Alveolar Ridge Expansion by Osseodensification-Mediated Plastic Deformation and Compaction Autografting: A Multicenter Retrospective Study
| Autor: | Salah Huwais, Fadi K Hasan, William Trahan, Thomas C. Waldrop, Theofilos Koutouzis, Rodrigo Neiva |
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| Rok vydání: | 2019 |
| Předmět: |
Materials science
0206 medical engineering 02 engineering and technology Transplantation Autologous 03 medical and health sciences 0302 clinical medicine Alveolar ridge medicine Alveolar Process Humans Retrospective Studies Orthodontics Dental Implants geography geography.geographical_feature_category Alveolar process Dental Implantation Endosseous 030206 dentistry Alveolar Ridge Augmentation Implant stability quotient 020601 biomedical engineering Transplantation medicine.anatomical_structure Ridge Crest Implant Oral Surgery Plastics |
| Zdroj: | Implant dentistry. 28(4) |
| ISSN: | 1538-2982 |
| Popis: | INTRODUCTION Osseodensification preserves bone bulk, facilitates compaction autografting, and deforms trabecular bone in an outward strain, which result in alveolar ridge plastic expansion. The aim of this retrospective study was to evaluate ridge expansion after osseodensification. MATERIALS AND METHODS Patients treated with implant placement through osseodensification were evaluated. The alveolar ridge width was measured at the level of the crest and 10 mm apical to the crest before and after osseodensification. Insertion torque and implant stability quotient (ISQ) values were recorded at implant placements. Expansion values were grouped into the following 3 groups according to the initial alveolar ridge width: group 1: 3 to 4 mm (n = 9), group 2: 5 to 6 mm (n = 12), and group 3: 7 to 8 mm (n = 7). RESULTS Twenty-one patients who received 28 implants were included. Twenty-six implants were integrated, resulting in a survival rate of 92.8%. There was a significant difference in the mean expansion value at the coronal aspect of the ridge between group 1, group 2, and group 3 (2.83 ± 0.66 mm, 1.5 ± 0.97 mm, 1.14 ± 0.89 mm, P < 0.05). The mean torque and ISQ values were 61.2 ± 13.9 Ncm and 77 ± 3.74. CONCLUSION Osseodensification can alter ridge dimensions and allow for ridge expansion. Greater expansion can be expected at the crest in narrow ridges with adequate trabecular bone volume. |
| Databáze: | OpenAIRE |
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