Short-Term Evaluation of Prosthetic Rehabilitation of Thin Wiry Ridge by Ridge Splitting and Simultaneous Implants Placement: Non-randomized Control Trial

Mohamed Y. Sharaf; Asharf Email Eskander; Ahmed Ibrahim Elbakery

doi:10.1055/s-0041-1736292

European Journal of Dentistry, Inhaltsverzeichnis

CC BY 4.0 · Eur J Dent 2022; 16(02): 414-423
DOI: 10.1055/s-0041-1736292

Original Article

Short-Term Evaluation of Prosthetic Rehabilitation of Thin Wiry Ridge by Ridge Splitting and Simultaneous Implants Placement: Non-randomized Control Trial

Mohamed Y. Sharaf

¹Department of Prosthodontics, Faculty of Dentistry, University of Menoufia, Menoufia, Egypt

,

Asharf Email Eskander

²Department of Prosthodontics, Faculty of Dentistry, University of Cairo, Cairo, Egypt

,

Ahmed Ibrahim Elbakery

³Department of Prosthodontics, Faculty of Dentistry, University of Ahram Canadian, Cairo, Egypt

› Institutsangaben

Abstract

Objective This article evaluates the success of prosthetic rehabilitation of thin wiry ridge and implants placed simultaneously in splitted ridge both clinically and radiographically.

Materials and Methods Twenty-one participants were enrolled of which 13 patients (8 females and 5 males) were suffering from maxillary ridge atrophy and 8 patients (5 females and 3 males) had mandibular ridge atrophy; a total of 42 implants were performed using the ridge expansion technique. The expansion was performed using the conventional disk technique, piezoelectric corticotomy, and self-threading expanders. Implants were placed and loaded with fixed partial denture after 4 months for the mandible and 6 months for the maxilla. Implant stability quotient (ISQ) was measured at T0 (implant placement) and TL (loading). Crestal bone levels were measured at different times: T0, TL, and T12 (12 months). Evaluation of prosthetic and surgical complications was carried out. Data were analyzed and compared using analysis of variance and paired t-tests at a significance level of 5%.

Results All implants met the criteria for success. All implants showed a higher mean bone loss from T0 to TL (1.259 ± 0.3020) than from TL to T12 (0.505 ± 0.163) with a statistically significant difference (p < 0.0001). ISQ values sharply increased at the time of loading (72.52 ± 2.734) than at implant insertion (44.5 ± 4.062) with a significant difference (p < 0.0001). Minor prosthetic and surgical complications were reported.

Conclusion The results from this study support the efficacy of prosthetic rehabilitation of thin wiry ridge using split ridge technique and the success of implants placed simultaneously in splitted ridge.

Keywords

implant - knife-edge ridge - ridge expansion - piezoelectric - implant-supported prosthesis - prosthetic complications

