided bone regeneration, bone block grafting, and ridge splitting are used for bone expansion.
- Ridge splitting provides a less invasive approach for predictable bone expansion and grafting.
Purpose of the Study:
- To evaluate the effectiveness of the ridge split technique in increasing bone width in the narrow mandibular posterior region.
Main Methods:
- A prospective study involving 28 patients (34 sites) aged 16-50 years.
- Preoperative and 3-month postoperative bone width was measured using cone-beam computed tomography (CBCT).
- The ridge split technique was performed, and the created space was filled with sticky bone graft.
Main Results:
- A statistically significant increase in bone width was observed at the alveolar crest and at 3 mm and 6 mm below the crest after 3 months.
- Mean bone width increased from 3.62 mm to 4.23 mm at the crest, 6.28 mm to 7.14 mm at 3 mm below, and 8.41 mm to 9.16 mm at 6 mm below.
Conclusions:
- The ridge split technique is effective for increasing bone width in narrow mandibular alveolar ridges.
- This method offers a less invasive and cost-effective alternative to traditional ridge augmentation procedures.
- Further research with larger sample sizes and longer follow-up is recommended.
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