Horizontal bone augmentation with simultaneous implant placement using ridge splitting with sticky bone

Abstract Introduction A variety of bone grafting techniques had been used to augment horizontally deficient alveolar bone ridges to provide a sufficient bone volume to achieve a correct prosthetic three-dimensional placement of dental implants. Objectives To evaluate clinically and radiographically by cone beam computed tomography the amount of horizontal bone gain by ridge splitting with sticky bone technique for horizontal ridge deficiency with simultaneous implant placement; using piezo-assisted ridge splitting technique with sticky bone graft in patients who had bilateral posterior edentulous sites in the maxillary ridge. Patients and methods Seven patients with seven sites for ridge splitting modality. Each patient had posterior maxillary edentulous areas with horizontal ridge deficiency ranging from 3 to 5 mm. Piezo-assisted ridge splitting technique with simultaneous implant placement was used for augmentation. Patients were evaluated for clinical parameters, including ridge width using a bone caliper, radiographic assessment of marginal bone width and alveolar bone density using cone beam computed tomography, clinical attachment loss, plaque index, bleeding on probing, and pocket depth. Results were obtained at surgery time, 6 months postsurgery, and 18 months postsurgery. Results The was a statistically significant increase in bone width in the studied group. Also, bone density was slightly increased at implant and grafting sites at 6- and 18-months follow-ups. Furthermore, the group showed a statistically significant increase in bone width measured by bone caliper at baseline and at 6 months postsurgically. No significant changes were observed in plaque index, bleeding on probing, or clinical attachment level. Conclusion Ridge splitting with sticky bone surgical technique provides promising clinical and radiographic outcomes.