Lateral ridge split and immediate implant placement in moderately resorbed alveolar ridges: How much is the added width?

Abstract

Background: Lateral ridge split technique is a way to solve the problem of the width in narrow

ridges with adequate height. Simultaneous insertion of dental implants will considerably reduce

the edentulism time.

Materials and Methods: Twenty-five patients who were managed with ridge splitting technique

were enrolled. Thirty-eight locations in both jaws with near equal distribution in quadrants received

82 dental fixtures. Beta Tricalcium phosphate (Cerasorb®) was used as biomaterial to fill the

intercortical space. Submerged implants were used and 3 months later healing caps were placed.

Direct bone measurements before and after split were done with a Collis. Patients were clinically

re-evaluated at least 6 months after implant loading. All the data were analyzed by Statistical Package

for Social Sciences (SPSS) software version 11.5 (SPSS Inc, Chicago Illinois, USA). Frequency of

edentulous spaces and pre/post operative bone width was analyzed. Paired t-test was used for

statistical analysis. Difference was considered significant if P value was less than 0.05.

Results: Mean value for presplit width was 3.2 ± 0.34 mm while post-split mean width was 5.57 ±

0.49 mm. Mean gain in crest ridge after ridge splitting was 2 ± 0.3 mm. Statistical analysis showed

significant differences in width before and after operation ((P < 0.05). All implants (n = 82) survived

and were in full function at follow up (at least 6 months after implant loading).

Conclusion: Ridge splitting technique in both jaws showed the predictable outcomes, if appropriate

cases selected and special attention paid to details; then the waiting time between surgery and

beginning of prosthodontic treatment can be reduced to 3 month.

Key Words: Atrophic ridge, dental implant, ridge splitting