Rehabilitation of Horizontal Insufficiency of the Maxillary Alveolar Crest by Two-Step Ridge Split Horizontal Alveolar Expansion: A Case Report

Year 2024, Volume: 11 Issue: 1, 63 - 68, 26.04.2024

Olgun Topal , Muhammet Yasin Pektas , Nur Pektaş

https://doi.org/10.15311/selcukdentj.1248453

Abstract

Abstract:
In implant surgery, it is very important to have healthy bone tissue of 1.5-2 mm around the implant. In order to apply an implant with 1.5-2 mm healthy peri-implant bone, the alveolar bone with a width of less than 5 mm must be expanded. Among the techniques introduced for horizontal expansion of the alveolar crest, the alveolar ridge split technique has proven to be a valid procedure. After the bone is expanded in the appropriate size with the ridge split technique, it is either grafted with bone graft (two-stage) or the implant is placed at the same appointment (single stage). The single-stage ridge split horizontal alveolar expansion method has rare complications such as resorption of the alveolar bone in the implanted area, non-osteintegration of the implant, and infection in the operation area. The two-stage technique, on the other hand, minimizes these risks and provides a safer surgical procedure.

Keywords

Alveoler Kemik Atrofisi, Alveoler Rezorpsiyon, Alveoler Kemik Grefti, Oral Cerrahi

Ethical Statement

This article is not the version of a presentation. This article has not been prepared on the basis of a master’s/ doctoral thesis. It is declared that during the preparation process of this study, scientific and ethical principles were followed and all the studies benefited are stated in the bibliography.

Maksiller Alveol Kretin Horizontal Yetersizliğinin İki Aşamalı Kret Split Horizontal Alveolar Genişletme Yöntemiyle Rehabilitasyonu: Bir Olgu Sunumu

Abstract

İmplant cerrahisinde implant çevresi 1.5-2 mm'lik sağlıklı kemik dokunun bulunması oldukça önemlidir. İmplant çevresi 1.5-2 mm'lik sağlıklı kemiğe sahip bir implantı uygulayabilmek için 5 mm’den az genişliği bulunan alveoler kemiğinin genişletilmesi gerekmektedir. Alveolar kretin horizontal genişletilmesi için tanıtılan teknikler arasında olan alveoler kret split tekniğinin geçerli bir prosedür olduğu kanıtlanmıştır ve implantların yerleştirilmesini takiben %98 ila %100'lük bir hayatta kalma oranı bildirilmiştir. Kret split tekniği ile uygun boyutta kemik genişletilmesi yapıldıktan sonra ya kemik grefti ile greftlenir (iki aşamalı) veya aynı randevuda implant yerleştirilir (tek aşamalı). Tek aşamalı kret split horizontal alveolar genişletme yönteminin implant yerleştirilmiş bölgedeki alveolar kemikte rezorpsiyon, implantın osteoentegre olmaması ve operasyon alanında enfeksiyon oluşması gibi az görülen komplikasyon riskleri mevcuttur. İki aşamalı teknik ise bu riskler en aza indirilerek daha güvenli bir cerrahi işlem imkânı tanır. Bu cerrahide operasyon tekniğinin yanında hasta kooperasyonunun ve ağız hijyeninin de iyi olması cerrahinin başarılı olmasında önemli bir rol almaktadır.

Keywords

Alveoler Kemik Atrofisi, Alveoler Rezorpsiyon, Alveoler Kemik Grefti, Oral Cerrahi

Ethical Statement

Bu makale, sempozyum ya da kongrede sunulan bir tebliğin içeriği geliştirilerek ve kısmen değiştirilerek üretilmemiştir. Bu çalışma, yüksek lisans ya da doktora tezi esas alınarak hazırlanmamıştır. Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

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