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Órgano Oficial de la Asociación Dental Mexicana

2023, Number 3

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Rev ADM 2023; 80 (3)

''Split crest'' with simultaneous placement of implants in the anterior sector. A case report.

Escobedo PMP, Guizar MJM

Language: Spanish
References: 20
Page: 165-170
PDF size: 406.66 Kb.


ABSTRACT

Bone loss in the anterior sector, both a horizontal, vertical or combined defect is a challenge today; not only for the integration of the implant but also the aesthetic involved. There are techniques of bone regeneration that help us to solve this type of defects, among them we should highlight the crest expansion technique. We present the case of a 58-year-old patient with atrophic flange, who underwent the expansion of crests with simultaneous placement of implants in the anterior sector, with xenograft prior to the piezoelectric crest expansion technique, Simultaneous placement of Narrow Connection SLActive Straumann implants, bone gain and primary stability of the implants were obtained, without complications. In selected scenarios, the crest expansion technique could be considered a predictable approach that demonstrates a high implant survival rate, adequate horizontal bone gain, and minimal intra- and postoperative complications.


REFERENCES

  1. Narby B, Kronstrom M, Soderfeldt B. Prosthodontics and the patient: what is oral rehabilitation need? Conceptual analysis of need and demand for prosthodontic treatment. Part 1: a conceptual analysis. Int J Prosthodont. 2005; 18 (1): 75-79.

  2. Lekovic V, Kenney EB, Weinlaender M et al. A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases. J Periodontol. 1997; 68: 563-570.

  3. Basa S, Varol A, Turker N. Alternative bone expansion technique for immediate placement of implants in the edentulous posterior mandibular ridge: a clinical report. Int J Oral Maxillofac Implants. 2004; 19: 554-558.

  4. Tatum H. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986; 30: 207-229.

  5. Milinkovic I, Cordaro L. Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Surg. 2014; 43: 606-625.

  6. Anitua E, Alkhraisat MH. Is alveolar rige split a risk factor for implant survival? J Oral Maxillofac Surg. 2016; 74: 2182-2191.

  7. ASA Physical Status Classification System [Internet]. American Society of Anesthesiologists. 2019 [Cited 8 July 2020]. Available in: https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system

  8. Wang HL, Al-Shammari K. HVC ridge deficiency classification: a therapeutically oriented classification. Int J Periodontics Restorative Dent. 2002; 22: 335-343.

  9. Wang HL, Boyapati L. "PASS" principle for predictable bone regeneration. Implant Dentistry. 2006; 15: 8-17.

  10. Blus C, Szmukler-Moncler S. Split-crest and immediate implant placement with ultra-sonic bone surgery: a 3-year life-table analysis with 230 treated sites. Clin Oral Implants Res. 2006; 17: 700-707.

  11. Anitua E, Begoña L, Orive G. Clinical evaluation of split-crest technique with ultrasonic bone surgery for narrow ridge expansion: status of soft and hard tissues and implant success. Clin Implant Dent Relat Res. 2013; 15 (2): 176-187.

  12. Mestas G, Alarcón M, Chambrone L. Long-term survival rates of titanium implants placed in expanded alveolar ridges using split crest procedures: a systematic review. Int J Oral Maxillofac Implants. 2016; 31 (3): 591-599.

  13. Sethi A, Kaus T. Maxillary ridge expansion with simultaneous implant placement: 5 year results of an ongoing clinical study. Int J Oral Maxillofac Implants. 2000; 15 (4): 491-499.

  14. Chiapasco M, Ferrini F, Casentini P, Accardi S, Zaniboni M. Dental implants placed in expanded narrow edentulous ridges with the extension crest device. A 1-3-year multicenter follow-up study. Clin Oral Implants Res. 2006; 17: 265-272.

  15. Harder S, Wolfart S, Mehl C, Kern M. Performance of ultrasonic devices for bone surgery and associated intraosseous temperature development. Int J Oral Maxillofac Implants. 2009; 24: 484-490.

  16. Berengo M, Bacci C, Sartori M, Perini A, Della Barbera M, Valente M. Histomorphometric evaluation of bone grafts harvested by different methods. Minerva Stomatol. 2006; 55: 189-198.

  17. Elnayef B, Monje A, Lin G H, Gargallo-Albiol J, Chan HL, Wang HL, Hernández-Alfaro F. Alveolar ridge split on horizontal bone augmentation: a systematic review. Int J Oral Maxillofac Implants. 2015; 30: 596-606.

  18. Bravi F, Bruschi GB, Ferrini F. A 10-year multicenter retrospective clinical study of 1,715 implants placed with the edentulous ridge expansion technique. Int J Periodontics Restorative Dent. 2007; 27: 557-565.

  19. Langer B, Langer L, Sullivan RM. Planned labial plate advancement with simultaneous single implant placement for narrow anterior ridges followed by reentry confirmation. Int J Periodontics Restorative Dent. 2012; 32: 509-519.

  20. Demetriades N, Park J I, Laskarides C. Alternative bone expansion technique for immediate placement in atrophic edentulous maxilla and mandible. J Oral Implantol. 2011; 37 (4): 464-471.




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