Ridge Split for ortho

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Posted on By Jason Witons In Orthodontics

This case was from an Orthodontist 2 years Ago. I did a ridge augmentation to #5,and #12.

To close the spaces #5,12 he is asking for me to drill a hole to simulate an extraction socket and is concerned with bone width.

I have attached Photos and CT scan imagines. #5 appears to be wide. #12 perhaps not as much with 4 mm at crest.

Is drilling a hole an recommended? if so how wide?
How about ridge splitting to make them wider?
She possibly could do dental implants but I have not discussed that.

Thanks!

Jason

12
5

5
12


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5 Comments

I would like to see the patient's smile line because that would help determine what you decide to do about making the gingival tissue look good. Also, consider direct bonding of the mesial of #4 to help you make the illusion of proper proportion. You can also do it to the distal of the cuspid and on the opposite side if necessary.


Reply

Hi Ron,

This case is being run by the Ortho.

He wants more bone width to #5,12 For his movement to close the spaces.

I am trying to see what I could do at this point as she has had RA and are reasonably wide.

He said he is ok with me making an extraction socket like defect or ridge splitting.

Are there instruments you can guide me to for ridge splitting?

Thank you,

Jason

max anterior
smile


Reply

Nothing is required here Jason. Tooth movement performed well shall bring bone with the teeth in movement and manage any deficiency in ridge width. regards Dr. Salama


Reply

Orthodontic closure of old, edentulous spaces in the mandibular posterior region is a major challenge. In this report, we describe a method of orthodontic closure of edentulous spaces in the mandibular posterior region accelerated by piezoelectric decortication and alveolar ridge expansion. Combined piezosurgical and orthodontic treatments were used to close 14- and 15-mm-wide spaces in the mandibular left and right posterior areas, respectively, of a female patient, aged 18 years and 9 months, diagnosed with skeletal Class III malocclusion, hypodontia, and polydiastemas. After the piezoelectric decortication, segmental and full-arch mechanics were applied in the orthodontic phase. Despite some extent of root resorption and anchorage loss, the edentulous spaces were closed, and adequate function and esthetics were regained without further restorative treatment. Alveolar ridge expansion-assisted orthodontic space closure seems to be an effective and relatively less-invasive treatment alternative for edentulous spaces in the mandibular posterior region.You can visit at http://etoms.com for full information.


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Slow movement wiill move bone and maintain soft tissue. No grafting necessary, I agree with Maurice


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Omnia
BTI