Efficiency of osseodensification versus screw expansion technique for augmentation of narrow alveolar ridges: A comparative clinical study
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Abstract
Background: Alveolar ridge expansion is proposed when the alveolar crest thickness is ≤5 mm. The screw expansion technique has been utilized for many years to expand narrow alveolar ridges. Recently, the osseodensification technique has been suggested as a reliable technique to expand narrow alveolar ridges with effective width gain and as little surgical operating time as possible. The current study aimed to compare osseodensification and screw expansion in terms of clinical width gain and operating time. Materials and methods: Forty implant osteotomies were performed in deficient horizontal alveolar ridges (3–5 mm). A total of 19 patients aged 21–59 years were randomized into two groups: the screw expansion group, which involved 20 osteotomies performed by screw expander drills, and osseodensification group, which comprised 20 osteotomies achieved by osseodensification drilling technique. One millimetre below the alveolar bone crest was measured with a bone caliper at two intervals (before implant osteotomy and after implant osteotomy), and operating time was assessed. Results: Before expansion, the mean alveolar ridge width was 4.20 ± 0.71 mm in the osseodensification group and 4.52 ± 0.53 mm in the screw-expansion group. No statistically significant difference in alveolar bone width before expansion was found between the groups (P > 0.05). After the expansion of the alveolar ridge with osseodensification or screw expansion techniques, the average ridge width was 5.48 ± 0.57 mm in the osseodensification group and 5.71 ± 0.53 mm in the screw-expansion group. Difference in width gain postoperatively between the groups was 0.09 mm, which was not statistically significant (P > 0.05). According to operating time, osseodensification consumed 6.21 ± 0.55 minutes, and screw expansion required 16.32 ± 0.60 minutes for a single implant with a significant difference between the groups (P < 0.0001). Conclusion: Alveolar bone expansion by osseodensification showed comparable width gain and less surgical operating time compared with expansion by screw expansion technique.
Received date: 05-05-2023
Accepted date: 26-07-2023
Published date: 15-03-2024
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References
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003; 23(4).
Araújo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res. 2009; 20(6):545-9. DOI: https://doi.org/10.1111/j.1600-0501.2008.01703.x
Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post‐extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012; 23:1-21. DOI: https://doi.org/10.1111/j.1600-0501.2011.02375.x
Milinkovic I, Cordaro L. Are there specific indications for the different alveolar bone augmentation procedures for implant placement? A systematic review. Int J Oral Maxillofac Surg. 2014; 43(5):606-25. DOI: https://doi.org/10.1016/j.ijom.2013.12.004
Lin YT, Hong A, Peng YC, Hong HH. Developing stability of posterior mandibular implants placed with osteotome expansion technique compared with conventional drilling techniques. J Oral Implantol. 2017; 43(2):131-8. DOI: https://doi.org/10.1563/aaid-joi-D-16-00101
Jamil FA, Al-Adili SS. Lateral ridge splitting (expansion) with immediate placement of endosseous dental implant using piezoelectric device: a new treatment protocol. J Craniofac Surg. 2017; 28(2):434-9. DOI: https://doi.org/10.1097/SCS.0000000000003229
Bozkaya SÜ, Durmuşlar MC, Çakir M, Erkmen E. Use of alveolar distraction osteogenesis for implant placement: a case report with eight‐year follow‐up. Aust Dent J. 2016; 61(2):252-6. DOI: https://doi.org/10.1111/adj.12366
Hameed MA, Al-Adili SS. Augmentation of the localized bony defects with synthetic bone substitute in simultaneous dental implant surgery (Clinical study). J Bagh Coll Dent. 2015; 27(1):151-8. DOI: https://doi.org/10.12816/0015280
Leonetti JA, Koup R. Localized maxillary ridge augmentation with a block allograft for dental implant placement. Implant Dent 2003; 12(3):217-26. DOI: https://doi.org/10.1097/01.ID.0000078233.89631.F8
Siddiqui AA, Sosovicka M. Lateral bone condensing and expansion for placement of endosseous dental implants: a new technique. J Oral Implantol. 2006; 32(2):87-94. DOI: https://doi.org/10.1563/786.1
Koutouzis T, Huwais S, Hasan F, Trahan W, Waldrop T, Neiva R. Alveolar ridge expansion by osseodensification-mediated plastic deformation and compaction autografting: a multicenter retrospective study. Implant Dent. 2019; 28(4):349-355. DOI: https://doi.org/10.1097/ID.0000000000000898
Tang YL, Yuan J, Song YL, Ma W, Chao X, Li DH. Ridge expansion alone or in combination with guided bone regeneration to facilitate implant placement in narrow alveolar ridges: a retrospective study. Clin Oral Implants Res. 2015; 26(2):204-11. DOI: https://doi.org/10.1111/clr.12317
Cortes AR, Cortes DN. Nontraumatic bone expansion for immediate dental implant placement: An analysis of 21 cases. Implant Dent. 2010; 19(2):92-7. DOI: https://doi.org/10.1097/ID.0b013e3181d46f46
Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. Int J Oral Maxillofac Implants. 2017; 32(1). DOI: https://doi.org/10.11607/jomi.4817
Salman RD, Bede SY. The Use of Osseodensification for Ridge Expansion and Dental Implant Placement in Narrow Alveolar Ridges: A Prospective Observational Clinical Study. J Craniofac Surg. 2022; 33(7):2114-7. DOI: https://doi.org/10.1097/SCS.0000000000008624
Alhayati JZ, Al-Anee AM. Evaluation of crestal sinus floor elevations using versah burs with simultaneous implant placement, at residual bone height≥ 2.0 _< 6.0 mm. A prospective clinical study. Oral Maxillofac Surg. 2022; 14:1-8. DOI: https://doi.org/10.1007/s10006-022-01071-0
Huwais S. Fluted osteotome and surgical method for use. US Patent Application. 2013; 3.
