title: Single-tooth replacement in the esthetic zone with ridge expansion osteotomy: a clinical report and radiographic results.
abstract: Maxillary alveolar atrophy often limits the placement of dental implants. The bone splitting and bone widening by osteotome technique is a more obvious method for the immediate placement of implants in those cases in which the dimensions of the residual ridge are reduced by only a small degree. Few studies have been performed that are aimed at the radiographic results shown after the osteotome technique by a low-dose computed tomography scan and assessment of objective improvement of the bone density using Misch's classification. The aim of this clinical case was to analyze the radiographic data of the osteotome technique on the change of bone density and to demonstrate efficacy of the ridge expansion crest to bypass bone fenestrations of the buccal plate in the esthetic zone. The advantages of this technique for patients include less surgical trauma and a shorter treatment time.
authors.affiliation: Department of Head and Neck Pathology, Oral Cavity and Audio-Verbal Communication, Second University of Naples, Naples, Italy. mario.santagata@tin.it
authors.forename: Mario
authors.initials: M
authors.lastname: Santagata
authors.forename: Luigi
authors.initials: L
authors.lastname: Guariniello
authors.forename: Alfredo
authors.initials: A
authors.lastname: D'Andrea
authors.forename: Gianpaolo P
authors.initials: GP
authors.lastname: Tartaro
mesh_terms: D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000379:methods*; D015519:Bone Density / Q000502:physiology; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous; D019250:Dental Implants, Single-Tooth; D019094:Dental Prosthesis, Implant-Supported; D004955:Esthetics, Dental; D005260:Female; D006801:Humans; D007180:Incisor; D008437:Maxilla / Q000000981:diagnostic imaging / Q000601:surgery*; D008439:Maxillary Diseases / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome