International Journal of Oral Implantology & Clinical Research

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VOLUME 3 , ISSUE 1 ( January-April, 2012 ) > List of Articles

CASE REPORT

Piezosurgical Mandibular Ridge Expansion for Immediate Implant Placement

Nettemu Sunil Kumar, Sowmya Nettem

Citation Information : Kumar NS, Nettem S. Piezosurgical Mandibular Ridge Expansion for Immediate Implant Placement. Int J Oral Implantol Clin Res 2012; 3 (1):47-50.

DOI: 10.5005/JP-Journals-10012-1065

License: CC BY-ND 4.0

Published Online: 00-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Edentulism of a long standing nature leading to severe alveolar ridge atrophy with a resultant thin ridge often pose a great challenge to the clinicians for rendering implant supported prosthesis in that region. The ideal treatment in such a scenario will be the ridge expansion procedure for achieving an increase in the available bone volume at the implantation site. The space thus created between the bony walls renders an ideal regenerative and implant-integrating condition. The use of a piezosurgical device for performing a piezoelectric alveolar ridge expansion procedure permits a precise and tactile controlled osteotomy facilitating implant placement in anatomic situations previously impossible in a single stage surgical procedure. This case report demonstrates the ease of mandibular ridge splitting with the use of piezosurgical principle facilitating immediate implant placement in a severely resorbed thin edentulous alveolar ridge.


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  1. Garber DA, Belser UC. Restoration-driven implant placement with restoration-generated site development. Compend Contin Educ Dent 1995;16:796.
  2. Garber DA. The esthetic dental implant: Letting restoration be the guide. J Oral Implantol 1996;22:45-50.
  3. Sadan A, Blatz MB, Salinas TJ, et al. Single-implant restorations: A contemporary approach for achieving a predictable outcome. J Oral Maxillofac Surg 2004;62:73-81.
  4. Zadeh HH. Implant site development: Clinical realities of today and the prospects of tissue engineering. J Calif Dent Assoc 2004;32:1011-20.
  5. Sclar AG. Strategies for management of single-tooth extraction sites in aesthetic implant therapy. J Oral Maxillofac Surg 2004;62:90-105.
  6. Vercellotti T. Piezoelectric surgery in implantology: A case report—a new piezoelectric ridge expansion technique. Int J Periodontics Restorative Dent 2000;20:359-65.
  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;12:462-73.
  8. Summers RB. A new concept in maxillary implant surgery: The osteotome technique. Compendium 1994;15:152.
  9. Scipioni A, Bruschi GB, Calesini G. The edentulous ridge expansion technique: A five-year study. Int J Periodontics Restorative Dent 1994;14:451-59.
  10. Engelke WG, Diederichs CG, Jacobs HG, et al. Alveolar reconstruction with splitting osteotomy and microfixation of implants. Int J Oral Maxillofac Implants 1997;12:310-18.
  11. Bruschi GB, Scipioni A, Calesini G, et al. Localized management of sinus floor with simultaneous implant placement: A clinical report. Int J Oral Maxillofac Implants 1998;3:219-26.
  12. Sethi A, Kaus T. Maxillary ridge expansion with simultaneous implant placement: A 5-year result of an ongoing clinical study. Int J Oral Maxillofac Implants 2000;5:491-99.
  13. Palti A. Ridge splitting and implant techniques for the anterior maxilla [Interview]. Dent Implantol Update 2003;14:25-32.
  14. Guirado JL, Yuguero MR, Carrion del Valle MJ, et al. A maxillary ridge-splitting technique followed by immediate placement of implants: A case report. Implant Dent 2005;14: 14-20.
  15. Strietzel FP, Nowak M, Kuchler I, et al. Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: Results of a retrospective study. Clin Oral Implants Res 2002;13:508-13.
  16. Summers RB. The osteotome technique (Part 2)—the ridge expansion osteotomy (REO) procedure. Compendium 1994;15:422-26.
