Alveolar ridge expansion by implants with osteodistractive function: A clinical report

Alberto Maltagliati,Francesca Angiero,Franco Ferrante,Andrea Ottonello,Sergio Blasi

doi:10.15761/docr.1000184

Abstract

Alveolar ridge expansion by implants with osteodistractive function: A clinical report

Highlights

Osteointegrated implants are considered to date a solid prosthetic replacement for missing teeth, with a history of decades of predictability [1,2]
Consistent progress has been reported in the literature regarding the pre-implantation surgical techniques, often necessary, and regarding attempts to improve the initial anatomy of the edentulous ridge, usually suffering from atrophy and inadequacy to receive a dental implant [11]
The evolution of surgical techniques and the development of osteotomy prophylometric implant morphology have extended the indications of dental implants employment even in cases that were completely contraindicated from implants therapy in the past or the ones that were subject to several guided bone regeneration (GBR) procedures before implants placement [12]

Summary

Introduction

Osteointegrated implants are considered to date a solid prosthetic replacement for missing teeth, with a history of decades of predictability [1,2]. There are minimum dimensional requirements for horizontal width and vertical height of the alveolar ridge necessary for placement of a successful dental implant [4,5] In this latter regard, a protocol for a surgical technique that guarantees a reliable and optimal rehabilitation by dental implants prosthetics is yet to be developed. It has been confirmed that the implants should be inserted according to a precise prosthetic stent even in the absence of adequate bone support or with sub-ideal 3D skeletal relationships This modern approach by prosthetic dental implants assumes the necessity of having adequate bone width obtained by distraction, reconstruction or regeneration techniques and to surgically adjust the undesirable bone morphologic changes related to resorption following the loss of teeth [13,14]. It is feasible for a dental implant team to plan and implement adequate ridge volume and morphology for optimum implant insertion [15]

Objectives

Methods

Results