Lateral ridge expansion for narrow alveolar ridges in implants
Journal name: World Journal of Pharmaceutical Research
Original article title: Lateral ridge expansion to augment narrow alveolar ridges for immediate implant placement
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.
Original source:
This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.
Dr. Vikramkumar Rathod, Dr. Nikita Mehta, Dr. Rasika Bomdyal, Dr. Ashwini Kale, Dr. Sagar Ingole, Dr. Pravin Gaikwad and Dr. Pratik C. Parkarwar
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Lateral ridge expansion to augment narrow alveolar ridges for immediate implant placement
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20217-20802
Download the PDF file of the original publication
Summary of article contents:
Introduction
Dental rehabilitation using implants has gained popularity in recent decades, as patients increasingly prefer fixed prosthetics over removable dentures for aesthetic and functional reasons. The success of dental implants hinges on various factors, including sufficient bone volume. Following tooth loss, significant horizontal bone resorption occurs, often requiring reconstructions to ensure adequate width for implant placement. Various surgical techniques exist for augmenting bone volume, with ridge splitting emerging as a promising approach for atrophic ridges.
Ridge Expansion Techniques
Ridge splitting techniques, including bone expansion and osteotome protocols, were first developed in the 1970s. These methods are designed to expand the narrow alveolar ridge for implant placement without the need for grafting. By utilizing expansion screws of increasing diameter, practitioners can achieve uniform bone expansion, thereby creating adequate space for implants. This approach is considered less invasive and quicker than traditional grafting techniques, as it requires no additional donor sites or barrier membranes, thus minimizing patient morbidity and treatment time.
Clinical Outcomes and Assessment
The clinical study detailed the outcomes of ridge splitting for immediate implant placement in 20 patients with atrophic alveolar ridges. Key assessments included measuring bone width pre- and post-operatively using Cone Beam Computed Tomography (CBCT) and evaluating implant stability through clinical metrics such as pain, paresthesia, and radiographic analysis. The results showed a statistically significant increase in bone width, allowing for successful implant placements in both the maxilla and mandible, with an overall clinical success rate of 85%.
Pain Management and Complications
Celebrity challenges of ridge splitting procedures include potential pain and sensory disturbances. In the study, the majority of patients reported minimal to no pain post-procedure, measured using a Visual Analogue Scale (VAS), with a small percentage experiencing mild discomfort. Although transient paresthesia occurred in two cases, it subsided within a year. These findings support the assertion that ridge expansion is generally a painless procedure when performed correctly.
Conclusion
The study concluded that ridge splitting followed by immediate implant placement is a viable and effective technique for patients with inadequate alveolar width. The method demonstrated a predictable success rate and significantly increased bone width while minimizing patient discomfort and complications. Ridge splitting offers a practical alternative to more complex grafting methods, emphasizing the importance of thorough patient evaluation and selection to optimize surgical outcomes. This minimally invasive approach represents a promising advance in dental implantology, making it an attractive option for many clinicians and patients alike.
FAQ section (important questions/answers):
What is the objective of the lateral ridge expansion study?
The study aims to assess the radiographical bone width and clinical results of implant stability following the vertical ridge splitting technique for immediate implant placement.
What is ridge splitting and how is it performed?
Ridge splitting is a surgical technique that expands the alveolar ridge. It involves making an incision, performing horizontal osteotomy, and using cylindroconical expansion screws to achieve desired bone width for implant placement.
What criteria were used for patient selection in the study?
Patients aged 21-65 with partial edentulous ridges having an alveolar ridge width of 3mm to 5mm and sufficient height were included. Exclusions included chronic smokers and medically compromised patients.
What were the key findings regarding bone width after the procedure?
The study found a statistically significant increase in bone width postoperatively, achieving a mean expansion of approximately 1.98mm after the ridge expansion technique.
What complications or side effects were observed during the study?
The most significant findings were mild pain and paresthesia. The majority of patients experienced no pain, while paresthesia was temporarily noted in two cases but subsided after follow-up.
What are the overall conclusions of the ridge split technique study?
The study concluded that simultaneous implant placement after ridge splitting is predictably successful, minimally invasive, cost-effective, and eliminates the need for more traumatic bone-grafting methods.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Lateral ridge expansion for narrow alveolar ridges in implants”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The term 'study' refers to the comprehensive investigation into the effectiveness of lateral ridge expansion techniques in enhancing bone width for implant placement. This research is crucial for understanding the success rates, methodologies, and outcomes associated with dental implants, particularly in patients with atrophic alveolar ridges. The results can help refine clinical practices in dentistry.
2) Splitting:
'Splitting' pertains to the ridge splitting technique used in dental implantology. It involves a controlled fracture of the bone to expand an atrophic ridge, allowing ample space for implant insertion. This minimally invasive procedure reduces the need for additional grafting and speeds up patient recovery, demonstrating its significance in modern dentistry.
3) Post:
'Post' refers to the phase following the surgical procedure, specifically when evaluating outcomes such as pain, bone stability, and overall healing after ridge expansion and implant placement. Evaluating postoperative results is critical for determining the success of dental interventions and ensuring patient safety and satisfaction in oral rehabilitation.
