Piezosurgery-Assisted, Flapless Split Crest Surgery for Implant Site Preparation
Identifieur interne : 000765 ( Pmc/Checkpoint ); précédent : 000764; suivant : 000766Piezosurgery-Assisted, Flapless Split Crest Surgery for Implant Site Preparation
Auteurs : Federico Brugnami [Italie] ; Alfonso Caiazzo [Italie] ; Pushkar Mehra [États-Unis]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2012.
Abstract
Bucco-lingual resorption of the alveolar ridge can, at times, be predictably corrected at the time of implant placement. Among the different options available to achieve this are a group of surgical techniques described as split crest or split ridge procedures. Most of these procedures require the use of a mallet and some type of chisels and/or osteotomes; they are very technique-sensitive and can be uncomfortable for patients. Recently, alternative tools to split the crest have been presented, and these include the newer bone expanders and the piezoelectric scalpel. A flapless approach to implant dentistry has become popular with the aim to alleviate post treatment side effects, accelerate healing and avoid bone resorption caused by flap elevation.
We present a technique combining the use of a piezoelectric scalpel and a tapered bone expander in a flapless fashion as a novel way to perform split crest procedures with an aim to optimize outcomes and acceptability by patients.
All implants were successfully placed and the resorbed ridge expanded in the same setting. Findings were confirmed by postoperative cone beam cat scan (CBCT) evaluation.
This new technique is a predictable approach for split crest procedures and has high acceptability by patients and is technically simple for surgeons.
Url:
DOI: 10.1007/s12663-012-0377-3
PubMed: 24644400
PubMed Central: 3955474
Affiliations:
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Goldman School of Dental Medicine, 100 East Newton Street, G-407, Boston, MA 02118 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, G-407, Boston</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of Maxillofacial & Oral Surgery</title><idno type="ISSN">0972-8279</idno><idno type="eISSN">0974-942X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Bucco-lingual resorption of the alveolar ridge can, at times, be predictably corrected at the time of implant placement. Among the different options available to achieve this are a group of surgical techniques described as split crest or split ridge procedures. Most of these procedures require the use of a mallet and some type of chisels and/or osteotomes; they are very technique-sensitive and can be uncomfortable for patients. Recently, alternative tools to split the crest have been presented, and these include the newer bone expanders and the piezoelectric scalpel. A flapless approach to implant dentistry has become popular with the aim to alleviate post treatment side effects, accelerate healing and avoid bone resorption caused by flap elevation.</p></sec><sec><title>Methods</title><p>We present a technique combining the use of a piezoelectric scalpel and a tapered bone expander in a flapless fashion as a novel way to perform split crest procedures with an aim to optimize outcomes and acceptability by patients.</p></sec><sec><title>Results</title><p>All implants were successfully placed and the resorbed ridge expanded in the same setting. Findings were confirmed by postoperative cone beam cat scan (CBCT) evaluation.</p></sec><sec><title>Conclusions</title><p>This new technique is a predictable approach for split crest procedures and has high acceptability by patients and is technically simple for surgeons.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Maxillofac Oral Surg</journal-id><journal-id journal-id-type="iso-abbrev">J Maxillofac Oral Surg</journal-id><journal-title-group><journal-title>Journal of Maxillofacial & Oral Surgery</journal-title></journal-title-group><issn pub-type="ppub">0972-8279</issn><issn pub-type="epub">0974-942X</issn><publisher><publisher-name>Springer India</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24644400</article-id><article-id pub-id-type="pmc">3955474</article-id><article-id pub-id-type="publisher-id">377</article-id><article-id pub-id-type="doi">10.1007/s12663-012-0377-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Technical Note</subject></subj-group></article-categories><title-group><article-title>Piezosurgery-Assisted, Flapless Split Crest Surgery for Implant Site Preparation</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Brugnami</surname><given-names>Federico</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Caiazzo</surname><given-names>Alfonso</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Mehra</surname><given-names>Pushkar</given-names></name><address><phone>+617-638-4350</phone><fax>+617-638-4365</fax><email>pmehra@bu.edu</email></address><xref ref-type="aff" rid="Aff3"></xref></contrib><aff id="Aff1"><label></label>Rome, Italy</aff><aff id="Aff2"><label></label>Salerno, Italy</aff><aff id="Aff3"><label></label>Department of Oral and Maxillofacial Surgery, Boston University Henry M. Goldman School of Dental Medicine, 100 East Newton Street, G-407, Boston, MA 02118 USA</aff></contrib-group><pub-date pub-type="epub"><day>16</day><month>5</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>3</month><year>2014</year></pub-date><volume>13</volume><issue>1</issue><fpage>67</fpage><lpage>72</lpage><history><date date-type="received"><day>16</day><month>1</month><year>2012</year></date><date date-type="accepted"><day>21</day><month>3</month><year>2012</year></date></history><permissions><copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2012</copyright-statement></permissions><abstract id="Abs1"><sec><title>Introduction</title><p>Bucco-lingual resorption of the alveolar ridge can, at times, be predictably corrected at the time of implant placement. Among the different options available to achieve this are a group of surgical techniques described as split crest or split ridge procedures. Most of these procedures require the use of a mallet and some type of chisels and/or osteotomes; they are very technique-sensitive and can be uncomfortable for patients. Recently, alternative tools to split the crest have been presented, and these include the newer bone expanders and the piezoelectric scalpel. A flapless approach to implant dentistry has become popular with the aim to alleviate post treatment side effects, accelerate healing and avoid bone resorption caused by flap elevation.</p></sec><sec><title>Methods</title><p>We present a technique combining the use of a piezoelectric scalpel and a tapered bone expander in a flapless fashion as a novel way to perform split crest procedures with an aim to optimize outcomes and acceptability by patients.</p></sec><sec><title>Results</title><p>All implants were successfully placed and the resorbed ridge expanded in the same setting. Findings were confirmed by postoperative cone beam cat scan (CBCT) evaluation.</p></sec><sec><title>Conclusions</title><p>This new technique is a predictable approach for split crest procedures and has high acceptability by patients and is technically simple for surgeons.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Flapless</kwd><kwd>Piezosurgery</kwd><kwd>Ridge split</kwd><kwd>Ridge augmentation</kwd><kwd>Implant</kwd><kwd>Atrophy</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Association of Oral and Maxillofacial Surgeons of India 2014</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Italie</li><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><country name="Italie"><noRegion><name sortKey="Brugnami, Federico" sort="Brugnami, Federico" uniqKey="Brugnami F" first="Federico" last="Brugnami">Federico Brugnami</name></noRegion><name sortKey="Caiazzo, Alfonso" sort="Caiazzo, Alfonso" uniqKey="Caiazzo A" first="Alfonso" last="Caiazzo">Alfonso Caiazzo</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Mehra, Pushkar" sort="Mehra, Pushkar" uniqKey="Mehra P" first="Pushkar" last="Mehra">Pushkar Mehra</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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