Implant treatment in a patient with horizontal bone deficiency in the maxilla; A case report

Yıl 2024, Cilt: 5 Sayı: 2, 22 - 28, 31.12.2024

Nazlı Hilal Kahraman , Abdalrahım Husseın

https://izlik.org/JA59UP34WF

Öz

Dental implants planned for patients with missing teeth can be applied if there is sufficient vertical and horizontal distance in the bone. In cases where implant prosthetic treatment will be performed but there is not enough bone, bone augmentation operations are required before implant. In this case, it was aimed to increase the bone volume by augmentation using the alveolar ridge split technique and to place the implants with primary stability in a patient with horizontal bone deficiency. During the operation, the ridge split technique was used in combination with onlay grafting, implants were placed with primary stability, and oral rehabilitation of the patient was provided with prosthetic treatment. In the patient follow-up, the implants were successfully osteointegrated and no bone resorption was observed. In conclusion, ridge split technique can be used to expand the bone in a patient with horizontal bone deficiency and a successful implant treatment can be achieved.

Anahtar Kelimeler

Dental implant , ridge split , horizontal bone deficiency

Maksillada horizontal kemik yetersizliği bulunan hastada implant tedavisi; Bir olgu sunumu

https://izlik.org/JA59UP34WF

Öz

Diş eksikliği bulunan hastalara yapılması planlanan dental implantlar, kemikte yeterli vertikal ve horizontal mesafe mevcutsa uygulanabilir. İmplant üstü protetik tedavi yapılacak ancak, yeterli kemiğin bulunmadığı durumlarda implant öncesi kemik augmentasyonu operasyonları gerekmektedir. Bu vakada horizontal kemik yetersizliği bulunan hastada alveolar kret split tekniği kullanılarak yapılan augmentasyonla kemik hacmini arttırmak ve implantların primer stabilite alınarak yerleştirilmesi amaçlanmıştır. Operasyon sırasında kret split tekniği onley greftleme ile birlikte kullanılmış, primer stabilite alınarak implantlar yerleştirilmiş, protetik tedavisiyle hastanın oral rehabilitasyonu sağlanmıştır. Hasta takibinde implantlar başarılı bir şekilde osteointegre olmuş, kemikte herhangi bir rezorpsiyon görülmemiştir. Sonuç olarak horizontal kemik yetersizliği bulunan hastada kemiği genişletmek amacıyla kret split tekniği kullanılabilir ve başarılı bir implant tedavisi sağlanabilir.

Anahtar Kelimeler

Dental implant , kret split , horizontal kemik yetersizliği

Etik Beyan

Makaleyle ilgili çalışmalar yapılırken kanuna aykırı herhangi bir malzeme ve yöntem kullanmadığımı, çalışma ile ilgili tüm yasal izinleri aldığımı ve etik kurallara uygun hareket ettiğimi kabul ve beyan ederim

Destekleyen Kurum

-

Teşekkür

-

Kaynakça

• 1. Murrell GA. Esthetics and the edentulous patient. J Am Dent Assoc. 1988;117(4):57E-63E. 2. Kolte A, Kolte R, Bawankar P, et al. Comprehensive Classification System for Localized Alveolar Bone Deficiencies in Treatment Planning for Dental Implants: A Proposed Classification and Prevalence Study. Cureus. 2024;16(8):e67769. Published 2024 Aug 25. doi:10.7759/cureus.67769
• 3. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009;2009(4):CD003607. Published 2009 Oct 7. doi:10.1002/14651858.CD003607.pub4
• 4. Cordaro L, Torsello F, Accorsi Ribeiro C, Liberatore M, Mirisola di Torresanto V. Inlay-onlay grafting for three-dimensional reconstruction of the posterior atrophic maxilla with mandibular bone. Int J Oral Maxillofac Surg. 2010;39(4):350-357. doi:10.1016/j.ijom.2010.02.016
• 5. Urban IA, Montero E, Amerio E, Palombo D, Monje A. Techniques on vertical ridge augmentation: Indications and effectiveness. Periodontol 2000. 2023;93(1):153-182. doi:10.1111/prd.12471
• 6. Elnayef B, Monje A, Lin GH, et al. Alveolar ridge split on horizontal bone augmentation: a systematic review. Int J Oral Maxillofac Implants. 2015;30(3):596-606. doi:10.11607/jomi.4051
• 7. Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent 1992;12:462–473.
• 8. Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: A five-year study. Int J Periodontics Restorative Dent 1994;14:451–459.
• 9. Blus C, Szmukler-Moncler S. Split-crest and immediate implant placement with ultra-sonic bone surgery: A 3-year life-table analysis with 230 treated sites. Clin Oral Implants Res 2006;17:700–707.
• 10. Anitua E, Begoña L, Orive G. Clinical evaluation of split-crest technique with ultrasonic bone surgery for narrow ridge expansion: status of soft and hard tissues and implant success. Clin Implant Dent Relat Res. 2013;15(2):176-187. doi:10.1111/j.1708-8208.2011.00340.x
• 11. Chiapasco M, Ferrini F, Casentini P, Accardi S, Zaniboni M. Dental implants placed in expanded narrow edentulous ridges with the Extension Crest device. A 1-3-year multicenter follow-up study. Clin Oral Implants Res. 2006;17(3):265-272. doi:10.1111/j.1600-0501.2005.01196.x
• 12. Milinkovic I, Cordaro L. Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Surg. 2014;43(5):606-625. doi:10.1016/j.ijom.2013.12.004