Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2

Description:
In this 2nd of a series, Dr. Dan Holtzclaw demonstrates the role of piezosurgical mediated ridge split technique in the reconstruction of ridge width deficiencies in order to facilitate more optimal placement of dental implants. A number of different variations exist regarding this technique. However, in this section, Dr. Holtzclaw discusses the role of piezoelectric hinge assisted ridge split (PHARS) technique in creating a hinged ridge split that is filled with particulate allograft and covered with a barrier membrane. Specific emphasis is placed on outlining the advantages and unique challenges of the PHARS technique.

Date Added:
7/4/2011

Author(s):

Dan Holtzclaw, DDS, MS Dan Holtzclaw, DDS, MS

Dr. Holtzclaw received his dental degree (Cum Laude) from the University of Texas Health Science Center at San Antonio. During a subsequent 12 year ...
[read more]


Online Videos / Surgery / Bone Grafting / The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 2 of 2




Questions & Comments
Juan Uribe Saldarriaga - (3/10/2016 2:49 PM)

Very nice presentation congratulations Dr Dan, I just want to know, what are you doing now when you need to gain height and what bone regeneration procedures in vertical case you do. Thanks

henry salama - (10/10/2015 9:27 AM)

Harry, since the idea is to "split" (not just cut through) the buccal cortical plate from the palatal/lingual bone plate, we would require an intervening layer of cancellous bone. Therefore, the minimum thickness that can be "split" is likely to be about 3mm, i.e. 1mm buccal, 1mm cancellous and 1mm palatal. Also, Harry, why not post images of the CT in question on the Forum. I'm sure you will get a great deal of feedback. Good luck.

Harry Albers - (10/9/2015 4:56 PM)

What is the minimum thickness of a ride to due a ridge split technique? Can I send you a cone beam of a case? Harry Albers

byron scott - (5/26/2014 12:16 PM)

Very informative & straightforward.

Eviatar Buchman - (10/24/2011 5:32 PM)

Thank you very much for your presentation. In a case of braking the buccal wall how do you recomand to fix it. Is there any video about it. second question, what if the risk to damage the inferior nerve?

E. Buchman

dentimp huang - (7/23/2011 2:11 PM)

Great answer ! Thank you , Dr.Holtzclaw.

dan holtzclaw - (7/19/2011 5:03 PM)

Thank you for the kind comments.

To answer everyone's questions:

1) I generally will not place implants simultaneously in the mandible. The bone here is very dense, especially with a resorbed ridge. That is why I employ the apical hinge cut. This allows me to lateralize the buccal plate more extensively. With this being said, however, it also makes the area less stable for simultaneous implant placement. In the maxilla, I generally have no problem with placing implants with a ridge split (circumstances permitting)

2) I have only used PRF and have not used PRGF. They both have their supporters. It is very fun to watch Chokroun and Anitua square off against one another. I have seen great cases from both sides.

3) I have found that the ridge heals just fine with a full thickness flap. I understand the concept for a split thickness flap, but have not found it to be necessary.

dan holtzclaw - (7/19/2011 4:58 PM)

test

alessandro zussino - (7/12/2011 2:23 PM)

Thank you Dr. Holtzclaw for your very interesting lecture and for the elegant surgery I've seen. When I approach this tecnique I try to insert implants at the same time of the ridge splitting in order to save time to my patient and myself, and also considering that implants can work maintaining the space of the splitted ridge, and moreover reducing the amount of graft needed; what's your opinion about that? Also: what do you think about the tecniques that suggest a split flap incision (like the ERE tecnique of Bruschi and Scipioni)?
Thank you so much.

Related Videos
The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2 Premium Member Content

The Role of Piezo-Surgical Ridge Split Technique in the Reconstruction of Ridge Deficiencies - Part 1 of 2
This 2 part lecture demonstrates the piezoelectric hinge assisted ridge split (PHARS) technique for reconstruction of ridge deficiencies to facilitate the placement of dental implants. A review of multiple ridge augmentation techniques is provided along with advantages and unique challenges of the PHARS technique.

Presented By:: Dan Holtzclaw, DDS, MS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Surgical Options and Solutions in Maxillary Ridge Augmentation: Advantages of Combined Therapy Premium Member Content

Surgical Options and Solutions in Maxillary Ridge Augmentation: Advantages of Combined Therapy
This surgical video presentation will demonstrate the treatment of two advanced cases of maxillary deficiency. The emphasis of this presentation will be on combining several state-of-the-art surgical augmentation therapies to optimize dimensional increases in the deficient ridges in the maxilla in preparation of implant therapy. The two cases presented, of severe and moderate bone defects, in the Anterior Maxilla, the bone were reconstructed by using the anatomy (sub-nasal elevation), and several surgical techniques (bone augmentation, soft tissue manipulation and implant placement) in a systematic team oriented protocol (Surgeon, Restorative Dentist and Lab) to get the best esthetic results.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Restoration of Optimal Esthetics in Complex Clinical Situations Premium Member Content