Volltext

Referenzen

References:
1 Tolstunov L, Hicke B. Horizontal augmentation through the ridge-split procedure: a predictable surgical modality in implant reconstruction. J Oral Implantol 2013; 39 (01) 59-68
2 Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: a five-year study. Int J Periodontics Restorative Dent 1994; 14 (05) 451-459
3 Bassetti MA, Bassetti RG, Bosshardt DD. The alveolar ridge splitting/expansion technique: a systematic review. Clin Oral Implants Res 2016; 27 (03) 310-324
4 Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP. A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res 2004; 15 (02) 150-157
5 Bidra AS. Surgical and prosthodontic consequences of inadequate treatment planning for fixed implant-supported prosthesis in the edentulous mandible. J Oral Maxillofac Surg 2010; 68 (10) 2528-2536
6 Agrawal D, Gupta AS, Newaskar V, Gupta A, Garg S, Jain D. Narrow ridge management with ridge splitting with piezotome for implant placement: report of 2 cases. J Indian Prosthodont Soc 2014; 14 (03) 305-309
7 Chiapasco M, Zaniboni M, Rimondini L. Dental implants placed in grafted maxillary sinuses: a retrospective analysis of clinical outcome according to the initial clinical situation and a proposal of defect classification. Clin Oral Implants Res 2008; 19 (04) 416-428
8 Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 2009; 24 (Suppl): 218-236
9 Chiapasco M, Zaniboni M, Boisco M. Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants. Clin Oral Implants Res 2006; 17 (Suppl. 02) 136-159
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 (06) 700-707
11 Rasmusson L, Meredith N, Cho IH, Sennerby L. The influence of simultaneous versus delayed placement on the stability of titanium implants in onlay bone grafts. A histologic and biomechanic study in the rabbit. Int J Oral Maxillofac Surg 1999; 28 (03) 224-231
12 Chiapasco M, Abati S, Romeo E, Vogel G. Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges. Clin Oral Implants Res 1999; 10 (04) 278-288
13 Tatum Jr H. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986; 30 (02) 207-229
14 Summers RB. The osteotome technique: part 2–the ridge expansion osteotomy (REO) procedure. Compendium 1994; 15 (04) 422 , 424, 426 passim, quiz 436
15 Vercellotti T. Piezoelectric surgery in implantology: a case report–a new piezoelectric ridge expansion technique. Int J Periodontics Restorative Dent 2000; 20 (04) 358-365
16 Suh JJ, Shelemay A, Choi SH, Chai JK. Alveolar ridge splitting: a new microsaw technique. Int J Periodontics Restorative Dent 2005; 25 (02) 165-171
17 Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent 1992; 12 (06) 462-473
18 Anitua E, Andia I, Ardanza B, Nurden P, Nurden AT. Autologous platelets as a source of proteins for healing and tissue regeneration. Thromb Haemost 2004; 91 (01) 4-15
19 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 (03) 265-272
20 Altiparmak N, Akdeniz SS, Bayram B, Gulsever S, Uckan S. Alveolar ridge splitting versus autogenous onlay bone grafting: complications and implant survival rates. Implant Dent 2017; 26 (02) 284-287
21 Accessed September 5, 2021 at: https://bioloren.com/en/prodotti/trilor-en/trilor-disk/
22 Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986; 1 (01) 11-25
23 Engelke WG, Diederichs CG, Jacobs HG, Deckwer I. Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 1997; 12 (03) 310-318
24 Oikarinen KS, Sàndor GK, Kainulainen VT, Salonen-Kemppi M. Augmentation of the narrow traumatized anterior alveolar ridge to facilitate dental implant placement. Dent Traumatol 2003; 19 (01) 19-29
25 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 (04) 491-499
26 Chiapasco M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants 2009; 24 (Suppl): 237-259
27 González-García A, Diniz-Freitas M, Somoza-Martín M, García-García A. Ultrasonic osteotomy in oral surgery and implantology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108 (03) 360-367
28 Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatol 2004; 53 (05) 207-214
29 Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent 2001; 21 (06) 561-567
30 Stübinger S, Stricker A, Berg BI. Piezosurgery in implant dentistry. Clin Cosmet Investig Dent 2015; 7: 115-124
