1Professor, Department of prosthodontics and implantology, D.J. College of Dental Sciences and Research, Modinagar-201204, Uttar Pradesh, India.
2Professor and Head, Department of conservative dentistry and endodontics, D.J. College of Dental Sciences and Research, Modinagar-201204, Uttar Pradesh, India.
3Professor and Head, Department of prosthodontics and implantology, D.J. College of Dental Sciences and Research, Modinagar-201204, Uttar Pradesh, India.
4Postgraduate Student, Department of prosthodontics and implantology, D.J. College of Dental Sciences and Research, Modinagar-201204, Uttar Pradesh, India.
When there is loss of alveolar bone volume and associated mucosa, the function and esthetics of restorations can be poor. However, the ability to regenerate maxillary and mandibular bone and soft tissue using suitable augmentation methods and materials has extended the range of implant treatment.This article presents”osteotome assisted bone expansion” technique review, describing the main indications, advantages and disadvantages of this surgical procedure and a clinical report for bone expansion of a resorbed anterior maxillary ridge with immediate implant placement and subsequent rehabilitation with implant supported fixed prosthesis.
An eighteen-year old boy was referred to the Department of Prosthodontics, D.J. college of dental sciences and research,Modinagar with a complaint of missing right maxillary central and lateral incisor and left maxillary central incisor. The patient was concerned about his appearance and wanted to get the tooth replaced. Various treatment options were discussed with the patient. However, the patient was keen on fixed-prosthesis for replacing his missing teeth. The patient was presented with different treatment options, after discussing the pros and cons of each the following treatment option was agreed upon; implant placement in 12 and 21 region with concurrent bone grafting, followed by subsequent metal-ceramic implant supported fixed partial denture. As the bone was deficient in width “osteotome assisted bone expansion” technique was used with immediate implant placement and subsequent rehabilitation with implant supported fixed prosthesis.
The patient is comfortable and happy and periodic recall examination after 6 months reveal the surrounding gingiva is healthy and free from any inflammation. A very pleasing esthetic result was achieved.
“Osteotome assisted bone expansion” technique for horizontal ridge augmentation with implant placement has been shown to be predictable and successful in treating the maxilla with deficient alveolar bone width. “Osteotome assisted bone expansion” technique is superior to drilling technique for application in soft maxillary bone. This had a great advantage of overcoming the problem of the defect, hence maintaining the stability of the implant.
Bone expansion, Osteotome, Implant Supported Prosthesis, Ridge expansion
