In this case, the maxillary ridge was split using a scalpel, and opened with an osteotome and chisel. The coronal (5-6mm) will be split, and the apical (5-6mm), will be used as an anchor for the implant, which was immediately loaded. It is generally difficult to place implants immediately after ridge splitting. However, as this case demonstrates, if there is enough bone vertically, and the ridge split in only used to increase the width, an immediate loaded implant can be successful. See also: Ridge Splitting in Narrow Ridge.