Ridge Split with Wheel Saw and Bone Expanders

A 47-year-old woman has had 3 bridges.  One of them (the lower right) is broken down.  The patient requests removing the tooth #31 (Fig.1 CBCT), because of difficulty in keeping it clean.   Since the buccal plate is thin (Fig.2 (axial section), 3 (coronal section) >) or absent (Fig.2 *), a 5 mm implant will be placed lingually (Clindamycin).  Tap will be used prior to implant placement.

The narrow ridge at #30 will be split with wheel saw; osteotomy will be finished using bone expanders (Fig.4).

Return to Lower Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols , Table) 劈开术  手术 Xin Wei, DDS, PhD, MS 1st edition 07/12/2016, last revision 04/10/2021