Assessment of Dimensional Ridge Changes After Augmentation Using External Oblique Ridge with or without Computer Surgical Guide

Document Type : Original Article

Authors

1 Dentist at Teaching Hospital, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.

2 Professor and Chairman of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, AL-Azhar University, Cairo, Egypt.

3 Professor of Oral and Maxillofacial Surgery College of Teaching Hospitals and Research Centers, Egypt.

4 Lecturer of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, AL-Azhar University, Cairo, Egypt

Abstract

Purpose: The current study was conducted to evaluate, clinically and radiographically, the results of defective ridge augmentation by external oblique ridge graft with or without the use of computer-generated surgical guide. Patients and methods: Twelve patients with alveolar ridges defect were included in this study. The patients were divided into 2 groups: Group A; The alveolar ridges defect augmentation from external oblique ridge graft using Khoury technique with computer- designed generated surgical guides. Group B; The alveolar ridges defect augmentation from external oblique
ridge graft using traditional Khoury technique. Clinical and radiographic follow up was performed for 6 months. Treatment changes were evaluated for each group and a comparison was done between the 2 groups. Data were analyzed using paired t-test for each group and student t- test to compare between the two groups. Results: There was a significant increase in bucco-lingual/palatal ridge dimensions between the two studied groups. While the minimal bone distances to the nerve differ significantly (p < 0.05), the computer guided group had greater amount of bone remaining around the nerve than non-guided group. Conclusion: Computer assisted surgical guides allow for accurate precise osteotomies providing safe and quick surgery that reflects positively on the postoperative clinical outcomes.

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Volume 9, Issue 2
issue2 April- Oral Medicine & Surgical Sciences issue (Oral Medicine, Oral & Maxillofacial Surgery, Oral Pathology, Oral Biology)
April 2022
Pages 285-292