4) Grafting:
'Grafting' in this context relates to bone grafting, a surgical procedure used to augment insufficient bone in implant sites. Although ridge splitting minimizes the need for grafting techniques, understanding grafting's role is essential in cases where additional bone support is necessary, highlighting the method's adaptability and comprehensiveness in implant dentistry.
5) Solapur:
'Solapur' is the location of PDU Dental College, where the study was conducted. It signifies the regional context of the research, potentially reflecting the population's demographics, oral health challenges, and specific clinical practices found within that geographic area, which can influence the study's applicability and outreach in dental health improvements.
6) Table:
'Table' represents the method of data presentation within the study. Tables summarize key findings, demographics, and statistical analyses, making complex data more accessible and interpretable. Effective use of tables enhances clarity in communicating results and supporting claims, thus elevating the overall quality of the research documentation.
7) Pain:
'Pain' is an essential consideration in evaluating patient comfort and the effectiveness of dental procedures. The study assesses pain levels post-surgery using a visual analog scale, reflecting the procedure's invasiveness and success. Understanding pain management in dental practices is vital for improving patient experiences and outcomes.
8) Summer:
'Summer' refers to Dr. Summer, who popularized the technique of bone expansion screws in 1994. His work is pivotal to the development of modern methods for expanding narrow alveolar ridges while placing implants, underlining the importance of innovation in dentistry for enhancing patient care and successful implant outcomes.
9) Male:
'Male' is a demographic descriptor indicating the gender of participants in the study. Understanding gender distribution is necessary to identify any potential differences in treatment outcomes and preferences, leading to better-targeted approaches in providing dental care and tailoring treatments to diverse patient needs.
10) Medicine:
'Medicine' pertains to the broader field within which this dental study is situated. The integration of surgical techniques in dentistry exemplifies the interdisciplinary nature of healthcare. Advancements in oral medicine, such as this research, contribute to overall patient health and wellness, emphasizing the importance of evidence-based practices.
11) Surrounding:
'Surrounding' refers to the bone structure surrounding dental implants. Adequate surrounding bone width is crucial for stable implant integration, preventing complications like implant failure. The study focuses on techniques that ensure sufficient surrounding bone, underscoring the importance of biological principles in dental implantology and patient-specific treatment planning.
12) Discussion:
'Discussion' is a vital component of research where findings are interpreted, compared with existing literature, and implications for clinical practice are explored. It allows for critical analysis and reflection upon the study's outcomes, collaborative knowledge sharing, and can guide future research directions in the field of dental implants.
13) Training:
'Training' encompasses the education and skill development required for practitioners to competently perform complex procedures like ridge splitting. Continuous professional development in innovative dental techniques is essential for maintaining high standards of care, improving patient outcomes, and adapting to the evolving landscape of dental medicine.
14) Incision:
'Incision' refers to the surgical cut made during the ridge splitting procedure. The technique, carefully planned and executed, is paramount to minimizing postoperative complications and ensuring optimal healing. Understanding incisional techniques is crucial in achieving successful outcomes in oral surgery, particularly in enhancing implant placement viability.
15) Hygiene (Hygienic):
'Hygiene' emphasizes the importance of maintaining oral cleanliness before and after dental procedures. Good oral hygiene is fundamental to preventing infections and promoting overall oral health, especially during recovery after procedures like ridge expansion and implant placement, reinforcing the critical role of patient education in dental care.
16) Rasika (Rashika):
'Rasika' refers to one of the co-authors of the study, highlighting the collaborative effort involved in the research. Individual contributions from various professionals underscore the interdisciplinary nature of dental studies, reflecting a team approach that fosters innovative solutions in addressing complex challenges in implant dentistry.
17) Desire:
'Desire' signifies the motivation patients have for fixed dental prosthetics, motivating the exploration of immediate implant placement techniques. Understanding patient desire aids healthcare providers in aligning treatment options with patient expectations, enhancing satisfaction, and supporting the overall success of dental rehabilitation efforts.
18) Sagar (Sagár):
'Sagar' refers to one of the authors contributing to the study. His involvement, alongside other professionals, exemplifies the collaborative nature of research, emphasizing the importance of diverse insights and expertise in advancing knowledge and clinical practices in modern dentistry.
19) Food:
'Food' relates to one of the primary functions of the dental structures and the significance of dental health in masticating food effectively. The ability to eat comfortably and efficiently links directly to the importance of implant technology in restoring oral function and enhancing the quality of life for patients.
20) Line:
'Line' can refer to the osteotomy line, critical in the ridge splitting procedure. Proper alignment ensures the successful expansion of narrow alveolar ridges and optimal implant placement. Precision in surgical techniques is essential for achieving desired outcomes and minimizing risks in dental surgery.
21) Life:
'Life' represents the broader context of the study's importance, reflecting the impact of dental health on the overall quality of life. Successful implant placement improves individuals' functional abilities and aesthetic appearances, emphasizing the goal of enhancing both health and happiness through effective dental interventions.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Lateral ridge expansion for narrow alveolar ridges in implants’. Further sources in the context of Science might help you critically compare this page with similair documents: