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.




CLINICAL CASE:
The clinical case is a 47 -year-old female patient with a resin mobile prosthesis, 3,5 mm bone width and 16-13 mm bone height, as proved by the 3D model.



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

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