The advances in oral surgery allowed us to compensate for the anatomical loss which arise from several diseases and cause negative clinical conditions to implant rehabilitation. Among pre-implant techniques there is the split crest: through expanders, it makes rehabilitation possible when the reduced crestal width could be an obstacle
TECHNIQUE:
The expansion technique involves separation of the two cortical parts with prior preparation of the mucoperiosteal flap.
More specifically, the flap is traced with a scalpel and then an osteotomy is performed using sharp-pointed chisels, which create joints to release the forces related to surgery.
Then, with greater osteotomes, we will create a green wood fracture which will increase the transverse diameter of the apical crestal region.
Finally, the alveolus can be prepared for implant fixture insertion.
|
||
|
After flap tracing and separation of the two cortical parts of the crestal bone through expanders, six immediate-load implants were inserted. CONCLUSIONS: Clinical and radiographic examinations two months after loading confirm the therapeutic success.
Congresso Nazionale dei Docenti di Discipline Odontostomatologiche e Chirurgia Maxillo Facciale
Firenze – Siena, 14-16 Aprile 2011
Università degli Studi di Bari Dipartimento di Odontostomatologia e Chirurgia
Direttore: Prof.ssa D. DE VITO
Calabrodental S.r.l. Unità Operativa di Chirurgia Maxillo-Facciale Regione Calabria – Crotone Dir. San: Dott. M. W. Marrelli
AUTHORS
F.Inchingolo, F. Simeone , G. Dipalma, A. D. Inchingolo, M. Marrelli, A.M. Inchingolo, A. Palladino, M. De Carolis, F. Schinco, F. Carbotti