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SAS Journal of Surgery | Volume-11 | Issue-01
One-Stage Mandibular Lateral Ridge Expansion for Implant Placement: A Case Report
Omar Walha, Hichem Mehrez, Hend Ouertani, Mohamed Bassem Khattech
Published: Jan. 29, 2025 | 66 42
DOI: https://doi.org/10.36347/sasjs.2025.v11i01.020
Pages: 103-107
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Abstract
Insufficient bone thickness in atrophic mandibles poses a significant challenge for dental implant placement. While various techniques exist to address this issue, mandibular ridge expansion, specifically through a two-stage process involving corticotomies and ridge splitting, has been commonly used. This case report explores the outcomes of a one-stage mandibular lateral ridge expansion technique to enhance bone structure for implant placement. A 57-year-old female patient with significant bone resorption in the mandible underwent a one-stage procedure involving full-thickness mucoperiosteal flap elevation, corticotomies, and lateral ridge expansion using osteotomes. The space between the cortical plates was maintained with fixation screws, allowing for blood clot formation and bone healing. Postoperative care was followed by cone-beam computed tomography (CBCT), which showed a bone width gain of 2–5 mm after six months. Dental implants were successfully placed after a sufficient healing period, demonstrating the efficacy of this technique in reconstructing severely narrow mandibular ridges without the need for bone harvesting. This approach presents a simplified, cost-effective alternative to more invasive bone augmentation methods with minimal morbidity and comparable outcomes to other ridge expansion techniques.