Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 257–268
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COMPARATIVE EVALUATION OF DIFFERENT PROCEDURES FOR ANALYZING RESIDUAL ALVEOLAR RIDGE WIDTH BEFORE DENTAL IMPLANT PLACEMENT: A CLINICAL STUDY

Abhishek Motimath*, Vivek Gupta, Harshitha Alva, Nirupama R, Sheetal Acharya, Samidha Jambhekar, Miral Mehta, Ramanpal Makkad

Assistant Professor, Department of Oral and Maxillofacial Surgery, KLE V K Institute of Dental Sciences, Belgaum, Karnataka. · Senior Lecturer, Faculty of Dentistry SEGi University, Malaysia. · Reader, Department Of Prosthodontics Dayananda Sagar College Of Dental Sciences, Bangalore, Karnataka · Reader, Department of Prosthodontics, AB Shetty Memorial Institute of Dental Sciences, NITTE (Deemed to be University) Deralakatte, Mangalore · Associate Professor, Department of Periodontics and Implantology, Kalinga Institute of Dental Sciences KIIT (Deemed to be) University Bhubaneswar, Odisha. · Assistant professor Department of Periodontics Dr D Y Patil Dental college and Hospital, Dr D Y Patil Vidyapeeth, (Deemed-to-be-University) Pune · Assistant Professor, Department of Pediatric and Preventive Dentistry, Karnavati School of Dentistry Karnavati University, Gandhinagar Gujarat, India · Department of Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh.

Received: 2026-04-08 · Published: 2025-06-30

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
COMPARATIVE EVALUATION OF DIFFERENT PROCEDURES FOR ANALYZING RESIDUAL ALVEOLAR RIDGE WIDTH BEFORE DENTAL IMPLANT PLACEMENT: A CLINICAL STUDY
Authors
Abhishek Motimath, Vivek Gupta, Harshitha Alva, Nirupama R, Sheetal Acharya, Samidha Jambhekar, Miral Mehta, Ramanpal Makkad
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-06-30
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.5-257

Abstract

Background: Accurate assessment of the residual alveolar ridge width is critical for successful dental implant placement. Multiple techniques exist to measure this parameter, ranging from radiographic to clinical and non-invasive imaging methods. Objectives: To compare the reliability, accuracy, and clinical applicability of six different techniques—direct surgical measurement (gold standard), CBCT, ridge mapping, ultrasound, digital caliper, and occlusal radiography—for evaluating residual alveolar ridge width prior to dental implant placement. Materials and Methods: Sixty patients (35 females, 25 males; mean age 52.7±11.3 years) with 85 implant sites were evaluated using all six techniques. Ridge width measurements were recorded at three levels (crestal, 3 mm, and 6 mm apical) using each method. Direct surgical measurement during implant placement served as the gold standard. Results: Mean ridge width by direct surgical measurement was 4.20±1.58 mm. Ridge mapping (4.57±1.63 mm), CBCT (4.62±1.67 mm), and digital caliper (4.25±1.60 mm) showed no significant difference from the gold standard (p > 0.05). Occlusal radiography significantly overestimated ridge width (5.10±1.80 mm, p<0.001). Ridge mapping showed highest accuracy (95%) and correlation (r=0.95), followed by digital caliper (94%, r=0.94) and CBCT (92%, r=0.92). Ultrasound showed moderate accuracy (89%) and correlation (r=0.89), while occlusal radiography was least accurate (85%, r=0.82). Intra-examiner and inter-examiner reliability were excellent across all techniques (ICC range: 0.85–0.98). Conclusion: Ridge mapping and CBCT are reliable, accurate, and clinically effective non-invasive alternatives for evaluating alveolar ridge width before implant placement. Ridge mapping offers a radiation-free, cost-effective chairside solution, while CBCT provides comprehensive anatomical details with higher cost and radiation exposure. Ultrasound is promising but requires further refinement to match the accuracy of established methods. Ridge mapping and CBCT are reliable, accurate, and clinically effective non-invasive alternatives for evaluating alveolar ridge width before implant placement. Ridge mapping offers a radiation-free, cost-effective chairside solution, while CBCT provides comprehensive anatomical details with higher cost and radiation exposure. Ultrasound is promising but requires further refinement to match the accuracy of established methods.
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