Radiographic assessment of computer guided modified ridge splitting technique versus conventional free hand technique in management of horizontal deficiency in posterior mandible: a randomized control clinical trial

Document Type : Original Article

Authors

1 MSc Student, Researcher at Oral and Maxillofacial Surgery Department Faculty of Dentistry Cairo University in Egypt

2 Associate professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Egypt. The Head Of Oral Surgery Division, School Of Dentistry, New Giza University, Egypt. (BDS, MSc, PhD).

3 Lecturer Oral and Maxillofacial Surgery Department Faculty of Dentistry Cairo University in Egypt.

Abstract

Purpose: The aim of this study was radiographic assessment of computer guided modified ridge splitting technique versus conventional free hand technique in management of horizontal deficiency in posterior mandible.
Methodology: Eighteen patients with horizontally deficient posterior mandibular ridges were equally and randomly allocated into two groups; in the study group ( group A ), patients underwent augmentation using guided modified ridge splitting grafting procedure, on the other hand, in the control group (group B) , they underwent augmentation using conventional free hand modified ridge splitting grafting technique. Each patient was assessed radiographically using cone beam computed tomography (CBCT) in the following intervals pre-operatively, immediately post-operatively and four months post-operatively for assessment of horizontal bone gain.
Results: The postoperative recovery and healing phase were uneventful in all patients. In the study group, the mean horizontal bone gain after four months was (4.93±0.64) mm, whereas in the other group was (4.46±0.67) mm and the difference was statistically significant (p=0.038).
Conclusion: Using a 3D-printed, patient-specific guide for harvesting and fixation of the modified cortical shell offered superior and better horizontal bone gain compared to the freehand harvesting and fixation technique.
Keywords:
Alveolar ridge deficiency, horizontal augmentation, modified ridge splitting, computer-guided bone augmentation, accuracy.

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Egyptian Dental Journal
Volume 71, Issue 2 - Serial Number 2
April Oral Surgery
April 2025
Pages 1269-1277

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