Clinical and Radiological Comparison of Two Different Expansion Techniques in Cases of Horizontal Bone Insufficiency

Project no. 29649 · Status: Kapanmış (Yayın bekleniyor) · 2023

Summary

<p><strong>Objective:&nbsp;</strong>To&nbsp;compare&nbsp;the&nbsp;treatment&nbsp;success&nbsp;of&nbsp;osseodensification&nbsp;and crest&nbsp;split&nbsp;techniques&nbsp;that&nbsp;allowsimultaneous&nbsp;implant&nbsp;placement&nbsp;in the posterior mandibular&nbsp;region.&nbsp;</p><p><strong>Materials&nbsp;and&nbsp;Methods:&nbsp;</strong>This&nbsp;project&nbsp;conducted&nbsp;on&nbsp;patientswith&nbsp;horizontal&nbsp;bone&nbsp;deficiency&nbsp;in the mandibular posterior&nbsp;region. A total of 20&nbsp;patients&nbsp;were&nbsp;randomly&nbsp;treated&nbsp;withosseodensification&nbsp;(Group&nbsp;1)&nbsp;or&nbsp;crest&nbsp;split&nbsp;techniques&nbsp;(Group2). The&nbsp;outcome&nbsp;variables&nbsp;were implant&nbsp;survival,&nbsp;the&nbsp;amountof bone&nbsp;expansion, the&nbsp;need&nbsp;for&nbsp;additional&nbsp;bone&nbsp;augmentation,&nbsp;primary&nbsp;stability&nbsp;and&nbsp;the&nbsp;incidence&nbsp;of&nbsp;complication.&nbsp;Statistically&nbsp;significance&nbsp;was&nbsp;taken&nbsp;as p&lt;0.05.</p><p><strong>Results:&nbsp;</strong>Fourty-six&nbsp;implants&nbsp;were&nbsp;placed&nbsp;in&nbsp;this&nbsp;project.&nbsp;Primary&nbsp;stability&nbsp;and&nbsp;insertion&nbsp;torque&nbsp;values&nbsp;were&nbsp;higher&nbsp;in the&nbsp;osseodensification&nbsp;group&nbsp;than&nbsp;in the crest&nbsp;split&nbsp;group. The&nbsp;difference&nbsp;between&nbsp;the&nbsp;groups&nbsp;was&nbsp;statistically&nbsp;significant (p=0.039).&nbsp;Implant&nbsp;survival&nbsp;rates&nbsp;were 100% for the&nbsp;osseodensification&nbsp;group&nbsp;and 95.7% for the crest&nbsp;split&nbsp;group. There&nbsp;was&nbsp;no&nbsp;statistically&nbsp;significant&nbsp;difference&nbsp;between&nbsp;the&nbsp;groups&nbsp;in&nbsp;terms&nbsp;of the&nbsp;need&nbsp;for&nbsp;additional&nbsp;bone&nbsp;augmentationand the&nbsp;amount&nbsp;of alveolar bone&nbsp;augmentation&nbsp;(p&gt;0.05).&nbsp;Complication&nbsp;rates&nbsp;were&nbsp;significantly&nbsp;lower&nbsp;in the&nbsp;osseodensification&nbsp;group&nbsp;than&nbsp;in the crest&nbsp;split&nbsp;group&nbsp;(4.8% and 28%,&nbsp;respectively).&nbsp;This&nbsp;difference&nbsp;between&nbsp;the&nbsp;groupswas&nbsp;found&nbsp;to be&nbsp;statistically&nbsp;significant (p=0.043).</p><p><strong>Conclusion:&nbsp;</strong>Osseodensification&nbsp;is a&nbsp;technique&nbsp;that&nbsp;can be&nbsp;used&nbsp;in the&nbsp;alveolar bone&nbsp;expansion.&nbsp;Although&nbsp;each&nbsp;techniquepresents&nbsp;similar&nbsp;outcomes&nbsp;for bone&nbsp;expansion&nbsp;and&nbsp;implant&nbsp;survival,&nbsp;osseodensification&nbsp;is&nbsp;considered&nbsp;to be a&nbsp;viablealternative&nbsp;in&nbsp;terms&nbsp;of&nbsp;enhance&nbsp;primary&nbsp;stability&nbsp;and&nbsp;lowcomplication&nbsp;rates.</p><p>&nbsp;</p><p><strong>Keywords:&nbsp;</strong>Dental&nbsp;Implant&nbsp;Surgery;&nbsp;OsseodensificationTechnique; Crest&nbsp;Split&nbsp;Technique</p>

View details