  17. Summers RB. The osteotome technique (Part 3)—Less invasive methods of elevating the sinus floor. Compendium 1994;15: 698-704.
  18. Albrektsson T, Zarb GA, Worthington P, Eriksson AR. The longterm efficacy of currently used dental implants. A review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  19. Adell R, Lekholm U, Grondahl K, Branemark, Lindstrom J, Jacobsson M. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants 1990;5:233-46.
  20. Nevins N, Langer B. The successful application of osseointegrated implants to the posterior jaw: A long-term retrospective study. Int J Oral Maxillofac Implants 1993;8: 428-32.
  21. Cawood JI, Howell RA. A classification of the edentulous jaws. Int J Oral Maxillofac Implants 1988;17:232-36.
  22. Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatol 2004;53:207-14.
  23. Schlee, Markus, Steigmann, Marius Dr. medic stom, Bratu, Emanuel, Garg, Arun K. Piezosurgery: Basics and possibilities. Implant Dentistry Dec 2006;15(4):334-40.
  24. Sohn DS. Piezoelectric ridge splitting. Dent Success 2003;11:1323-28.
  25. Quirynen M, Van Steenberghe D. Bacterial colonization of the internal part of two-stage implants: An in vivo study. Clin Oral Impl Res 1994;5:239.
  26. Proff P, Steinmetz I, Bayerlein T, Dietze S, Fanghänel J, Gedrange T. Bacterial colonization of interior implant threads with and without sealing. Folia Morphol (Warsz) 2006;65: 75-77.
  27. King GN, Hermann JS, Schoolfield JD, et al. Influence of the size of microgap on crestal bone changes around titanium implants: A histometric evaluation of unloaded nonsubmerged implants in the canine mandible. J Periodontol 2001;72: 1372-83.
  28. Leonhardt A, Olsson J, Dahlén G. Bacterial colonization on titanium, hydroxyapatite, and amalgam surfaces in vivo. J Dent Res 1995;74:1607.
  29. Tanner A, Maiden MJF, Lee k, Shulman LB, Weber HP. Dental implant infections. Clinical Infectious Diseases 1997;25(2): S213-17.
  30. Bollen CM, Papaioanno W, Van Eldere J, Schepers E, Quirynen M, van Steenberghe D. The influence of abutment surface roughness on plaque accumulation and peri-implant mucositis. Clin Oral Implants Res 1996;7:201-11.
  31. Rimondini L, Cerroni L, Carrassi A, Torricelli P. Bacterial colonization of zirconia ceramic surfaces: An in vitro and in vivo study Int J Oral Maxillofac Implants 2002;17:793-98.
  32. Scarano A, Piattelli M, Caputi S, Favero GA, Piattelli A. Bacterial adhesion on commercially pure titanium and zirconium oxide disks: An in vivo human study. J Periodontol 2004;75: 292-96.
  33. Scotti R, Kantorski KZ, Monaco C, Valandro LF, Ciocca L, Bottino MA. SEM evaluation of in situ early bacterial colonization on a Y-TZP ceramic: A pilot study. Int J Prosthodont 2007;20:419-22.
  34. Meier R, Hauser-Gerspach I, Lüthy H, Meyer J. Adhesion of oral streptococci to all-ceramics dental restorative materials in vitro. J Mater Sci Mater Med 2008;19:3249-53.
  35. Rosentritt M, Behr M, Burgers R, Feilzer AJ, Hahnel S. In vitro adherence of oral streptococci to zirconia core and veneering glass-ceramics. J Biomed Mater Res B Appl Biomater 2009;91:257-63.
  36. Glauser R, Sailer I, Wohlwend A, Studer S, Schibli M, Schärer P. Experimental zirconia abutments for implant-supported single- tooth restorations in esthetically demanding regions: Four-year results of a prospective clinical study. Int J Prosthodont 2004;17:285-90.
  37. Canullo L. Clinical outcome study of customized zirconia abutments for single-implant restorations. Int J Prosthodont 2007;20:489-93.
