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Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up

Every year, a higher percentage of bisphosphonates is prescribed for osteoporosis treatment which can lead to bone osteonecrosis after several surgical procedures in the oral cavity. This report describes an approach to restore two missing teeth, employing bilateral bone ridge splitting in the maxil...

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Detalles Bibliográficos
Autor principal: Flieger, Rafał
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604491/
https://www.ncbi.nlm.nih.gov/pubmed/31316838
http://dx.doi.org/10.1155/2019/1458571
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author Flieger, Rafał
author_facet Flieger, Rafał
author_sort Flieger, Rafał
collection PubMed
description Every year, a higher percentage of bisphosphonates is prescribed for osteoporosis treatment which can lead to bone osteonecrosis after several surgical procedures in the oral cavity. This report describes an approach to restore two missing teeth, employing bilateral bone ridge splitting in the maxilla with immediate placement of implants in a patient using bisphosphonates in the management of osteoporosis. Two titanium implants with a width of 3.45 mm and a length of 10 mm were placed in the maxillary ridge with a diameter of 4.4 mm and 3.0 mm in positions 15 and 24 according to the classification of the World Dental Federation. The implants were placed immediately by bone splitting, using a piezosurgery device and guided bone regeneration with an alloplastic material and a collagen membrane. Five months later, the implants were uncovered and the final porcelain crowns were cemented. 24 months later, the control through clinical and radiographical examinations showed no bone loss in the collar part of the implants and the proper status of the peri-implant soft tissue without any signs of inflammation. Piezosurgery is a useful and safe method of ridge splitting in a very thin ridge (4.5 and 3.0 mm).
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spelling pubmed-66044912019-07-17 Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up Flieger, Rafał Case Rep Dent Case Report Every year, a higher percentage of bisphosphonates is prescribed for osteoporosis treatment which can lead to bone osteonecrosis after several surgical procedures in the oral cavity. This report describes an approach to restore two missing teeth, employing bilateral bone ridge splitting in the maxilla with immediate placement of implants in a patient using bisphosphonates in the management of osteoporosis. Two titanium implants with a width of 3.45 mm and a length of 10 mm were placed in the maxillary ridge with a diameter of 4.4 mm and 3.0 mm in positions 15 and 24 according to the classification of the World Dental Federation. The implants were placed immediately by bone splitting, using a piezosurgery device and guided bone regeneration with an alloplastic material and a collagen membrane. Five months later, the implants were uncovered and the final porcelain crowns were cemented. 24 months later, the control through clinical and radiographical examinations showed no bone loss in the collar part of the implants and the proper status of the peri-implant soft tissue without any signs of inflammation. Piezosurgery is a useful and safe method of ridge splitting in a very thin ridge (4.5 and 3.0 mm). Hindawi 2019-06-16 /pmc/articles/PMC6604491/ /pubmed/31316838 http://dx.doi.org/10.1155/2019/1458571 Text en Copyright © 2019 Rafał Flieger. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Flieger, Rafał
Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title_full Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title_fullStr Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title_full_unstemmed Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title_short Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up
title_sort bilateral bone ridge splitting in maxilla with immediate implant placement in a patient with osteoporosis: a clinical report with 2-year follow-up
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604491/
https://www.ncbi.nlm.nih.gov/pubmed/31316838
http://dx.doi.org/10.1155/2019/1458571
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