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Video Details
Ridge Split Technique for Ideal Implant Position and Ideal Buccal Bone Thickness

Description:
We often deal with cases that have just too little bone width for the desired implant. One of the most simple and successful treatment modalities is the ridge split technique. This allows the expansion of the ridge with simultaneous placement of the implants in most cases and provides excellent bone on both the buccal and the palatal sides of the implant. This case goes through some of the important factors when doing a ridge split technique.

Date Added:
6/13/2014

Author(s):

Howard Gluckman, BDS, MChD Howard Gluckman, BDS, MChD
Dr Gluckman completed his dental training at the university of Witwatersrand in Johannesburg in 1990. After spending a number of years in a general practice he complete...
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Online Videos / Surgery / Bone Grafting / Ridge Split Technique for Ideal Implant Position and Ideal Buccal Bone Thickness




Questions & Comments
FİGEN ÖZÇELEBİ - (11/3/2015 6:12 AM)

is it necessary to use aggressive fluted implant with ridge splitting?

KATHY ABBOTT - (11/2/2015 10:36 AM)

If this technique is very difficult in a single tooth site, what would be your preferred method of augmentation on a 5mm wide ridge to accept an implant in the maxillary first bicuspid region? (Anticipate need to augment at least 3 mm).

robert d'orazio - (5/13/2015 8:21 PM)

i learned ridge splitting from dr. tatum 25 years ago without elevating a tissue flap beyond the implant diameter with wonderful long term results. your technique of maintaining the periosteum holds credence as well and is nice to see. i appreciate your emphasizing severing the trabeculae to depth and the patience required with ridge splitting. thanks much for sharing this with us.

ENRIQUE TREVINO - (8/4/2014 5:22 PM)

Great technique! I have been doing this technique since the late 80's, most of those implants still in function for many years, Thank You for sharing

Maurice Salama - (7/6/2014 10:24 AM)

Howard and Yiannis. I agree with both of you regarding immediate placement at the time of split. Honest replies and quite serious issues. Thanks for the honest discussion as it helps everyone. Dr. Salama

Howard Gluckman - (7/5/2014 6:40 AM)

Yiannis thank for your comments and questions. I agree with you totally. Ridge split requires a minimum of I believe 5mm of thick ness to be able to place implants at the same time. If you don't then you get resorbtion of the plate. I den if I split don't have a problem with stability even if I split deep as the shape of the ridge is critical it must be triangular shaped in other words it needs a wide base. By not splitting deeply I find that I get more fractures of the buccal plate. But your ideas are well thought out and the fact that you are trying different things to improve your results mean you are on the right track. Post some cases on XP lets see some of the work.

Howard Gluckman - (7/5/2014 6:29 AM)

HI Rick. Thanks for your questions and comments. The anlylos system is fantastic in that you can use a narrower implant compared to the Noble active. What I have found though is that the CX implant seems to have more fractures of the abutment in the posterior area and hence I have moved away from it in high load bearing areas. The company will tell you it doesn't happen but I am finding it more and more. I would strongly advise you use the standard B abutments in posterior areas and do an abutment level impression less fractures with these as they are solid.

yiannis vergoullis - (6/23/2014 9:14 AM)

Howard excellent skills and presentation as always, I have followed up my ERE cases and came to the conclusion that if the buccal expanded plate was less than 2mm thick then I had greater % of implants with facial dehiscence ranging 1-3mm at uncovery surgery. Thus, if this pre-requisite is not met I go two stages. b. in cases that I splitted the ridge deeper than 2/3 of implant body I had the incidence of implant movement during healing phase and the implant integrated in different than placement position.Thus now I split the less deep possible, or place longer implants. Your thoughts on these issues? Yiannis

richard french - (6/22/2014 11:21 PM)

howard
love your practical approach. notice you are using nobel active(?) in this case. I was using this system but changed to ankylos becauce I felt the implant/abutment connection was superior and a lot of the better work was using the ankylos system. Your opinion please.
regards rick

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