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Video Details
Ridge Expansion in the Treatment of Narrow Ridges

Description:
Dr. Eduardo Anitua describes the detailed utilization of ridge expansion drills in achieving adequate dimensions for implant placement in narrow ridges. Related bone grafting and utilization of PRGF are also discussed.

Date Added:
11/24/2009

Author(s):

Eduardo Anitua, MD, DDS, PhD Eduardo Anitua, MD, DDS, PhD
Eduardo Anitua received M.D. in medicine and surgery at the University of Salamanca. He is specialist in Stomatology by the University of the Basque Country (Bilbao, Spain), c...
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Questions & Comments
Danny O'Keefe - (3/14/2010 9:53 AM)

When the buccal bone fractures, but stays in place as it appears in this video, it always heals ? With the addition of autgenous bone and fibrin and collagen membrane, there is much support. Some Drs. do not use the fibrin ?

Sam Busich - (11/25/2009 12:42 PM)

I agree with Henry. As for one of the other comments about ridge splitting vs. expansion, take a look at Dr. Ady Palti's lectures on XP. It was very well done but I don't believe you can easily split a 1mm ridge very effectively as a previous post suggested even if you were Hilt Tatum, also an Xpert on this site.

henry salama - (11/23/2009 11:00 AM)

answering Dr. Sam Jain,

No question that often ridge expansion/splitting alone forces implant positioning toward a more palatal orientation because most narrow/deficient ridges are buccally deficient to start with. I believe that the one significant advantage of ridge expansion/splitting is the ability to place the implant with only one surgical intervention thereby improving time and patient management in non-esthetically demanding sites. The one disadvantage is a more palatal implant placement which I overcome by placing the implant a little deeper allowing a longer and more gradual emergence profile without a ridgelap facially. If, however, ideal implant placement is necessary for achieving predictable esthetic endpoints then I prefer a staged approach where I first augment the ridge buccally and return some months later for more ideal implant positioning.
I hope that helps.
Henry Salama, DMD

Paul Scholl - (11/22/2009 6:21 PM)

Dr. Hilt Tatum can expand a ridge that is 1.0mm wide using osteotomes. He is able to direct the direction of the expansion. See him in Puerto Rico at his course.

Sambhav Jain - (11/22/2009 10:58 AM)


Dr Salama and Dr Anitua:
I use the ridge expansion tech a lot and build the facial with autogenous bone particles and collagen membrane and the implants come out ok ...BUT... the implant position is always compromised ie to the lingual and off angle and the crown restoration with facial cantilever.

Sam Jain,DMD
Fremont,CA

Mark Neale - (11/21/2009 5:17 AM)

Most informative. Thanks. The BTI implant seems to be an aggressive cutting implants ideal for this technique. How would this design compare with the traditional design of a tapered screw-vent implant such as Zimmer’s and are the apex diameters smaller in comparison with similar size platform Zimmer implants

henry salama - (11/21/2009 1:36 AM)

George;
Yes. Although the expansion drills in this video are made by BTI, they can be utilized with any implant system. I also utilize these drills when performing ridge splitting techniques. Thanks for the post.
regards
Dr. Salama

George Hurwitz - (11/20/2009 4:13 PM)

Can this technique be done with any other type of implants?

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