  38. Zembic A, Sailer I, Jung RE, Hämmerle CH. Randomizedcontrolled clinical trial of customized zirconia and titanium implant abutments for single-tooth implants in canine and posterior regions: Three-year results. Clin Oral Implants Res 2009;20:802-08.
  39. Beck TM, Mealey BL. Histologic analysis of healing after tooth extraction with ridge preservation using mineralized human bone allograft. J Periodontol Dec 2010;81(12):1765-72.
  40. Carmagnola D, Berglundh T, Araújo M, Albrektsson T, Lindhe J. Bone healing around implants placed in a jaw defect augmented with Bio-Oss. An experimental study in dogs. J Clin Periodontol Nov 2000;27(11):799-805.
  41. Artzi Z, Tal H, Dayan D. Porous bovine bone mineral in healing of human extraction sockets. Part 1: Histomorphometric evaluations at 9 months. J Periodontol 2000;71:1015-23.
  42. Allegrini S Jr, Koening B Jr, Allegrini MR, Yoshimoto M, Gedrange T, Fanghaenel J, Lipski M. Alveolar ridge sockets preservation with bone grafting-review. Ann Acad Med Stetin 2008;54(1):70-81.
  43. Guarnieri R, Aldini NN, et al. Medical-grade calcium sulfate hemihydrate (surgiplaster) in healing of a human extraction socket-histologic observation at 3 months: A case report. Int J Oral Maxillofac Implants 2005;20(4):636-41.
  44. Fiorellini JP, Nevins ML. Localized ridge augmentation/ preservation. A systematic review. Ann Periodontol 2003; 8(1):321-27.
  45. Misch CE. Contemporary implant dentistry (2nd ed). St Louis: Mosby Inc. 1999;462.
  46. Kim YK, Yun PY, Lee HJ, Ahn JY, Kim SG. Ridge preservation of the molar extraction socket using collagen sponge and xenogenic bone grafts. Implant Dent Aug 2011;20(4):267-72.
  47. Len Tolstunov, Jibin Chi. Alveolar ridge augmentation: comparison of two socket graft materials in implant cases. Compend Cont Edu, March 2011;32(2).
  48. Brunski JB. Forces on dental implants and interfacial stress transfer. In: Laney WR, Tolman DE (Eds). Tissue Integration in Oral, Orthopaedic and Maxillofacial Reconstruction. Chicago: Quintessence 1992:108-24.
  49. Brunski JB. Avoiding pitfalls in overloading and micromotions of intraosseous implants (Interview). Dent Implantol Update 1993;4(10):77-81.
  50. Tarnow D, Elian N, Fletcher P, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol 2003;74:1785-88.
  51. Ericsson J, Persson LG. Different types of implant-associated reactions in periodontal soft tissues. J Clin Periodont 1995; 22:255-61.
  52. Steinebrunner L, Wolfart S. In vitro evaluation of bacterial leakage along the implant of different implant abutment interface of different implant systems. Int J Oral Maxillofac Implants 2005;20:875-81.
  53. Engelke W, Decco OA. In vitro evaluation of horizontal implant micromovement in bone specimen with contact endoscopy. Implant Dent 2004;13:88-94.
  54. Hermann J, Buser D, Schenk RK, Schoolfield JD. Influence of the size of the microgap on crestal bone changes around titanium implants: A histometric evaluation of unloaded non-submerged implants in canine mandible. J Periodontol 2001;72:1372-83.
  55. Hermann JS, Buser D, Schenk RK, et al. Crestal bone changes around titanium implants: A histometric evaluation of unloaded non-submerged and submerged implants in the canine mandible. J Peridontol 2000;71:1412-24.
  56. Wohrle PS. Nobel perfect esthetic scalloped implant: Rationale for a new design. Clin Implant Dent Relat Res 2003;5:64-73.
  57. Nentwig GH. Ankylos implant system: Concept and clinical application. J Oral Implantol 2004;30:171-77.
  58. Gardener D. Maintaining crestal bone around dental implants: Literature review and clinical technique. Dentistry Today 2006.
