Mandibular Ridge Expansion Using a Horizontal Bone-Splitting Technique and Synthetic Bone Substitute: An Alternative to Bone Block Grafting?

Ella, Bruno; Laurentjoye, M.; Sédarat, Cyril; Coutant, Jean-Christophe; Masson, Emmanuel; Rouas, A

doi:10.11607/jomi.2201

Cited by 47 publications

(49 citation statements)

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“…Due to the significant loss of alveolar bone additionally surgical procedures are necessary [2]. Augmentation of the resorbed alveolar crest can be achieved, for example, with onlay bone grafts, membrane techniques, bone distraction, and ridge splitting [3].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

Matys¹,

Flieger²,

Dominiak

2016

BioMed Research International

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The most common adverse effect after bone cutting is a thermal damage. The aim of our study was to evaluate the bone temperature rise during an alveolar ridge splitting, rating the time needed to perform this procedure and the time to raise the temperature of a bone by 10°C, as well as to evaluate the bone carbonization occurrence. The research included 60 mandibles (n = 60) of adult pigs, divided into 4 groups (n = 15). Two vertical and one horizontal cut have been done in an alveolar ridge using Er:YAG laser with set power of 200 mJ (G1), 400 mJ (G2), piezosurgery unit (G3), and a saw (G4). The temperature was measured by K-type thermocouple. The highest temperature gradient was noted for piezosurgery on the buccal and lingual side of mandible. The temperature rises on the bone surface along with the increase of laser power. The lower time needed to perform ridge splitting was measured for a saw, piezosurgery, and Er:YAG laser with power of 400 mJ and 200 mJ, respectively. The temperature rise measured on the bone over 10°C and bone carbonization occurrence was not reported in all study groups. Piezosurgery, Er:YAG laser (200 mJ and 400 mJ), and surgical saw are useful and safe tools in ridge splitting surgery.

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Section: Introductionmentioning

confidence: 99%

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

Matys¹,

Flieger²,

Dominiak

2016

BioMed Research International

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“…Gap filling may or may not influence the final outcome of implant success [24, 25] however, since the graft material takes part in the bone remodelling process, it expedites the healing process. Ella et al [26] advocated the use of bone filling substitutes, especially in the horizontally expanded sites as it resulted in reduced resorption around the implant bony walls. The direct contact between the bone walls and implant is reduced with bone substitutes acting as a cushion against ischaemic resorption with some gain in bone volume.…”

Section: Resultsmentioning

confidence: 99%

Types of devices used in ridge split procedure for alveolar bone expansion: A systematic review

et al. 2017

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The aim of this systematic review was to evaluate instrumentation procedures of the alveolar ridge expansion technique (ARST) with or without Guided Bone Regeneration (GBR) and to identify the most used instruments for successful outcome. An electronic as well as manual literature search was conducted in several databases including Medline, Embase, and Cochrane Central Register of Controlled Trials, for articles written in English up to September 2016. The question in focus was to identify the type of device for ridge expansion that is most frequently used and provides adequate bone expansion and implant success rate. To meet the inclusion criteria, the studies were analysed for the following parameters: prospective or retrospective studies, cohort or case studies/series, cases with 5 or more human subjects, type of device used for surgery, location of defect, and minimum follow up period. The frequency of osteotome usage in this study was approximately 65%, and on average, the implant success was 97%. The motorized expanders and ultrasonic surgery system are easier to use and cause less trauma to the bone compared to the traditional/conventional instruments like mallets and osteotomes. However, their cost is a limiting factor; hence, osteotomes remain a popular mode of instrumentation.

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“…As original the method is described with immediate implant placement (1). Some authors perform this method only in the upper jaw (2,3,4), others -only in the mandible (5,6), as the majority of the publications describe its performance in the both jaws (7,8 ). The space between the two plates is filled with bonegrafting material, as some authors recommend the use of barrier membrane (9,4), which covers them.…”

Section: Literature Surveymentioning

confidence: 99%

Longitudinal Ridge Split Osteotomy and Simultaneous Implant Placement

2016

IJSR

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Longitudinal ridge split osteotomy was performed in 33 cases with horizontal alveolar bone deficit, with a sufficient apical basis , that provides primary stability of the implants. The survival rate of the implants was 87,9%. The mean marginal bone loss is 1.586mm. Bleeding on probing is registered in 45,5% of the cases. There was found no correlation between the marginal bone loss and the bleeding on probing. The complication rate was 33,4%. In 18,2% of the cases was registered fracture of the vestibular bone plate.

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Mandibular Ridge Expansion Using a Horizontal Bone-Splitting Technique and Synthetic Bone Substitute: An Alternative to Bone Block Grafting?

Cited by 47 publications

References 0 publications

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

Types of devices used in ridge split procedure for alveolar bone expansion: A systematic review

Longitudinal Ridge Split Osteotomy and Simultaneous Implant Placement

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