Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2

Description:
In this 2nd of a series, Dr. Dan Holtzclaw demonstrates the role of piezosurgical mediated ridge split technique in the reconstruction of ridge width deficiencies in order to facilitate more optimal placement of dental implants. A number of different variations exist regarding this technique. However, in this section, Dr. Holtzclaw discusses the role of piezoelectric hinge assisted ridge split (PHARS) technique in creating a hinged ridge split that is filled with particulate allograft and covered with a barrier membrane. Specific emphasis is placed on outlining the advantages and unique challenges of the PHARS technique.

Date Added:
7/4/2011

Author(s):

Dan Holtzclaw, DDS, MS Dan Holtzclaw, DDS, MS

Dr. Holtzclaw received his dental degree (Cum Laude) from the University of Texas Health Science Center at San Antonio. During a subsequent 12 year ...
[read more]




Online Videos / Surgery / Bone Grafting / The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2




Questions & Comments
Juan Uribe Saldarriaga - (3/10/2016 2:49 PM)

Very nice presentation congratulations Dr Dan, I just want to know, what are you doing now when you need to gain height and what bone regeneration procedures in vertical case you do. Thanks

henry salama - (10/10/2015 9:27 AM)

Harry, since the idea is to "split" (not just cut through) the buccal cortical plate from the palatal/lingual bone plate, we would require an intervening layer of cancellous bone. Therefore, the minimum thickness that can be "split" is likely to be about 3mm, i.e. 1mm buccal, 1mm cancellous and 1mm palatal. Also, Harry, why not post images of the CT in question on the Forum. I'm sure you will get a great deal of feedback. Good luck.

Harry Albers - (10/9/2015 4:56 PM)

What is the minimum thickness of a ride to due a ridge split technique? Can I send you a cone beam of a case? Harry Albers

byron scott - (5/26/2014 12:16 PM)

Very informative & straightforward.

Eviatar Buchman - (10/24/2011 5:32 PM)

Thank you very much for your presentation. In a case of braking the buccal wall how do you recomand to fix it. Is there any video about it. second question, what if the risk to damage the inferior nerve?

E. Buchman

dentimp huang - (7/23/2011 2:11 PM)

Great answer ! Thank you , Dr.Holtzclaw.

dan holtzclaw - (7/19/2011 5:03 PM)

Thank you for the kind comments.

To answer everyone's questions:

1) I generally will not place implants simultaneously in the mandible. The bone here is very dense, especially with a resorbed ridge. That is why I employ the apical hinge cut. This allows me to lateralize the buccal plate more extensively. With this being said, however, it also makes the area less stable for simultaneous implant placement. In the maxilla, I generally have no problem with placing implants with a ridge split (circumstances permitting)

2) I have only used PRF and have not used PRGF. They both have their supporters. It is very fun to watch Chokroun and Anitua square off against one another. I have seen great cases from both sides.

3) I have found that the ridge heals just fine with a full thickness flap. I understand the concept for a split thickness flap, but have not found it to be necessary.

dan holtzclaw - (7/19/2011 4:58 PM)

test

alessandro zussino - (7/12/2011 2:23 PM)

Thank you Dr. Holtzclaw for your very interesting lecture and for the elegant surgery I've seen. When I approach this tecnique I try to insert implants at the same time of the ridge splitting in order to save time to my patient and myself, and also considering that implants can work maintaining the space of the splitted ridge, and moreover reducing the amount of graft needed; what's your opinion about that? Also: what do you think about the tecniques that suggest a split flap incision (like the ERE tecnique of Bruschi and Scipioni)?
Thank you so much.

Related Videos
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2 Premium Member Content

The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2
This 2 part lecture demonstrates the piezoelectric hinge assisted ridge split (PHARS) technique for reconstruction of ridge deficiencies to facilitate the placement of dental implants. A review of multiple ridge augmentation techniques is provided along with advantages and unique challenges of the PHARS technique.

Presented By:: Dan Holtzclaw, DDS, MS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The Reconstruction of a "Critical Size" 3D Bone Defect Utilizing the Khoury Bone Plate Technique Premium Member Content

The Reconstruction of a "Critical Size" 3D Bone Defect Utilizing the Khoury Bone Plate Technique
Bone defects and bone resorption are a common finding for the clinicians in cases where dental implant therapy is needed. These situations dictates that the defect must be first reconstructed prior to or simultaneously with placing the implants This presentation will focus on a case of a bone resorption in the mandible that will be reconstructed, using only autogenous bone to accommodate a future functional implant supported restoration.

