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Alveolar reconstruction with splitting osteotomy and microfixation of implants
W G Engelke1, C G Diederichs, H G Jacobs
1Department of Oral Surgery, Göttingen University Clinic, Germany.
Summary
This study presents a new surgical method for alveolar ridge reconstruction using immediate implant placement, reducing overall treatment time. The technique achieved an 86.2% success rate over 5 years with minimal bone loss and low costs.
Area of Science:
- Dental Implantology
- Oral Surgery
- Periodontology
Background:
- Alveolar process reduction presents challenges for dental implant placement.
- Traditional two-stage procedures can prolong treatment duration.
- A need exists for efficient alveolar reconstruction techniques.
Purpose of the Study:
- To describe and evaluate a surgical technique for buccolingual alveolar process reconstruction.
- To assess the efficacy and outcomes of immediate implant placement in prepared artificial sockets.
- To compare this technique with existing methods regarding treatment time, success rate, and costs.
Main Methods:
- A surgical technique involving lamellar cortical splitting, interlamellar implant placement, and microfixation was employed.
- Immediate implant placement into artificial sockets was performed.
- The technique was applied to single and multiple alveoli in partially dentate and edentulous patients.
Main Results:
- A 5-year cumulated success rate of 86.2% was observed in 44 patients with 121 implants.
- Mean observation time was 34.3 months (range 6-68 months).
- Mean marginal bone loss was 1.7 mm, with a low infection rate and reduced treatment costs.
Conclusions:
- The described surgical technique offers an effective method for alveolar ridge reconstruction.
- Immediate implant placement in artificial sockets is a viable approach, reducing treatment time.
- This technique demonstrates favorable success rates, minimal bone loss, and cost-effectiveness compared to other methods.