Isik G, Gunbay T. Hard tissue changes by osseodensification technique in narrow alveolar ridges: a pilot study. Clin Oral Implants Res. 2020; 31:271-271. DOI: https://doi.org/10.1111/clr.209_13644
Frizzera F, Spin-Neto R, Padilha V, Nicchio N, Ghiraldini B, Bezerra F, Marcantonio Jr E. Effect of osseodensification on the increase in ridge thickness and the prevention of buccal peri-implant defects: an in vitro randomized split mouth pilot study. BMC Oral Health. 2022; 22(1):233. DOI: https://doi.org/10.1186/s12903-022-02242-x
Misch CE. Contemporary implant dentistry. 3rd ed., St Louis, Mosby, 2007.
Alhamdani FY, Alhamdani FY. Single dose antibiotic prophylaxis in outpatient oral surgery Comparative study. IJPS. 2008; 17(2):41-6. DOI: https://doi.org/10.31351/vol17iss2pp41-46
Alhamdani FY. Acquired Error in using Antibiotic for Surgery Patients in Iraqi Hospitals. IJPS. 2011; 20(2):102-6. DOI: https://doi.org/10.31351/vol20iss2pp102-106
Mazzocco F, Nart J, Cheung WS, Griffin TJ. Prospective evaluation of the use of motorized ridge expanders in guided bone regeneration for future implant sites. Int J Periodontics Restorative Dent. 2011; 31(5):547.
Chan HL, Fu JH, Koticha T, Benavides E, Wang HL. Ridge width gain with screw spreaders: a cadaver study. Implant Dent. 2013; 22(5):552-8. DOI: https://doi.org/10.1097/ID.0b013e3182a3333c
A Hassan T, M Abdulrahman A. EFFICACY OF SCREW EXPANSION FOR NARROW ALVEOLAR RIDGES IN DENTAL IMPLANT SURGERY, A CLINICAL STUDY. Bas J Surg. 2016; 22(2):3-9. DOI: https://doi.org/10.33762/bsurg.2016.116606
Trisi P, Berardini M, Falco A, Vulpiani MP. New osseodensification implant site preparation method to increase bone density in low-density bone: In vivo evaluation in sheep. Implant Dent. 2016; 25(1):24. DOI: https://doi.org/10.1097/ID.0000000000000358
Gaspar J, Proença L, Botelho J, Machado V, Chambrone L, Neiva R, João Mendes J. Implant Stability of Osseodensification Drilling Versus Conventional Surgical Technique: A Systematic Review. Int J Oral Maxillofac Surg. 2021; 36(6). DOI: https://doi.org/10.11607/jomi.9132
Yeh YT, Chu TM, Blanchard SB, Hamada Y. Effects on Ridge Dimensions, Bone Density, and Implant Primary Stability with Osseodensification Approach in Implant Osteotomy Preparation. Int J Oral Maxillofac Surg. 2021; 36(3). DOI: https://doi.org/10.11607/jomi.8540
Kao DW, Fiorellini JP. Comparison of ridge expansion and ridge splitting techniques for narrow alveolar ridge in a Swine cadaver model. Int J Periodontics Restorative Dent. 2015; 35(3):44-9. DOI: https://doi.org/10.11607/prd.2269
Tian JH, Neiva R, Coelho PG, Witek L, Tovar NM, Lo IC, Gil LF, Torroni A. Alveolar ridge expansion: comparison of osseodensification and conventional osteotome techniques. J Craniofac Surg. 2019; 30(2):607-10. DOI: https://doi.org/10.1097/SCS.0000000000004956
Abdel-Rahman FH, Yousef EA, Tawfik MA, Maria OM. Efficacy of Osseodensification versus Expander Technique for Alveolar Ridge Expansion: A 3-Years Randomised Controlled Trial. J Int Dent Medical Res. 2022; 15(2):630-40.
Bhargava N, Perrotti V, Caponio VC, Matsubara VH, Patalwala D, Quaranta A. Comparison of heat production and bone architecture changes in the implant site preparation with compressive osteotomes, osseodensification technique, piezoelectric devices, and standard drills: an ex vivo study on porcine ribs. Odontology. 2023; 111(1):142-53. DOI: https://doi.org/10.1007/s10266-022-00730-8
Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent. 1983; 50(1):101-7. DOI: https://doi.org/10.1016/0022-3913(83)90174-9
Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dent. 2016; 10:35-50. DOI: https://doi.org/10.2147/CCIDE.S63626
Muglali M, Komerik N. Factors related to patients' anxiety before and after oral surgery. J Oral Maxillofac Surg. 2008; 66(5):870-7. DOI: https://doi.org/10.1016/j.joms.2007.06.662