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The Segmental Ridge‐Split Procedure
Author(s) -
Coatoam Gary W.,
Mariotti Angelo
Publication year - 2003
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2003.74.5.757
Subject(s) - ridge , medicine , iliac crest , bone grafting , dentistry , crest , orthodontics , surgery , geology , paleontology , physics , quantum mechanics
This report details surgical procedures for ridge expansion by means of splitting the crest of an edentulous ridge. Atrophic bony ridges present a unique challenge to the dental implant surgeon. In the past, onlay grafts of bone harvested from the hip, maxillary tuberosity, symphysis of the chin, or external oblique ridge have all been used with success in reconstruction of atrophic ridges. However, bone onlay grafting procedures require a secondary surgical site, which exhibits typical postoperative morbidity associated with bone harvesting performed with chisels and burs. Additionally, onlay grafts often require a healing period of 6 months to a year before dental implants can be placed, and the onlay graft sometimes fails to fuse to the augmented site. The segmental ridge‐split procedure provides a quicker method wherein an atrophic ridge can be predictably expanded and grafted with bone allograft, eliminating the need for a second surgical site . J Periodontol 2003;74:757‐770.