{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:20:45Z","timestamp":1790565645245,"version":"4.1.0"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\u201cThe purpose of the study is to evaluate alveolar ridge split and expansion (ARSE) with simultaneous implant placement in mandibular posterior implant sites using motorized ridge expanders.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The ARSE is used in the management of horizontally deficient (narrow) alveolar ridge with optimum bone height available. The ARSE procedure in the posterior mandible has limited application as per literature. The successful cases reported are with extensive procedure of the osteo-mobilization with four corticotomies on buccal side. The authors presented the study of mandibular posterior implant sites using motorized ridge expanders. The ARSE performed here was by only crestal osteotomy simple osteo-condensation and immediate implant insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The study was prospective type. The sample size was 15 patients and 31 implant sites. The study population included partially edentulous patients between 18 years and 60 years indicated for implant-supported prosthesis. The outcome variables studied included gain in ridge width, cervical bone loss, success of implant, and survival rate. Successful surgical outcome was evaluated by Buser's criteria. The data collected was evaluated by differential statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The minimally invasive technique of one-stage ARSE performed with motorized ridge expander and insertion of implant in the same operative procedure decreases the morbidity, treatment time, number of surgical procedures, and the risk of complications, thereby, increasing patient acceptance. In this study, the authors have used this technique in the posterior mandible for narrow ridges (minimum 3 mm) and obtained promising results. The survival rate of the implants was 100% and the gain in ridge width was 3.2 mm. The author has also recommended the protocol according to bone density of mandible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njms.njms_417_21","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T05:44:00Z","timestamp":1658468640000},"page":"411-420","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Alveolar ridge split and expansion with simultaneous implant placement in mandibular posterior sites using motorized ridge expanders \u2013 modified treatment protocol"],"prefix":"10.4103","volume":"13","author":[{"given":"Varsha S","family":"Manekar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. R.","family":"Shenoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Manekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice","family":"Jhon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-14-20240908","first-page":"462","article-title":"Jawbone enlargement using immediate implant placement associate with a split crest technique and guide tissue regeneration","volume":"12","author":"Simion","year":"1992","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R2-14-20240908","first-page":"451","article-title":"The edentulous ridge expansion technique: A five-year study","volume":"14","author":"Scipioni","year":"1994","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R3-14-20240908","first-page":"491","article-title":"Maxillary ridge expansion with simultaneous implant placement: 5-year results of an ongoing clinical study","volume":"15","author":"Sethi","year":"2000","journal-title":"Int J Oral Maxillofac Implants"},{"key":"R5-14-20240908","doi-asserted-by":"crossref","first-page":"114","DOI":"10.11607\/jomi.4203","article-title":"Radiographic evaluation of crestal bone level in split-crest and immediate implant placement: Minimum 5-year follow-up","volume":"32","author":"Bruschi","year":"2017","journal-title":"Int J Oral Maxillofac Implants"},{"key":"R6-14-20240908","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1034\/j.1600-0501.2002.130510.x","article-title":"Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: Results of a retrospective study","volume":"13","author":"Strietzel","year":"2002","journal-title":"Clin Oral Implants Res"},{"key":"R7-14-20240908","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1111\/j.1600-0501.2006.01206.x","article-title":"Split-crest and immediate implant placement with ultra-sonic bone surgery: A 3-year life-table analysis with 230 treated sites","volume":"17","author":"Blus","year":"2006","journal-title":"Clin Oral Implants Res"},{"key":"R8-14-20240908","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.ijom.2010.03.030","article-title":"Alveolar split osteotomy for the treatment of the severe narrow ridge maxillary atrophy: A modified technique","volume":"40","author":"Gonz\u00e1lez-Garc\u00eda","year":"2011","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R9-14-20240908","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1016\/j.ijom.2014.05.021","article-title":"Assessment of marginal bone loss using full thickness versus partial thickness flaps for alveolar ridge splitting and immediate implant placement in the anterior maxilla","volume":"43","author":"Mounir","year":"2014","journal-title":"Int J Oral Maxillofac Surg"},{"key":"R10-14-20240908","first-page":"358","article-title":"Piezoelectric surgery in implantology: A case report \u2013 A new piezoelectric ridge expansion technique","volume":"20","author":"Vercellotti","year":"2000","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R11-14-20240908","doi-asserted-by":"crossref","first-page":"1580","DOI":"10.1902\/jop.2010.100093","article-title":"Reconstruction of posterior mandibular alveolar ridge deficiencies with the piezoelectric hinge-assisted ridge split technique: A retrospective observational report","volume":"81","author":"Holtzclaw","year":"2010","journal-title":"J Periodontol"},{"key":"R12-14-20240908","doi-asserted-by":"crossref","first-page":"144","DOI":"10.11607\/jomi.2753","article-title":"Delayed expansion of the atrophic mandible