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Video Details
The Ridge Split Technique in the Edentulous Maxilla: Technique and Management of Complications

Description:
Management of the narrow ridge following resorption often poses a significant challenge. Many bone augmentation techniques have been proposed to prepare these deficient sites for future implant placement utilizing GBR, Onlay Bone Grafts, Block Grafts and even Ti-Mesh. In this case report, Ridge Splitting and Expansion is proposed as a potentially less invasive and biologically sound technique which allows for more bone walls to encase the defect and allow for inlay grafting techniques or even simultaneous implant placement. This video presentation will highlight the use of this technique in the challenging edentulous maxilla. The technique, methods, flap designs and expansion tools will be highlighted as well as the management of a common mid-surgical complication. Follow up healing and case development will also be displayed as a comparison.

Date Added:
4/2/2015

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 / The Ridge Split Technique in the Edentulous Maxilla: Technique and Management of Complications




Questions & Comments
Elzbieta Paul - (1/12/2016 10:32 AM)

Excellent presentation took a big implant program in NJDA and everything you say is what I learned

Howard Gluckman - (10/4/2015 5:38 AM)

@Mohammed, Johnathan and Peter. Thanks for the kind words Im glad you enjoyed it.

mohammed areekat - (10/2/2015 12:14 AM)

Dr.Gluckman, it was indeed an awesome presentation. This gave me immense confidence in me for my future cases. many thanks

Jonathan penchas - (8/11/2015 12:49 PM)

Fantastic lecture from a master. Too bad he lives in beautiful Capetown or I would be taking his classes. easy to follow, how-to class. Howard needs to become a lecture tutor to many of the other speakers who drone on and on.....

Peter Feher - (6/6/2015 1:04 PM)

Congratulations! I do always vertical cuts on the bone. It makes possible an easier splitting and I think it is good avoiding the fracture of the thin buccal bone. If I can I always leave the soft tissue on the bone (book flap). Regards Peter

Howard Gluckman - (4/19/2015 7:31 AM)

Thank you Jorge. Much appreciated

Jorge Campos - (4/17/2015 3:05 PM)

Howard, congratulations. As usual a well exemplificated video. A Master class. 100% recomendable to any who has to do this procedure. All the details that make this a successfull surgery are commented. Thanks Jorge

Howard Gluckman - (4/13/2015 2:06 PM)

@Konstantinos. Thanks for your kind words. The proviiosnal is a full denture with palatal support but with the flanges cut off so that they do not interfere with the bone grafting. They are simple ball and O-ring attachments that are inserted into the denture chairside. Thanks for the comments and questions. regards H

Howard Gluckman - (4/13/2015 2:04 PM)

@Nicolas. Thanks in answer to your first question is full thickness on the top of the ridge until just off the ridge then split thickness. This immediately releases the flap for passive flap closure and leaves the periosteum behind on the bone. The answer to your second question is yes and no. I am worried but I try and place it as much into the palatal bone as possible so that there is very little if any risk. also remember that the bone is in a 4 walled defect when you do a ridge split technique. I hope this answers your questions. Thanks for your input.

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