International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

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Anterior Maxillary Ridge Split and Implant Placement with Early Screw-Retained Provisionalization: A Clinical Case Report

Author(s) Dr. Nivedha S, Prof. Dr. Sanjayagouda B Patil, Dr. Chilakala Ravallika
Country India
Abstract Trauma-induced ridge resorption in the anterior maxilla presents significant surgical and esthetic challenges for implant rehabilitation. The ridge split technique offers a conservative alternative to traditional grafting by enabling horizontal ridge augmentation and simultaneous implant placement while preserving vascularity.
This report presents the case of a 29-year-old male with missing four maxillary anterior teeth (12, 11, 21, 22) following trauma two years earlier. Clinical and CBCT evaluation revealed a severely narrow anterior ridge (<3 mm width) with adequate vertical bone height. Ridge expansion was performed using piezo surgical instruments and sequential bone expanders, followed by placement of two implants (3.5 × 11.5 mm) in the 12 and 22 regions with insertion torque of 30-35 Ncm. Platelet-rich fibrin (PRF) was placed over the osteotomy site.
At 5 weeks, nonfunctional screw-retained provisional restorations were delivered to contour peri-implant soft tissues while avoiding occlusal loading to prevent micromotion during early osseointegration. Immediate postoperative radiographs (after implant placement) confirmed ideal implant positioning and intimate bone-implant contact (BIC), indicating favourable conditions for osseointegration. This minimally invasive approach reduced morbidity, shortened treatment time, and achieved predictable esthetical and functional results.
Keywords Ridge split, Anterior maxilla, Bone-implant contact, Nonfunctional loading, Trauma, Early screw-retained provisionalization
Field Medical / Pharmacy
Published In Volume 7, Issue 5, September-October 2025
Published On 2025-10-27
DOI https://doi.org/10.36948/ijfmr.2025.v07i05.58876
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E-ISSN 2582-2160
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