Reconstruction of Posterior Mandibular Alveolar Ridge Deficiencies With the Piezoelectric Hinge–Assisted Ridge Split Technique: A Retrospective Observational Report

Abstract

This retrospective observational report demonstrates that the piezoelectric hinge-assisted ridge split procedure can achieve substantial gains in horizontal ridge width of the edentulous posterior mandible without associated morbidity. Further prospective and larger observational studies are warranted to see if this is true over a larger patient population and to compare this technique to other more traditionally used approaches.

Long‐term outcomes from implants installed by using split‐crest technique in posterior maxillae: 10 years of follow‐up

“…The present report is the first to document, during a long-term interval, the outcome of NDIs placed concomitantly with a split-crest technique to augment the alveolar ridge. The findings from the present study are in agreement with several case reports and retrospective studies carried out with shorter followups (Scipioni & Bruschi 1986;Oikarinen et al 2003;Calvo-Guirado et al 2005;Ferrigno & Laureti 2005;Garcez-Filho & Ara ujo 2007;Koo et al 2008;Arisan et al 2010;Holtzclaw et al 2010;Demetriades et al 2011;Gonz alez-Garcia et al 2011;Santagata et al 2011). Thus, data from the above mentioned studies indicate that prosthetic rehabilitation can be successfully supported by implants installed in ridges where a split-crest technique was performed.…”

The alveolar ridge splitting/expansion technique: a systematic review

“…Reason of exclusion Brugnami et al (2014) Case report Chiang et al (2014) Dental implants were not placed simultaneously with alveolar ridge splitting/expansion technique Rahpeyma et al (2013) Observation time after surgery partially <10 months Tolstunov & Hicke (2013) Case series with less than 5 subjects included Kolerman et al (2014) The applied bone widening technique was the "bone-spreading technique" Anitua et al (2012) Observation time after surgery partially <10 months Holtzclaw et al (2010) Observation time after surgery partially <10 months Sohn et al (2010) Observation time after surgery partially <10 months Danza et al (2009) Observation time after surgery partially <10 months Jensen et al (2009) Observation time after surgery not clearly declared Not clearly declared which implants were placed simultaneously or delayed in relation to the alveolar ridge splitting/expansion procedure Koo et al (2008) Full-text version of the study not available Blus et al (2006) Observation time after surgery partially <10 months Enislidis et al (2006) Observation time after surgery partially <10 months Suh et al (2005) Dental implants were not placed simultaneously with alveolar ridge splitting/expansion technique Ferrigno et al (2005) Observation time after surgery partially <10 months Basa et al (2004) The applied bone widening technique was not the "bone-splitting technique" (The buccal bone plate was not pediculated basally) Scipioni et al (2008) Observation time after surgery partially <10 months Borgner et al (1999) Case report Malchiodi et al (1998) Declaration of observation time not available in the study de Wijs et al (1997) Observation time after surgery partially <10 months Engelke et al (1997) Observation time after surgery partially <10 months Simion et al (1992) Declaration of observation time not available in the study…”

“…Four anatomical requirements for the accomplishment of ARST are suggested in the literature: 1) a minimal horizontal bone width of 2 mm, 2) a minimal vertical bone height of 10 mm, 3) no concavity in alveolar bone profile and 4) the horizontal osteotomies have to end at least 1 mm before the neighboring teeth (Holtzclaw et al. ; Bassetti et al. ).…”

“…With the introduction of microsaw devices (Suh et al 2005) or piezoelectric devices (Vercellotti 2000) for cutting hard alveolar bone under adequate control, the alveolar ridge splitting/expansion technique (ARST) can be used regardless of the bone quality. Four anatomical requirements for the accomplishment of ARST are suggested in the literature: 1) a minimal horizontal bone width of 2 mm, 2) a minimal vertical bone height of 10 mm, 3) no concavity in alveolar bone profile and 4) the horizontal osteotomies have to end at least 1 mm before the neighboring teeth (Holtzclaw et al 2010;Bassetti et al 2013).…”

The Effect of Different Flap Techniques on Bone Changes in Split Crest Ridges With Simultaneous Implant Placement.

“…This technique can be practiced either in single step, which comprises splitting of ridges and simultaneous implants placement, or in two steps, involving ridge splitting and waiting for interval of 4-6 months following the augmentation before implant insertion surgery. [22][23][24] The effect of the Alveolar Ridge Split Technique (ARST) with simultaneous implant placement on marginal bone loss is still unclear. Reviewing the literature, a paucity of articles was found dealing with the subject and no systematic reviews were detected.…”