Restoration of Optimal Esthetics in Complex Clinical Situations
Patients often neglect or delay dental care for an extended time because of their negative experiences with and fear of dental treatments. This neglect may result in the advance of periodontitis with severe bone loss, a substantial number of missing teeth, and problems with the remaining teeth. Preexisting malocclusion can aggravate this condition. This case report demonstrates an interdisciplinary strategic approach, in combination with the use of biologically grounded, clinically proven, and viable techniques and technologies to restore optimal esthetics and function in such complex cases. The authors emphasize the importance of carefully planning the timing and sequence of performing periodontal, orthodontic, and implant therapies. The advanced techniques and technologies successfully implemented in this case report include the growth factor and titanium mesh (Ti mesh)-assisted bone augmentation; ovate pontic-mediated, noninvasive soft tissue contouring; and photofunctionalization

Presented By:: Tomohiro Ishikawa, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Autogenous Bone Graft - Part 3: Contouring & Fixation Premium Member Content

Autogenous Bone Graft - Part 3: Contouring & Fixation
Contouring and fixation of a cortical autogenous graft.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2 Premium Member Content

Alveolar Ridge Regenerative Strategies: Autogenous Bone vs BMP-2
This clinical based presentation will compare the use of autogenous bone vs BMP-2 for alveolar ridge reconstruction. The science, indications, advantages and disadvantages of each approach will be featured. Single tooth to full arch reconstruction cases will also be shown along with understanding the application of non-resorbable vs resorbable mesh barriers for alveolar ridge reconstruction.

Presented By:: Michael A Pikos, DDS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Bone Graft Solutions in the Treatment of a Defective & Deficient Ridges; Advantages of Combined Therapy Premium Member Content

Bone Graft Solutions in the Treatment of a Defective & Deficient Ridges; Advantages of Combined Therapy
More patients are treated with implants than ever before. Unfortunately, many have insufficient bone available to support an implant prosthesis. This presentation describes the utilization of several different augmentation approaches for the severely resorbed ridge and dentally handicapped fully endentulous patient. Current concepts related to autogenous bone harvest, 3D bone augmentation combined with blood born bioactive modifiers and digital planning are defined. Video and high resolution images are utilized to further describe these approaches.

Presented By:: Devorah Schwartz-Arad, DMD, PhD
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Use of SonicWeld® Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration Premium Member Content

The Use of SonicWeld® Ultrasonically Fabricated Barriers for Enhanced Outcomes in Guided Bone Regeneration
KLS Martin has developed a unique bioresorbable guided bone regeneration barrier which can be molded into any desired three-dimensional form. Using a combination of thermoplastic and ultrasonic energies, these barriers have been successfully used to create the proper environment for both large lateral and vertical ridge augmentations for situations previously only treated with block grafting or distraction. This course will outline the basic science, clinical techniques and outcomes of the SonicWeld technique.

Presented By:: Kevin George Murphy, DDS, MS
Presentation Style: Online Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
A Novel Combined Surgical Approach to Vertical Alveolar Ridge Augmentation with Titanium Mesh, Resorbable Membrane, and rhPDGF-BB: A Retrospective Consecutive Case Series

A Novel Combined Surgical Approach to Vertical Alveolar Ridge Augmentation with Titanium Mesh, Resorbable Membrane, and rhPDGF-BB: A Retrospective Consecutive Case Series
This report demonstrates the remarkable efficacy of guided bone regeneration using a combination of titanium mesh, resorbable collagen membrane, and rhPDGF for vertical ridge augmentation, thus expanding the indications for implant therapy and allowing recovery of the three-dimensional esthetic architecture in a severely absorbed alveolar ridge.

Author(s): Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;Hajime Kitajima, DDS; Masahiro Yamada, DDS, PhD; Hidetada Moroi, DMD
View Article>>
Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement

Retrospective Evaluation of Crestal Bone Changes Around Implants With Reduced Abutment Diameter Placed Non-Submerged and at Subcrestal Positions: The Effect of Bone Grafting at Implant Placement
One method to measure the success of dental implant treatment is to evaluate marginal peri-implant bone-level changes and stability over time. The location of the fixture–abutment interface (FAI) can be of major importance when the goal is to construct esthetic restorations. In these situations the FAI is often placed in a more apical position to create an ideal emergence profile for the prosthetic construction. However, several animal studies have reported that placement of the FAI in a subcrestal position may result in peri-implant marginal bone loss. The aim of the present study is to evaluate the effect of bone grafting of the defect between the bone crest and the coronal aspect of the implant for implants with reduced abutment diameters placed non-submerged and in subcrestal positions.

Author(s): Alan Fetner, DMD;Theofilos Koutouzis, DDS; Michael Fetner, DMD; Tord Lundgren, DDS
View Article>>
Minimally Invasive Alveolar Ridge Augmentation Procedure (Tunneling Technique) Using rhPDGF-BB in Combination with Three Matrices: A Case Series

Minimally Invasive Alveolar Ridge Augmentation Procedure (Tunneling Technique) Using rhPDGF-BB in Combination with Three Matrices: A Case Series
This study investigated a minimally invasive surgical procedure for alveolar ridge augmentation that combined recombinant human platelet-derived growth factor BB (rhPDGF-BB) and three different matrices.

Author(s): Myron Nevins, DDS;Marc L. Nevins, DMD, MMSc; Marcelo Camelo, DDS; Peter Schupbach, PhD; Bernard Friedland, BChD, MSc, JD; Joao Marcelo Borges Camelo, DDS; David M. Kim, DDS, DMSc
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2016

Preferred Language: English Flag
Contact Us · Login · Register