  59. Tonetti MS, Sanz M. Consensus report of session B. In: Lang N, Karring T, Lindhe J. Proceedings of the 3rd European Workshop on Periodontology and Implant Dentistry. Berlin: Quintessence 1999:185-88.
  60. Huang MT, Ho CT, Wang ZY, Ferraro T, Lou YR, Stauber K, Ma W, Georgiadis C, Laskin JD, Conney AH. Inhibition of skin tumorigenesis by rosemary and its constituents carnosol and ursolic acid. Cancer Res. 1994 Feb;54(3):701-708.
  61. Bernardes WA, Lucarini R, Tozatti MG, Souza MG, Silva ML, Filho AA, Martins CH, Crotti AE, Pauletti PM, Groppo M, et al. Antimicrobial activity of tosmarinus officinalis against oral pathogens: relevance of carnosic acid and carnosol. Chem Biodivers 2010 Jul;7(7):1835-1840.
  62. Parolia A, Thomas MS, Kundabala M, Mohan M. Propolis and its potential uses in oral health. Int J Med Sci 2010 Jul;2(7): 210-215.
  63. Oncag O, Cogulu D, Uzel A, Sorkun K. Efficacy of propolis as an intracanal medicament against Enerococcus faecalis. Gen Dent 2006 Sep-Oct:54(5):319-322.
  64. Martin MP, Pileggi R. A quantitative analysis of propolis: a promising new storage media following avulsion. Dent Traumatol 2004 Apr:20(2):85-89.
  65. Carbajal D, Casaco A, Arruzazabala L, Gonzalez R, Tolon Z. Pharmacological study of Cymbopogon citratus leaves. J Ethnopharmacol 1989 Feb;25(1):103-107.
  66. Sanches NR, Cortez DAG, Schiavini MS, Nakamura CV, Filho BPD. An evaluation of antibacterial activities of Psidium guajava. Braz Arch Biol Technol 2005 May;48(3):4229-4230.
  67. Sanda KA, Grema HA, Geidam YA, Bukar-Kolo YM. Pharmacological aspects of Psidium guajava: an update. Int J Pharmacol 2011 May;7:316-324.
  68. Menezes SM, Cordeiro LN, Viana GS. Punica grantum (pomegranate) extract is active against dental plaque. J Herb Pharmacother 2006;6(2):79-92.
  69. Vasconcelos LC, Sampaio FC, Sampaio MC, Pereira Mdo S, Higino JS, Peixoto MH. Minimum inhibitory concentration of adherence of punica granatum linn (pomegranate) gel against S. mutans, S. mitis and C albicans. Braz Dent J 2006;17(3): 223-227.
  70. Prasad D, Kunnaiah R. Punica granatum: a review on its potential role in treating periodontal disease. J Indian Soc Periodontol 2014 Jul;18(4):428-432.
  71. Sauvaire Y, Petit P, Baissac Y, Ribes G. Chemistry and pharmacology of fenugreek. In: Herbs, botanicals and teas. Mazza G, Oomah BD, editors. Lancaster, Pennsylvania: Technomic Pub. Co; 2000. p. 107-129.
  72. Acharya SN, Basu SK, Thomas JE. Methods for the improvement of plant medicinal properties with particular reference to fenugreek (Trigonella foenum-graecum L.). In: Acharya SN, Thomas JE, editors. Advances in medicinal plant research. Kerala, India: Research Signpost; 2007b p. 491-412.
  73. Al-Habori M, Raman A. Pharmacological properties in fenugreek. - In: Petropoulos GA, editor. The genus trigonella. 1st ed. London and New York: Taylor and Francis 2002. p. 163-182.
  74. Saini P, Al-Shibani N, Sun J, Zhang W, Song F, Gregson KS, Windsor LJ. Effects of calendula officinalis on human gingival fibroblasts. Homeopathy 2012 Apr;101(2):92-98.
  75. Khairnar MS, Pawar B, Marawar PPA. Evaluation of calendula officinalis as an anti-plaque and anti-gingivitis agent. J Indian Soc Periodontol 2013 Nov-Dec;17(6):741-747.
