Journal of Indian Society of Periodontology (Jan 2017)

Horizontal alveolar ridge expansion followed by immediate placement of implants and rehabilitation with zirconia prosthesis

  • Tatiana Miranda Deliberador,
  • Thalyta Verbicaro,
  • Leonel Minerva,
  • Rafaela Scariot,
  • Allan Fernando Giovanini,
  • João Césa Zielak

DOI
https://doi.org/10.4103/jisp.jisp_211_17
Journal volume & issue
Vol. 21, no. 5
pp. 417 – 421

Abstract

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In recent years, there have been a growing number of procedures involving dental implants. Most cases, though, are characterized by bone atrophy, especially horizontal atrophy. This clinical case aims to report a technique for the expansion of the horizontal alveolar ridge. A longitudinal fracture was created in the alveolar ridge to expand the bone, followed by immediate insertion of dental implants along with a particulate allogeneic bone graft. Eight implants were placed in the maxilla, and after 12 months, a surgical reopening was performed, along with rehabilitation with a protocol-type prosthesis, for which a zirconia infrastructure was made. The patient was observed during a 10-month follow-up period in which an effective osseointegration of all implants was achieved as a result of such a technique. The split-crest technique followed by the immediate placement of implants and a particulate allogeneic bone graft proved to be effective, with a predictable osseointegration.

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