by ultrasonic surgery: A clinical and histologic case series","volume":"30","author":"Scarano","year":"2015","journal-title":"Int J Oral Maxillofac Implants"},{"key":"R13-14-20240908","doi-asserted-by":"crossref","first-page":"67","DOI":"10.21608\/adjalexu.2017.57859","article-title":"Piezoelectric ridge splitting using split thickness mucosal flap","volume":"42","author":"Mahmoud","year":"2017","journal-title":"Alexandria Dent J"},{"key":"R14-14-20240908","first-page":"36","article-title":"A modified split-crest technique using piezoelectric surgery and immediate implant placement in the atrophic maxilla","volume":"8","author":"Zahran","year":"2016","journal-title":"J Implant Adv Clin Dent"},{"key":"R15-14-20240908","doi-asserted-by":"crossref","first-page":"2283","DOI":"10.1016\/j.joms.2010.04.009","article-title":"Immediate and delayed lateral ridge expansion technique in the atrophic posterior mandibular ridge","volume":"68","author":"Sohn","year":"2010","journal-title":"J Oral Maxillofac Surg"},{"key":"R16-14-20240908","doi-asserted-by":"crossref","first-page":"2115.e1","DOI":"10.1016\/j.joms.2017.05.015","article-title":"Two-stage ridge split at narrow alveolar mandibular bone ridges","volume":"75","author":"Agabiti","year":"2017","journal-title":"J Oral Maxillofac Surg"},{"key":"R17-14-20240908","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.15537\/smj.2017.12.21462","article-title":"Comparison of alveolar ridge splitting and autogenous onlay bone grafting to enable implant placement in patients with atrophic jaw bones","volume":"38","author":"Gurler","year":"2017","journal-title":"Saudi Med J"},{"key":"R18-14-20240908","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1097\/ID.0000000000000795","article-title":"U-shaped bone splitting and osteotome techniques for narrow alveolar ridge in implant surgery","volume":"27","author":"Yao","year":"2018","journal-title":"Implant Dent"},{"key":"R19-14-20240908","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1016\/j.tripleo.2011.05.041","article-title":"Two-stage split-crest technique with ultrasonic bone surgery for controlled ridge expansion: A novel modified technique","volume":"112","author":"Anitua","year":"2011","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"R20-14-20240908","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1902\/jop.2004.75.8.1061","article-title":"Morphometric analysis of implant-related anatomy in Caucasian skulls","volume":"75","author":"Neiva","year":"2004","journal-title":"J Periodontol"},{"key":"R21-14-20240908","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1563\/0.915.1","article-title":"A comparison of facial and lingual cortical thicknesses in edentulous maxillary and mandibular sites measured on computerized tomograms","volume":"34","author":"Flanagan","year":"2008","journal-title":"J Oral Implantol"},{"key":"R22-14-20240908","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1034\/j.1600-0501.1997.080302.x","article-title":"Long-term evaluation of non-submerged ITI implants.Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants","volume":"8","author":"Buser","year":"1997","journal-title":"Clin Oral Implants Res"},{"key":"R23-14-20240908","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1563\/AAID-JOI-D-14-00023","article-title":"Classification of the alveolar ridge width: Implant-driven treatment considerations for the horizontally deficient alveolar ridges","volume":"40 Spec No","author":"Tolstunov","year":"2014","journal-title":"J Oral Implantol"},{"key":"R24-14-20240908","first-page":"5","article-title":"Advances in bone manipulation techniques: Part 2. Osteomobilization for horizontal and vertical implant site development","volume":"18","author":"Cullum","year":"2010","journal-title":"Selected Readings in Oral and Maxillofacial Surgery"},{"key":"R25-14-20240908","doi-asserted-by":"crossref","first-page":"22","DOI":"10.5005\/jp-journals-10004-1003","article-title":"Bone manipulation techniques","volume":"1","author":"Goyal","year":"2009","journal-title":"Int J Clin Implant Dent"},{"key":"R26-14-20240908","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1111\/j.1708-8208.2011.00340.x","article-title":"Clinical evaluation of split-crest technique with ultrasonic bone surgery for narrow ridge expansion: Status of soft and hard tissues and implant success","volume":"15","author":"Anitua","year":"2013","journal-title":"Clin Implant Dent Relat Res"},{"key":"R27-14-20240908","doi-asserted-by":"crossref","first-page":"2182","DOI":"10.1016\/j.joms.2016.06.182","article-title":"Is alveolar ridge split a risk factor for implant survival?","volume":"74","author":"Anitua","year":"2016","journal-title":"J Oral Maxillofac Surg"},{"key":"R28-14-20240908","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1097\/SCS.0000000000003229","article-title":"Lateral ridge splitting (Expansion) with immediate placement of endosseous dental implant using piezoelectric device: A new treatment protocol","volume":"28","author":"Jamil","year":"2017","journal-title":"J Craniofac Surg"},{"key":"R29-14-20240908","first-page":"547","article-title":"Prospective evaluation of the use of motorized ridge expanders in guided bone regeneration for future implant sites","volume":"31","author":"Mazzocco","year":"2011","journal-title":"Int J Periodontics Restorative Dent"},{"key":"R30-14-20240908","first-page":"557","article-title":"A 10-year multicenter retrospective clinical study of 1715 implants placed with the edentulous ridge expansion technique","volume":"27","author":"Bravi","year":"2007","journal-title":"Int J Periodontics Restorative Dent"}],"container-title":["National Journal of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_417_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:06:53Z","timestamp":1787756813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_417_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/njms.njms_417_21","relation":{},"ISSN":["0975-5950"],"issn-type":[{"value":"0975-5950","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}