EVALUATION OF PIEZO-ASSISTED RIDGE SPLITTING USING OSSEODENSIFICATION DRILLS IN NARROW ANTERIOR MAXILLA WITH SIMULTANEOUS IMPLANT PLACEMENT (CLINICAL TRIAL)

Document Type : Original Article

Authors

1 Oral and maxillofacial surgery department, faculty of dentistry, Alexandria university, Alexandria, Egypt

2 Oral and Maxillofacial Surgery department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

3 357 el guish gleem 151

Abstract

ABSTRACT
Background: One of the most effective methods for augmenting bone, particularly in the maxilla, is the alveolar ridge splitting technique.
Aim of the study: This study aimed to assess maxillary anterior ridge splitting using piezotome and osseodensification drills with immediate implant placement.
Material and Methods: Eight patients (12 dental implants) with a narrow anterior maxillary ridge without an undercut participated in this clinical study. They were given the assignment of ridge splitting in the anterior segment of the maxilla along with simultaneous implant insertion. Clinical evaluation was done to determine implant stability and the incidence of intra- or postoperative complications. Radiographic evaluation (CBCT), which uses on-demand software to determine bone density surrounding the implant and bone width gain at the crest of the bone, was done.
Results: All patients had uneventful wound healing, with the exception of one who had a malformed split and another who had a slight infection that was treated conservatively. Six months postoperatively, bone width was 17.56±10.75% wider than preoperatively, with a statistically significant difference (P value = 0.007*). After six months, there was a 40.56±10.86% increase in bone density, with a statistically significant difference (P value = 0.013*).
Conclusion: Alveolar ridge splitting using piezotome and osseodensification drills with immediate implant placement appears to be efficient in the treatment of narrow anterior maxillary ridges with less time-consuming.

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Alexandria Dental Journal
Volume 50, Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
August 2025
Pages 17-23

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