Ridge splitting for lateral ridge augmentation

An alternative method of augmenting a narrow ridge is by ridge splitting instead of only grafting. This technique can be applied in selected cases. It requires that the alveolar ridge has two cortical plates separated by a layer of chancellor’s bone in a preoperative CBCT image. This situation is normally confined to alveolar ridges featuring an orofacial thickness of more than 4mm.

Ridge splitting can be performed simultaneously with implant placement. This is the only way to obtain primary stability in this scenario is by engaging the bone at the apical region of the implant. In selected cases, it may be possible to stabilize the mobilized buckle plate with bone screws if required.

It is advisable to perform the splitting with minimal flap reflection to expose only the Cristal region of the ridge. A somewhat higher level of surgical skill and experience is needed for flapless ridge splitting compared to conventional bone grafting.

The main indication for ridge splitting is to expand a horizontally reduced ridge in the maxilla and take advantage of elastic and chancellors quality of this bone and its peripheral type of blood perfusion.

Splitting a narrow mandibular ridge is possible but technically more difficult due to brittle, thicker, and more cortical nature of this bone.

A flapless approach in the maxilla offers the benefits that even small bone fragments remain attached to periosteum and are contained by the intact soft-tissue envelope. On balance, ridge expansion via splitting is effective but does have its limitations.

Only bone grafting, with addition to particulated grafts and a membrane for protection, is the more versatile and widely used approach.

Dr. Rajat Sachdeva is a dentist working with a renowned Ridge splitting and he has also worked as a guest lecturer for a dental college which offers Dental Courses in Delhi.

For more details, join the next batch of Advanced Implants Continuum: www.sachdevadentalcare.com or www.dentalcoursesdelhi.com

Regards: Dr.Prof.Rajat Sachdeva

CLINICAL IMPLANT TRAINING IN INDIA

ICOI Affiliate Study Club providing ICOI Membership / Fellowship / Mastership & Diplomat. British academy of Asian Centre for conducting Courses on

IMPLANTS, ULTRASONIC PEIZOELECTRICAL BONE SURGERY, LASERS, ENDODONTICS, ORALSURGERY, COSMETIC SURGERY & GENERAL DENTISTRY

under the guidance of Prof Dr.Rajat Sachdeva, Delhi, India and his team.

The most proficient clinical training on live patients & ICOI Affiliate course

100 hours of comprehensive lectures including live surgeries, demonstrations and hands-on sessions with non commercial, non sponsored course covering the spectrum of  10 Implant systems in detail.

Certificate of Completion is awarded by the British Academy of Implantology and the sponsoring institutions.

In depth review of surgical and prosthetic protocols with flapless approach, Immediate implants, Ridge Augmentation, Bone expansion & Ridge expanders.

Guidance to select an implant system that would work in your practice

Implant prosthetics in detail from single crowns to full mouth rehabilitation, Stents for full mouth restoration

Conventional and CT based - Diagnosis & treatment Planning, Rationale for All on 4 ,All on 6 & Hybrid prosthesis

Practice management module that provides ideas to market your implant practice.

Eligibility to further pursue the requirements for Fellowship status of the ICOI.

 In several parts of the world the Associate Fellowship or Fellowship is an acknowledged credential that represents quality training in implantology and skill in the art and science of implant dentistry.

 Clinical Session Consists of 5Implant placements under guidance and Restorations with direct & indirect sinus lifts with SCA, SLA, DASK Kits + Ridge Splitting on Patients.

 Bone modification techniques, Bone condensation, Osteotome techniques & Bone graft harvesting

 Block bone using Parasymphysis & Ramus bone

 Guided bone regeneration technique, Graft materials, Grafting protocols

Implants in compromised maxilla, Zygomatic Implants, Pterygoid Implants

 Learn PRF, CGF, AFG & how to make sticky bone, Role of Growth Factorsin Implant Dentistry

Peizosurgery units for implant surgeries

 Principles of Impression making, Understanding Prosthetic components while working on live patients & Implant Over dentures

A REVIEW ON BOTOX IN DENTISTRY

 None can deny with the fact that everyone wants to look younger than one’s age. Hence one option available as BOTOX comes to the rescue to fulfill the needs in cosmetic & esthetic dentistry.

Chemically BOTOX is a toxin produced by bacterium clostridium botulinum also produced commercially for medical & cosmetic approach. There are two main commercial types: botulinum toxin type A (Botox, Dysport & Xeomin) & botulinum toxin type B (Myobloc).

Injecting Botulinum toxin type-A causes localized reduction in overactive muscle activity for some timespan by inhibiting the exocytosis of acetylcholine on cholinergic nerve endings of motor nerves preventing the vesicle where the acetylcholine is stored from binding to the membrane where the neurotransmitter can be released.

The use of Botox in Dentistry can be applied in bruxism, dental implant surgery, temporomandibular joint disorders, gummy smile, and mandibular spasm.

Botox is a safe, conservative, non surgical reversible, minimally invasive treatment modality for cosmetic needs. Training is absolutely required for dentists to administer this technique as a learning curve.

As we all know bruxism ultimately leads to periodontal trauma characterized by clenching by bracing of the mandible. Botox has shown promising results by alleviating the symptomatology of bruxism with botulinum toxin type A injections into temporalis & masseter muscles.

Post implant surgery overloading of muscles of mastication can impede osseointegration of implants. Hence the muscular relaxation is achieved with injecting botulinum toxin type A to the masticatory muscles therapeutically.

The appearance of excessive gingival tissue in the maxilla upon smiling is both an aesthetic issue as well as oral hygiene problem which require complex procedures as a cure. In such cases it is applied in small, carefully titrated doses proportionately weakening the contraction of upper lips particularly levator labii superiosis.

Botox is an emerging, latest, attractive treatment option as compared to other surgical alternatives. However there are still many dental conditions which require FDA approval to be treated by botulinum toxin. The use of BOTOX will surely progress the dentistry profession to one step ahead.