Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

RECONSTRUCTION OF SEVERE BUCCO-LINGUAL BONE RESORPTION AREA USING "RIDGE SPLITTING TECHNIQUE"

심한 협-설골 위축에서 치조골 수평 확장술을 이용한 골 재건

  • Yeo, Duck-Sung (Dept. of Dentistry, Oral and Maxillofacial Surgery, Daegu Catholic university Hospital) ;
  • Lim, So-Yeon (Dept. of Dentistry, Oral and Maxillofacial Surgery, Daegu Catholic university Hospital) ;
  • Lee, Hyun-Jin (Dept. of Dentistry, Oral and Maxillofacial Surgery, Daegu Catholic university Hospital) ;
  • Ahn, Mi-Ra (Dept. of Dentistry, Oral and Maxillofacial Surgery, Daegu Catholic university Hospital) ;
  • Sohn, Dong-Seok (Dept. of Dentistry, Oral and Maxillofacial Surgery, Daegu Catholic university Hospital)
  • 여덕성 (대구가톨릭대학병원 구강악안면외과학교실) ;
  • 임소연 (대구가톨릭대학병원 구강악안면외과학교실) ;
  • 이현진 (대구가톨릭대학병원 구강악안면외과학교실) ;
  • 안미라 (대구가톨릭대학병원 구강악안면외과학교실) ;
  • 손동석 (대구가톨릭대학병원 구강악안면외과학교실)
  • Published : 2006.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Dental implant has become one of the important option for completely or partially edentulous patients, But it is challenging to reconstruct the severely atrophic ridge. Insufficient bone volume could restrict to place the wide and long implant and because of excessive interocclusal clearance, improper prosthetics could be produced. In this case bone augmentation for implant dentistry is necessary procedure to improve the insufficient bone volume. Therefore, bone augmentation or GBR is the most important procedure for successful implant placement and for ideal crown- root ratio. There are various bone augmentation techniques have been introduced recently; like block bone graft, distraction osteogenesis, inlay graft, onlay graft, etc.... In severe bucco-lingual resorption area, ridge splitting is the first choice of the treatment, because it provides a place for implantation and also has compaction effect. This technique may be indicated for sharp mandible and maxillary ridges in patients whose bone quantity is inadequate for primary stabilization. We report that the clinical experience of bone augmentation using ridge splitting technique in bucco-lingual bone resorption area.

Keywords

References

  1. Coatoam GW, Mariotti A : Segmental Ridge-Splint Procedure. J Periodontol 74 : 757, 2003 https://doi.org/10.1902/jop.2003.74.5.757
  2. Jensen J, Sindet-Pedersen S : Autogenous Mandibular Bone Grafts and Osseointegrated Implants for Reconstruction of the Severely Atrophied Maxilla: A Preliminary Report. J Maxillofac Surg 49 : 1277, 1991 https://doi.org/10.1016/0278-2391(91)90303-4
  3. Guirado JLC, Yuguero MRS, Zamora GP : A Maxillary Ridge-Splitting Technique Followed by Immediate Placement of Implants: A case Report. Implant Dentistry 14 : 14, 2005 https://doi.org/10.1097/01.id.0000156390.58391.64
  4. Engelke WG, Deckwer I : Alveolar Reconstruction With Splitting Osteotomy and Microfixation of Implants. Int J Oral & Maxillofac Implants 12 : 310, 1997
  5. Lustmann J, Lewinstein I : Interpositional Bone Grafting Technique to Widen Narrow Maxillary Ridge. Int J Oral & Maxillofac Implants 10 : 568, 1995
  6. Basa S, Varol A, Turker N : Alternative Bone Expansion Technique for Immediate Placement of Implants in the Edentulous Posterior Mandible Ridge: A Clinical Report. Int J of Oral & Maxillofac Implants 19 : 554, 2004
  7. Simion M, Baldoni M, Zaffe D : Jawbone Enlargement Using Immediate Associated With a Split-Crest Technique and Guided Tissue Regeneration. Int J of Periodontics & Restorative Dent. 12 : 462, 1992
  8. Oikarinen KS, Sandor GKB, Kainulainen VT et al : Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dental Traumatology 19 : 19, 2003 https://doi.org/10.1034/j.1600-9657.2003.00125.x
  9. Suh JJ, Shelemay A, Choi SH et al : Alveolar Ridge Splitting: A New Microsaw Technique. Int J Periodontics & Restorative Dent 25 : 165, 2005
  10. Robiony M, Polini F, Costa F et al : Piezoelectric Bone Cutting in Multipiece Maxillary Osteotomes. J Oral Maxillofac. Surg. 62 :759, 2004 https://doi.org/10.1016/j.joms.2004.01.010
  11. Eggers G, Klein J, Blank J et al : Piezosurgery$^{\circledR}$ : an Ultrasound device for cutting bone and its use and limitations in the maxillofacial surgery. Br J Oral and Maxillofac Surg 42 : 451, 2004
  12. Chiriac G, Herten M, Schwarz F et al : Autogenous bone chips: influence of a new piezoelectric device (Piezosurgery$^{\circledR}$) on chip morphology, cell viability and differentiation. J Clin Periodontol 32 : 994, 2005 https://doi.org/10.1111/j.1600-051X.2005.00809.x