31 Stacchi C, Vercellotti T, Torelli L, Furlan F, Di Lenarda R. Changes in implant stability using different site preparation techniques: twist drills versus piezosurgery. A single-blinded, randomized, controlled clinical trial. Clin Implant Dent Relat Res 2013; 15 (02) 188-197
32 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 (02) 176-187
33 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 (05) 606-625
34 Elnayef B, Monje A, Lin GH. et al. Alveolar ridge split on horizontal bone augmentation: a systematic review. Int J Oral Maxillofac Implants 2015; 30 (03) 596-606
35 Anitua E, Alkhraisat MH. Is alveolar ridge split a risk factor for implant survival?. J Oral Maxillofac Surg 2016; 74 (11) 2182-2191
36 Ella B, Laurentjoye M, Sedarat C, Coutant JC, Masson E, Rouas A. Mandibular ridge expansion using a horizontal bone-splitting technique and synthetic bone substitute: an alternative to bone block grafting?. Int J Oral Maxillofac Implants 2014; 29 (01) 135-140
37 Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000 2008; 47: 51-66
38 Jha N, Choi EH, Kaushik NK, Ryu JJ. Types of devices used in ridge split procedure for alveolar bone expansion: a systematic review. PLoS One 2017; 12 (07) e0180342
39 Cortese A, Pantaleo G, Amato M, Claudio PP. Ridge expansion by flapless split crest and immediate implant placement: evolution of the technique. J Craniofac Surg 2016; 27 (02) e123-e128
40 Chiapasco M, Romeo E, Vogel G. Tridimensional reconstruction of knife-edge edentulous maxillae by sinus elevation, onlay grafts, and sagittal osteotomy of the anterior maxilla: preliminary surgical and prosthetic results. Int J Oral Maxillofac Implants 1998; 13 (03) 394-399
41 Piccinini M. Mandibular bone expansion technique in conjunction with root form implants: a case report. J Oral Maxillofac Surg 2009; 67 (09) 1931-1936
42 Sohn DS, Lee HJ, Heo JU, Moon JW, Park IS, Romanos GE. Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge. J Oral Maxillofac Surg 2010; 68 (09) 2283-2290
43 Mounir M, Beheiri G, El-Beialy W. Assessment of marginal bone loss using full thickness versus partial thickness flaps for alveolar ridge splitting and immediate implant placement in the anterior maxilla. Int J Oral Maxillofac Surg 2014; 43 (11) 1373-1380
44 Abu Tair JA. Modification of mandibular ridge splitting technique for horizontal augmentation of atrophic ridges. Ann Maxillofac Surg 2014; 4 (01) 19-23
45 Crespi R, Capparè P, Gherlone EF. Electrical mallet provides essential advantages in split-crest and immediate implant placement. Oral Maxillofac Surg 2014; 18 (01) 59-64
46 Jamil FA, Al-Adili SS. Lateral ridge splitting (expansion) with immediate placement of endosseous dental implant using piezoelectric device: a new treatment protocol. J Craniofac Surg 2017; 28 (02) 434-439
47 Digholkar S, Venu Madhav VN, Palaskar J. Methods to measure stability of dental implants. Journal of Dental and Allied Sciences. 2014; 3: 17-23
48 Nguyen VG, von Krockow N, Weigl P, Depprich R. Lateral alveolar ridge expansion in the anterior maxilla using piezoelectric surgery for immediate implant placement. Int J Oral Maxillofac Implants 2016; 31 (03) 687-699
49 González-García R, Monje F, Moreno C. Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: a modified technique. Int J Oral Maxillofac Surg 2011; 40 (01) 57-64
50 Tang YL, Yuan J, Song YL, Ma W, Chao X, Li DH. Ridge expansion alone or in combination with guided bone regeneration to facilitate implant placement in narrow alveolar ridges: a retrospective study. Clin Oral Implants Res 2015; 26 (02) 204-211
51 Garcez-Filho J, Tolentino L, Sukekava F, Seabra M, Cesar-Neto JB, Araújo MG. Long-term outcomes from implants installed by using split-crest technique in posterior maxillae: 10 years of follow-up. Clin Oral Implants Res 2015; 26 (03) 326-331
52 Stegaroiu R, Khraisat A, Nomura S, Miyakawa O. Influence of superstructure materials on strain around an implant under 2 loading conditions: a technical investigation. Int J Oral Maxillofac Implants 2004; 19 (05) 735-742
53 Sevimay M, Usumez A, Eskitascioglu G. The influence of various occlusal materials on stresses transferred to implant-supported prostheses and supporting bone: a three-dimensional finite-element study. J Biomed Mater Res B Appl Biomater 2005; 73 (01) 140-147
54 Türk AG, Ulusoy M, Toksavul S, Güneri P, Koca H. Marginal bone loss of two implant systems with three different superstructure materials: a randomised clinical trial. J Oral Rehabil 2013; 40 (06) 457-463