Maxillary Alveolar Ridge Expansion Using Split-Cortical Technique

When only 3mm millimeters of maxillary alveolar bony ridge width exist, implants can be simultaneously placed predictably with the use of alveolar ridge expansion technique. In this video Dr. Louie Al-Faraje demonstrates the proper surgical protocol of executing maxillary alveolar ridge expansion with simultaneous implant placement.

Watch the Maxillary Alveolar Ridge Expansion Webinar

Topics:
  • Proper treatment planning for the maxillary ridge expansion augmentation
  • Clinical and radiographic evaluation of the patient
  • Clinical factors which determine the success of treatment
  • Surgical protocol
  • Implant type and size selection criteria
  • Grafting materials
  • Suturing materials and techniques
  • Temporization options
  • Postop instructions

8 Comments on Maxillary Alveolar Ridge Expansion Using Split-Cortical Technique

New comments are currently closed for this post.
Dr. Jorge E. Beas
12/17/2014
Excelent video, good job, I hope to meet you and learn more from you. Thank you for this illustration.
tjioe kok khing
1/2/2015
dr.split crest foi perfeito com piezo,mas eu completaria com espansor manual alargando mais a espessura e depois colocação do implantes e na região adjacente ao implante colocaria mais biomaterial.
Dr.Dr.Hossam Barghash
1/6/2015
very nice clean work but I found that flap elevation is very too much for split ridge compromising the bone blood supply
Louie Al-Faraje
1/6/2015
Hello Doctor: The size of the flap is suitable for this size surgery. Compromising the blood supply to the buccal plate is an issue when you are doing immediate placement in the anterior region where the buccal plate thickness is usually well under 1mm after extraction. In this scenario however, the buccal plate is around 2mm thick (after splitting) and thus what you are worry about is irrelevant. Best Regards, Dr Al-Faraje
Dr.Dr.Hossam Barghash
1/7/2015
Dear Dr.. I meant by amount of flap reflection ,not the size,but the amount of apical reflection which affect bone resorption, This happened without splitting,. adding the splitting factor, the inner blood supply become also compromised too (even if we have 2mm thickness) plus the stresses inside the bone.
Louie Al-Faraje
1/7/2015
I have been doing this procedure for a good 15 years. I will let you know when I start getting resorption. As of now I haven't seen any.
michaelca
2/19/2015
Dear doctor, Thanks for this nice video! My question is about the temporary prosthesis: What is, according to your experience, the right moment to allow the patient to use this temporary P.? Are not you afraid causing damage to the op sites? So, after how many weeks? Thank you in advance for your reply. Best regards from France. Michael Cherif-Alami
Louie Al-Faraje
2/19/2015
Hello Dr Alami: The fabrication of a new prosthesis can start within a week postop. The patient after that should not eat or sleep with it on for 1-2 more weeks. Best,

Featured Products

OsteoGen Bone Grafting Plug
Combines bone graft with a collagen plug to yield the easiest and most affordable way to clinically deliver bone graft for socket preservation.
CevOss Bovine Bone Graft
Make the switch to a better xenograft! High volume of interconnected pores promotes new bone. Substantially equivalent to BioOss and NuOss.