  76. Chakraborthy GS. Antimicrobial activity of leaf extract of calendula officinalis Linn. J Herb Med Toxicol 2008 Jun;2(2):65–66.
  77. Zilda CG, Claudia MR, Sandra RF. Antifungal activity of the essential oil from calendula officinalis L growing in Brazil. Braz J Microbiol 2008;39(1):61-63.
  78. Bussadori SK, Castro LC, Galvão AC. Papain gel: a new chemo-mechanical caries removal agent. J Clin Pediatr Dent 2005 Winter;30(2):115-119.
  79. Bertassoni LE, Marshall GW. Papain-gel degrades intact nonmineralized type I collagen fibrils. Scanning 2009 Nov- Dec;31(6):253-258.
  80. Moon SE, Kim HY, Cha JD. Synergistic effect between clove oil and its major compounds and antibiotics against oral bacteria. Arch Oral Biol 2011 Sep;56(9):907-916.
  81. Pinto E, Vale-Silva L, Cavaleiro C, Salgueiro L. Antifungal activity of the clove essential oil from Syzygium aromaticumon, candida, aspergillus and dermatophyte species. J Med Microbiol 2009 Nov;58(Pt 11):1454-1462.
  82. Olajide OA, Makinde JM, Awe SO. Evaluation of the pharmacological properties of nutmeg oil in rats and mice. Pharma Biol 2000;38(5):385-390.
  83. Thanoon SZ, Al-Refai AS, Kamal A. Antibacterial effect and healing potential of nutmeg oil for chemically induced oral ulcerations in rabbits. Zanco J Med Sci 2013;17(2): 393-399.
  84. Mitwally MF, Casper RF. Use of an aromatase inhibitor for induction of ovulation in patients with an inadequate response to clomiphene citrate. Fertil Steril 2001;75:305-09.
  85. Sammour A, Bijan MM, Tan SL, Tulandi T. Prospective randomised trial comparing the effects of letrazole (LE) and clomiphene citrate (CC) on follicular development, endometrial thickness and pregnancy rate in patients undergoing superovulation prior to intrauterine insemination (IUI). Fertil Steril 2001;76(Suppl 1):S110.
  86. Mitwally MF, Casper RF. Single-dose administration of an aromatase inhibitor for ovarian stimulation. Fertil Steril 2005;83:229-31.
  87. Fisher SA, Reid RL, Van Vugt DA, Casper RF. A randomized double-blind comparison of the effects of clomiphene citrate and the aromatase inhibitor letrozole on ovulatory function in normal women. Fertil Steril 2002;78:280-85.
  88. Fatemi HM, Kalibianakis E, Tournaye H, Camus M, Van Steirteghem AC, Devroey P. Clomiphene citrate vs letrozole for ovarian stimulation: A pilot study. Reprod Biomed Online 2003;7:543-46.
  89. Hu Y, Cortvrindt R, Smitz J. Effects of aromatase inhibition on in vitro follicle and oocyte development analyzed by early preantral mouse follicle culture. Mol Reprod Dev 2002;61: 549-59.
  90. Shetty G, Krishnamurthy H, Krishnamurthy HN, Bhatnagar S, Moudgal NR. Effect of estrogen deprivation on the reproductive physiology of male and female primates. J Steroid Biochem Mol Biol 1997;61:157-66.
  91. Mitwally MF, Casper RF. Aromatase inhibition reduces gonadotrophin dose required for controlled ovarian stimulation in women with unexplained infertility. Hum Reprod 2003;18:1588-97.
  92. Mitwally MF, Casper RF. Aromatase inhibition improves ovarian response to follicle-stimulating hormone in poor responders. Fertil Steril 2002;77:776-80.
  93. Goswami SK, Das T, Chattopadhyay R, Sawhney V, Kumar J, Chaudhury K, Chakravarty BN, Kabir SN. A randomized single blind controlled trial of letrozole as a low-cost IVF protocol in women with poor ovarian response: A preliminary report. Hum Reprod 2004;19:2031-35.
