Le Fort I osteotomy, bilateral sinus lift, and inlay bone-grafting for reconstruction in the severely atrophic maxilla: a new vision of the sandwich technique, using bone scrapers and piezosurgery.
Identifieur interne : 005753 ( Main/Exploration ); précédent : 005752; suivant : 005754Le Fort I osteotomy, bilateral sinus lift, and inlay bone-grafting for reconstruction in the severely atrophic maxilla: a new vision of the sandwich technique, using bone scrapers and piezosurgery.
Auteurs : Mario Fernando Mu Oz-Guerra [Espagne] ; Luis Naval-Gías ; Ana Capote-MorenoSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 1531-5053 ] ; 2009.
Descripteurs français
- KwdFr :
- Humains, Muqueuse nasale (), Mâchoire édentée (rééducation et réadaptation), Ostéotomie de Le Fort (instrumentation), Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie (), Procédures de chirurgie préprothétique en odontologie (instrumentation), Résorption alvéolaire (rééducation et réadaptation), Sinus maxillaire (), Transplantation osseuse (), Ultrasonothérapie.
- MESH :
- rééducation et réadaptation : Mâchoire édentée, Résorption alvéolaire.
- instrumentation : Humains, Muqueuse nasale, Ostéotomie de Le Fort, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Sinus maxillaire, Transplantation osseuse, Ultrasonothérapie.
English descriptors
- KwdEn :
- Alveolar Bone Loss (rehabilitation), Bone Transplantation (methods), Dental Implantation, Endosseous, Humans, Jaw, Edentulous (rehabilitation), Maxillary Sinus (surgery), Nasal Mucosa (surgery), Oral Surgical Procedures, Preprosthetic (instrumentation), Oral Surgical Procedures, Preprosthetic (methods), Osteotomy, Le Fort (instrumentation), Ultrasonic Therapy.
- MESH :
- instrumentation : Oral Surgical Procedures, Preprosthetic, Osteotomy, Le Fort.
- methods : Bone Transplantation, Oral Surgical Procedures, Preprosthetic.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous.
- surgery : Maxillary Sinus, Nasal Mucosa.
- Dental Implantation, Endosseous, Humans, Ultrasonic Therapy.
Abstract
Severe atrophy of the edentulous maxilla and progressive pneumatisation of the maxillary sinus can compromise the insertion of dental implants. In this context, ideal implant positioning is limited by inadequate height, width, and quality of the bone. Le Fort I osteotomy and interpositional bone graft is an excellent treatment concept for the dental rehabilitation of patients with atrophied maxilla and reversed intermaxillary relationship. In this report, we indicate the transcendent aspect of elevation and preservation of maxillary sinus and nasal mucosa, modifying the sandwich technique by the useful of bone scrapers and piezosurgery. The procedure is described including a 1-stage approach using cortico-cancellous bone blocks through which implants are placed. In the extremely atrophied alveolar process of the maxilla, this technique provides the desired gain of bone, allows for the ideal placement of dental implants, and improves any discrepancy between the upper and lower arches.
DOI: 10.1016/j.joms.2008.09.004
PubMed: 19231789
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Severe atrophy of the edentulous maxilla and progressive pneumatisation of the maxillary sinus can compromise the insertion of dental implants. In this context, ideal implant positioning is limited by inadequate height, width, and quality of the bone. Le Fort I osteotomy and interpositional bone graft is an excellent treatment concept for the dental rehabilitation of patients with atrophied maxilla and reversed intermaxillary relationship. In this report, we indicate the transcendent aspect of elevation and preservation of maxillary sinus and nasal mucosa, modifying the sandwich technique by the useful of bone scrapers and piezosurgery. The procedure is described including a 1-stage approach using cortico-cancellous bone blocks through which implants are placed. In the extremely atrophied alveolar process of the maxilla, this technique provides the desired gain of bone, allows for the ideal placement of dental implants, and improves any discrepancy between the upper and lower arches.</div>
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<region><li>Communauté de Madrid</li>
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