Presented By:: Cristian Rotaru, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Synergy of Bone and Gingival Augmentation in Tooth Replacement - Part 4 of 4 Premium Member Content

Synergy of Bone and Gingival Augmentation in Tooth Replacement - Part 4 of 4
This lecture will highlight the current available regenerative techniques and protocols to maximize the esthetic results of tooth replacement therapy.

Presented By:: Maurice Salama, DMD;Michael A Pikos, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
The Modern Age of Regeneration: Tenting, Fixating and Space Creation Premium Member Content

The Modern Age of Regeneration: Tenting, Fixating and Space Creation
Regeneration requires a common biological thread for predictable results. Space Maintenance, Graft Stability, Bone Biologics, and Wound Management. This presentation will describe the importance of each critical step in regeneration and introduce a new technical system to assist the surgeon in managing and stabilizing the space required for optimal bone regeneration. Flap design, release, biologics selection and enhancement as well as bone stabilization, fixation, and secure membrane adaptation will be further highlighted as to it's critical value in the final results.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Complete Management of the Implant Site: From Simple Cases to Complex Situations Premium Member Content

Complete Management of the Implant Site: From Simple Cases to Complex Situations
The health and the structure of the peri-implant tissue is vital for a long term prognosis of aesthetic and functional dental treatments. The prevalence of peri-implant diseases and recessions is a problem that must be overcome by a perfect treatment planning, along with a step-by-step design of the future restorations. When the clinician places an implant, he must consider the 3D positioning regarding the hard and soft tissue. When one decide to restore an implant, he must be aware of the gingival volume and it’s position. In this presentation, we want to show fully documented cases, from bone grafting, soft tissue enhancement, to final restorations.

Presented By:: Mihnea Cafadaru, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Surgical Management of Posterior Maxilla Premium Member Content

Surgical Management of Posterior Maxilla
Replacement of missing teeth with dental Implants in the posterior maxilla presents unique challenges due to maxillary sinus, less quality of bone, and increased occlusal load. The surgical objectives to meet functional and aesthetic goals include enhancement of both quantity and quality of bone as well as ideal placement of dental implants for restorations that mimic nature. In this presentation, Dr. H. Ryan Kazemi discusses current surgical techniques in implant site development in the posterior maxilla including extraction site grafting, sinus lift, bi-directional bone graft, and osseodensification for bone management.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
The Modern Age of Regeneration: Tenting, Fixating and Space Creation Premium Member Content

The Modern Age of Regeneration: Tenting, Fixating and Space Creation
Regeneration requires a common biological thread for predictable results. Space Maintenance, Graft Stability, Bone Biologics, and Wound Management. This presentation will describe the importance of each critical step in regeneration and introduce a new technical system to assist the surgeon in managing and stabilizing the space required for optimal bone regeneration. Flap design, release, biologics selection and enhancement as well as bone stabilization, fixation, and secure membrane adaptation will be further highlighted as to it's critical value in the final results.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
The Bio-Derm Ridge Plumping Technique for Pontic Site Development

The Bio-Derm Ridge Plumping Technique for Pontic Site Development
Seibert Class III apicocoronal and buccolingual alveolar ridge defects with associated gingival mucosal atrophy and absence of interdental papillae are common in edentulous areas within the anterior esthetic zone of the maxilla. Normal emergence profiles, critical to achieving esthetic restorations, require restoration of normal hard and soft tissue morphology, including re-establishment of adjacent interdental papillae.

Author(s): Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS
View Article>>
Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results

Bone Augmentation of the Atrophic Posterior Mandible for Dental Implants Using rhBMP-2 and Titanium Mesh: Clinical Technique and Early Results
The purpose of the case series was to evaluate the use of recombinant human bone morphogenetic protein 2/acelluar collagen sponge (rhBMP-2/ACS) and titanium mesh for augmentation of the atrophic posterior mandible prior to implant insertion.

Author(s): Craig M Misch, DDS, MDS
View Article>>
Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports

Buccal Plate Regeneration with Immediate Postextraction Implant Placement and Restoration: Case Reports
In these reports, buccal bone plate regeneration was obtained through a flapless approach and immediate postextraction implant placement with a cancellous bone and collagen graft in the buccal gap.

Author(s): Alberto Maria Albiero, MD; Renato Benato, MD, DMD; Marco Degidi, MD, DDS
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·