  94. Newkirk KM, Chandler HL, Parent AE, et al. Ultraviolet radiation-induced corneal degeneration in 129 mice. Toxicol Pathol 2007;35:819-26.
  95. Pettenati MJ, Sweatt AJ, Lantz P, et al. The human cornea has a high incidence of acquired chromosome abnormalities. Hum Genet 1997;101:26-29.
  96. Snibson GR. Collagen cross-linking: A new treatment paradigm in corneal disease—a review. Clin Experiment Ophthalmol 2010;38:141-53.
  97. Spoerl E, Raiskup-Wolf F, Kuhlisch E, Pillunat LE. Cigarette smoking is negatively associated with keratoconus. J Refract Surg 2008;24:S737-40.
  98. Rabinowitz YS, Nesburn AB, McDonnell PJ. Videokeratography of the fellow eye in unilateral keratoconus. Ophthalmology 1993;100:181-86.
  99. Goodrich DW, Lee WH. The molecular genetics of retinoblastoma. Cancer Surv 1990;9:529-54.
  100. Moodaley LC, Woodward EG, Liu CS, Buckley RJ. Life expectancy in keratoconus. Br J Ophthalmol 1992;76:590-91.
  101. Honein MA, Dawson AL, Petersen EE, Jones AM, Lee EH, Yazdy MM, Ahmad N, Macdonald J, Evert N, Bingham A, et al. Birth defects among fetuses and infants of US women with evidence of possible Zika virus infection during pregnancy. JAMA 2017 Jan 3;317(1):59-68.
  102. Chervenak FA, Jeanty P, Cantraine F, Chitkara U, Venus I, Berkowitz RL, Hobbins JC. The diagnosis of fetal microcephaly. Am J Obstet Gynecol 1984 Jul 1;149(5):512-517.
  103. Papageorghiou AT, Thilaganathan B, Bilardo CM, Ngu A, Malinger G, Herrera M, Salomon LJ, Riley LE, Copel JA. ISUOG Interim Guidance on ultrasound for Zika virus infection in pregnancy: information for healthcare professionals. Ultrasound Obstet Gynecol 2016 Apr;47(4):530-532.
  104. Chibueze EC, Parsons AJ, Lopes KD, Yo T, Swa T, Nagata C, Horita N, Morisaki N, Balogun OO, Dagvadorj A, et al. Diagnostic accuracy of ultrasound scanning for prenatal microcephaly in the context of Zika virus infection: a systematic review and meta-analysis. Sci Rep 2017 May 23;7(1):2310.
  105. Cordeiro MT. Zika virus: laboratory diagnosis. In: Zika in focus. Springer International Publishing; 2017. pp. 59-62.
  106. Mlakar J, Korva M, Tul N, Popović M, Poljšak-Prijatelj M, Mraz J, Kolenc M, Resman Rus K, Vesnaver Vipotnik T, Fabjan Vodušek V, et al. Zika virus associated with microcephaly. N Engl J Med 2016 Mar 10;374(10):951-958.
  107. Zare Mehrjardi M, Keshavarz E, Poretti A, Hazin AN. Neuroimaging findings of Zika virus infection: a review article. Jpn J Radiol 2016 Dec;34(12):765-770.
  108. Oliveira Melo AS, Malinger G, Ximenes R, Szejnfeld PO, Alves Sampaio S, Bispo de Filippis AM. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016 Jan;47(1):6-7.
  109. Araujo AQ, Silva MT, Araujo AP. Zika virus-associated neurological disorders: a review. Brain 2016;139(8):2122-2130.
  110. Brasil P, Pereira JP Jr, Moreira ME, Ribeiro Nogueira RM, Damasceno L, Wakimoto M, Rabello RS, Valderramos SG, Halai UA, Salles TS, et al. Zika virus infection in pregnant women in Rio de Janeiro. N Engl J Med 2016 Dec 15;375(24):2321-2334.
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