title: Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips.
abstract: The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Moro
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Giulio
authors.identifier: 0000-0002-5137-8500
authors.initials: G
authors.lastname: Gasparini
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Foresta
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Gianmarco
authors.identifier: 0000-0001-9760-2419
authors.initials: G
authors.lastname: Saponaro
authors.affiliation: Department of Oral and Maxillofacial Surgery, Foligno Hospital, Foligno, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Falchi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Nuovo Ospedale San Giovanni Battista, Foligno, Italy.
authors.forename: Lorenzo
authors.identifier: 0000-0003-1416-5116
authors.initials: L
authors.lastname: Cardarelli
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: De Angelis
authors.affiliation: Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.
authors.forename: Mario
authors.identifier: 0000-0002-4045-8011
authors.initials: M
authors.lastname: Forcione
authors.affiliation: Department of Orthodontics, University of Milan, Milan, Italy.
authors.forename: Umberto
authors.identifier: 0000-0002-3256-6725
authors.initials: U
authors.lastname: Garagiola
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: D'Amato
authors.affiliation: Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy.
authors.forename: Sandro
authors.initials: S
authors.lastname: Pelo
mesh_terms: D000328:Adult; D000539:Alveolar Process / Q000601:surgery*; D000540:Alveolar Ridge Augmentation / Q000295:instrumentation* / Q000379:methods*; D000071538:Cortical Bone / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D059745:Piezosurgery / Q000295:instrumentation* / Q000379:methods*