Future Dental Journal of Egypt


Purpose: In the conventional ridge splitting technique, a complete flap is raised to allow adequate visibility of the bone defect which can result in disturbance of vascular supply and increase bone resorption rates. In this case report, a new innovative computer guided closed alveolar ridge splitting flapless technique has been advocated to avoid this disruption. Materials and Methods: After thorough clinical and radiographic evaluation, the patient presented in this case report showed inadequate bone width in the missing first premolar region.The procedure involved a series of creating and designing special 3D virtual guide slits that can accommodate and precisely fit the tools used for the alveolar ridge splitting technique. Results: After a three months follow-up, the Implant was found to have successfully osseointegrated both clinically and radio-graphically. The Implant deviation from the pre-planned virtual implant position was as well found to be within an acceptable range. Conclusion: For the alveolar ridge with insufficient thickness, this flapless, computer guided ridge splitting technique can be a predictable, less invasive and an atraumatic technique with immediate implant placement.