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BioMed Research International
Volume 2017, Article ID 4530378, 8 pages
Clinical Study

Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips

1Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy
2Department of Oral and Maxillofacial Surgery, Foligno Hospital, Foligno, Italy
3Department of Oral and Maxillofacial Surgery, Nuovo Ospedale San Giovanni Battista, Foligno, Italy
4Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK
5Department of Orthodontics, University of Milan, Milan, Italy

Correspondence should be addressed to Giulio Gasparini;

Received 13 July 2016; Accepted 5 January 2017; Published 29 January 2017

Academic Editor: Shinji Kuroda

Copyright © 2017 Alessandro Moro et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.