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Video Details
Ridge Splitting Techniques in Implant Dentistry

Description:
The technique of Ridge Splitting and Expansion will be featured utilizing piezo-surgery, ridge split instrumentation and bone expansion drills. The additional role of PRGF and Fibrin in lateral ridge augmentation utilizing membranes and bone tacks will be discussed.

Date Added:
9/25/2007

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Implant / Ridge Splitting Techniques in Implant Dentistry




Questions & Comments
daniel gremban - (2/2/2016 11:26 AM)

Great video! If you were to do this procedure without a piezo what burs would you suggest using?

byron scott - (5/26/2014 12:17 PM)

Very good brief & infomative

kevin potocsky - (3/15/2012 9:37 AM)

if you dont have a piezo could you do verical and crestal bone cuts with a handpiece? and what bur? thanks

Waeil El.Misalati - (4/26/2011 7:32 AM)

Fabulous :)

md alam - (4/26/2011 6:23 AM)

dear sir,i have done a similar case where we created the green stick fracture using surgical disk and closed the site for revascularization, after a month the site was crestally opened and using a chisel like urs we tried to expand over the crestal green stick fracture the point was to expand and place the implant as the bone would expand over the fracture line, unfortunately we didnt acheive the result. i am not able to under stand why, although we managed to place the implant conventionally expansion but the desired result was not acheive.this is the article references. Expansion of the alveolar bone crest in two stages: two clinical cases J. Cano1, J. Campo1&R. Ewers2

Maurice Salama - (4/25/2011 12:40 PM)

Hossam & Paolo; Yes, the minimum thickness for ridge splitting is 2mm. Less than that and Block or GBR is best. As for vertical cut depth, yes approx. 2/3 of the length of the future implant. Yes, I have used the Meisenger kit and iut is very creative and user friendly.
regards to you both
Dr. Salama

hossam ashour - (4/25/2011 8:04 AM)

Dear Dr Salam is there a minmum thickness at the crest of the ridge less than which we should shift to block graft? i have some cases which have extremely atrophic ridge that buccal and palatal cortex are fused from the crest of the ridge to 8 to 10 mm apically, can i still use splitting in such cases

Paolo Giuliani - (4/7/2010 5:26 PM)

Maurice, excellent work. I have the Meisenger bone spreading crest control kit. Same idea, although there is a pretty cool horizontal spreader that wedges the split crest without tapping. Am I correct to assume that your blateral vertical depth cuts are about 2/3 the final length of the implants you intend on using, in order to avoid a greenstick and lose implant fixation? Any difference on the mandible?
Thanks!

Maurice Salama - (12/14/2009 1:29 PM)

Simon; Thanks for the post. The vertical cuts allow for easier displacement of the segment of bone when splitting. Without these cuts you have a higher incidence of "green stick" fracture of the buccal transport segment and higher complication rate. Additionally, although you may still expand without these cuts, you can gain far greater ridge expansion with them. Regarding the bone graft, I placed and secured collagen membranes on both sides with tacks on the labial. I left some particles on the crest of the ridge without a membrane as I did not feel it to be necessary here. This can certainly be debated, and an additional occlusal collagen barrier membrane would not have been a wrong approach. It appeared to me that most of the graft was placed for buccal augmentation and I was not as concerned regarding the vertical augmentation. Welcome to the blog and please keep up the posts.
Dr. Salama

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