Staged ridge split procedures for management of horizontal bone deficiencies in the posterior mandible

This webinar explores the evolution of the mandibular staged ridge split technique, the speaker’s approaches, and the advantages of modern implant designs in horizontal ridge augmentation.

The literature describes various approaches to managing horizontal jaw deficiencies to facilitate implant placement. Guided bone regeneration and block overlay grafts are commonly employed techniques, but both have well-documented limitations.

A ridge split procedure involves manually separating the facial and lingual cortices of the bone to allow implant placement. In the posterior mandible, careful consideration of anatomy, vascularity, and cortical bone structure is essential when planning this procedure. Traditionally, the mandibular posterior ridge split technique followed a staged approach, involving corticotomies, ridge expansion, grafting, and delayed implant placement.

Over the years, advancements in technique have significantly reduced treatment durations. The evolution of implant designs and surface features has further enhanced the predictability and acceptance of ridge split procedures compared to other horizontal ridge augmentation methods.

Learning Objectives / Key Takeaways:

• Understanding the traditional staged ridge split technique in the posterior mandible.
• Evaluating the impact of particulate graft type and size on outcomes.
• Exploring the role of active threaded implants in treatment protocols.
• Identifying the potential benefits of ridge split procedures compared to other approaches for horizontal bone deficiencies.