Ridge Expansion by Flapless Split Crest and Immediate Implant Placement: Evolution of the Technique.
Identifieur interne : 000533 ( Main/Exploration ); précédent : 000532; suivant : 000534Ridge Expansion by Flapless Split Crest and Immediate Implant Placement: Evolution of the Technique.
Auteurs : Antonio Cortese [États-Unis] ; Giuseppe Pantaleo ; Massimo Amato ; Pier Paolo ClaudioSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bouche édentée (), Femelle, Greffe osseuse alvéolaire (), Humains, Implants dentaires, Mâle, Pose d'implant dentaire endo-osseux (), Reconstruction de crête alvéolaire (), Régénération osseuse (physiologie), Résorption alvéolaire (), Sujet âgé, Survie du greffon, Transplantation osseuse ().
- MESH :
- physiologie : Régénération osseuse.
- Adulte, Adulte d'âge moyen, Bouche édentée, Femelle, Greffe osseuse alvéolaire, Humains, Implants dentaires, Mâle, Pose d'implant dentaire endo-osseux, Reconstruction de crête alvéolaire, Résorption alvéolaire, Sujet âgé, Survie du greffon, Transplantation osseuse.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Bone Grafting (methods), Alveolar Bone Loss (surgery), Alveolar Ridge Augmentation (methods), Bone Regeneration (physiology), Bone Transplantation (methods), Dental Implantation, Endosseous (methods), Dental Implants, Female, Graft Survival, Humans, Male, Middle Aged, Mouth, Edentulous (surgery).
- MESH :
- chemical : Dental Implants.
- methods : Alveolar Bone Grafting, Alveolar Ridge Augmentation, Bone Transplantation, Dental Implantation, Endosseous.
- physiology : Bone Regeneration.
- surgery : Alveolar Bone Loss, Mouth, Edentulous.
- Adult, Aged, Female, Graft Survival, Humans, Male, Middle Aged.
Abstract
Various treatment strategies and techniques have been proposed to perform alveolar bone augmentation; most common are guided bone regeneration, split crest, and autologous bone grafting. All of these techniques are reported to possess bone regenerative properties of osteoinduction and osteoconduction in relation to regenerated bone survival. Split crest resulted to be one of the most reliable bone augmentation techniques. In this study, we describe a new flapless-modified split crest technique on 4 patients to optimize the bone regeneration with bone augmentation implant insertion in 1 single stage. The rationale of this technique is to obtain a proper buccal cortex expansion preserving its vascular supply and avoiding periosteal elevation for better cortical bone preservation. The main advantages of this technique consist in a single surgical stage without donor sites, vascular periosteal preservation of vestibular cortical walls, preservation of alveolar bone height avoiding bone loss after implant kit drilling, and preservation of proper cortical thickness on both sides, thereby saving periosteal nourishment on the vestibular side. Indication for this technique could be extended to almost every implant insertion for alveolar height saving at drilling time for implant insertion, because of the alveolar crest shape.
DOI: 10.1097/SCS.0000000000002367
PubMed: 26845089
Affiliations:
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Le document en format XML
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<term>Alveolar Ridge Augmentation (methods)</term>
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<term>Greffe osseuse alvéolaire ()</term>
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<front><div type="abstract" xml:lang="en">Various treatment strategies and techniques have been proposed to perform alveolar bone augmentation; most common are guided bone regeneration, split crest, and autologous bone grafting. All of these techniques are reported to possess bone regenerative properties of osteoinduction and osteoconduction in relation to regenerated bone survival. Split crest resulted to be one of the most reliable bone augmentation techniques. In this study, we describe a new flapless-modified split crest technique on 4 patients to optimize the bone regeneration with bone augmentation implant insertion in 1 single stage. The rationale of this technique is to obtain a proper buccal cortex expansion preserving its vascular supply and avoiding periosteal elevation for better cortical bone preservation. The main advantages of this technique consist in a single surgical stage without donor sites, vascular periosteal preservation of vestibular cortical walls, preservation of alveolar bone height avoiding bone loss after implant kit drilling, and preservation of proper cortical thickness on both sides, thereby saving periosteal nourishment on the vestibular side. Indication for this technique could be extended to almost every implant insertion for alveolar height saving at drilling time for implant insertion, because of the alveolar crest shape.</div>
</front>
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