Patient Outcomes of Staged Ridge-splitting Using Piezo-electric Surgery in Atrophic Posterior Mandible

Clinical Outcomes of Different Staged Ridge-Splitting Techniques Using Piezo-Electric Surgery in Atrophic Posterior Mandible

This study aims to evaluate the clinical and radiographic outcomes of different staged ridge-splitting techniques for management of severely resorbed lower jaws in the posterior region. The study is designed as a clinical trial, so that three different interventions would be compared for a conclusion highlighting the relative best of them.

In the context of the care of severely resorbed lower jaws in the posterior region, the purpose of this study is to evaluate the clinical and radiographic outcomes of several stepwise ridge-splitting procedures. The study is supposed to be a clinical trial, with the purpose of comparing three distinct therapies in order to get a result that highlights which of them is the most effective in comparison to the others.

Inclusion Criteria:

• Patients were free from any relevant systemic diseases according to American society of Anesthesiologists classifications.
• Patients of single or multiple missing teeth in the posterior mandible.
• A ridge width of minimum 4mm and a 10 mm ridge height with 2mm minimum above Inferior Alveolar Nerve (IAN) were present in CBCT images.
• Absence of buccal concavities at the planned implant site.

Exclusion Criteria:

• History of any systemic diseases or medication that alters bone metabolism.
• Poor oral hygiene.
• Heavy smoker (more than 20 cigarettes/day) or alcoholic patients.
• Chemotherapy or radiation therapy to the head and neck region in the last 12 months prior to the proposed implant therapy.
• Patients currently on or with a history of bisphosphonate therapy.