Ridge split with Piezo and Versah burs
After Dr Nieva's excellent presentation on osseodensification I was asked to expand on his last case using these burs for ridge splitting.
I have found them to be a improvement on bone expanders for ridge splitting. While it is still new to me as I've only been using them for the last 6 months they seem to densify and expand the ridge simultaneously. I've been very impressed as the osstel readings start hiigh around 75-85 and upon exposure at 3 months they are the same if not higher.
This case was difficult as the IA is only 9.7 mm from the crest. I used 10mm implants and placed them lateral the the canal.
Piezo horizontal cut used to start then 3 versah burs for osteotomy and expansion. Any ridge implants were then used to complete the expansion torque values between 50-80ncm. Bioss and CGF(PRF) closure with PTFE sutures.
Case completed at 4 months using ZR abutments and crowns.