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A Modified Ridge Expansion Technique in the Maxilla

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11/05/2012 at 10:08 am #15476
DrAnilDrAnil
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Figure 1  Patient missing maxillary right central incisor presents with ridge deficiency.

Figure 1

 

 

Figure 2  Inadequate alveolar thickness of 3 mm in the buccopalatal dimension shown after full-thickness flap reflection.

Figure 2

 

 

Figure 3  Initial crestal corticotomy/depth cut.

Figure 3

 

 

Figure 4  Initial expansion with ridge-splitting chisel.

Figure 4

 

 

Figure 5  Osteotome expansion of the maxillary ridge.

Figure 5

 

 

Figure 6  Implant placement. Note minor cracks at the middle of expanded buccal plate.

Figure 6

 

 

Figure 7  Bone grafts placed for buccal augmentation.

Figure 7

 

 

Figure 8  Resorbable collagen membrane placed.

Figure 8

 

 

Figure 9  Healing at 4 months.

Figure 9

 

 

Figure 10  Final restoration with porcelain-fused-to-metal (PFM) crown on tooth No. 8.

Figure 10