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Palatal versus vestibular piezoelectric window osteotomy for maxillary sinus elevation: a comparative clinical study of two surgical techniques

Identifieur interne : 005D30 ( Main/Exploration ); précédent : 005D29; suivant : 005D31

Palatal versus vestibular piezoelectric window osteotomy for maxillary sinus elevation: a comparative clinical study of two surgical techniques

Auteurs : Stefan Stübinger [Suisse, Allemagne] ; Belma Saldamli [Suisse, Allemagne] ; Oliver Seitz [Allemagne] ; Robert Sader [Suisse, Allemagne] ; Constantin A. Landes [Allemagne]

Source :

Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics [ 1079-2104 ] ; 2009.

RBID : Pascal:09-0240449

Descripteurs français

Pascal (Inist)
- Ostéotomie, Chirurgie, Palais, Etude comparative, Sinus maxillaire, Technique, Traitement.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Comparative study, Maxillary sinus, Osteotomy, Palate, Surgery, Technique, Treatment.

Abstract

Objectives. The goal of this study was to compare the surgical advantages and disadvantages of a new palatal access osteotomy for sinus elevation with a conventional lateral approach. Study design. In 32 patients, either a palatal (n = 16) or a lateral (n = 16) osteotomy to the maxillary sinus was performed under local anesthesia. The palatal access included a circular paramarginal incision and elevation of a palatal mucosal flap based on a median pedicle. The lateral access was performed by vestibular standard incision and development of a mucoperiosteal flap with a vestibular and superior basis. For all osteotomies a piezoelectric device was used. The sinus cavity was augmented with synthetic nanostructured hydroxyapatite graft material. Results. Intraoperative complications during both procedures were minimal and wound healing was uneventful. Membrane perforation occurred in 19% of the palatal group and in 19% of the lateral group. Soft tissue management of the palatal technique was superior to that of the lateral approach, because the vestibular anatomy was not altered and consequently no disharmonious soft tissue scarring and no postoperative swelling occurred. Conclusion. The palatal approach permitted higher postoperative comfort, especially for edentulous patients, because full dentures could be incorporated directly after surgery with almost perfect fit.

Affiliations:

Allemagne, Suisse

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Comparative study</term>
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<term>Surgery</term>
<term>Technique</term>
<term>Treatment</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Ostéotomie</term>
<term>Chirurgie</term>
<term>Palais</term>
<term>Etude comparative</term>
<term>Sinus maxillaire</term>
<term>Technique</term>
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<front><div type="abstract" xml:lang="en">Objectives. The goal of this study was to compare the surgical advantages and disadvantages of a new palatal access osteotomy for sinus elevation with a conventional lateral approach. Study design. In 32 patients, either a palatal (n = 16) or a lateral (n = 16) osteotomy to the maxillary sinus was performed under local anesthesia. The palatal access included a circular paramarginal incision and elevation of a palatal mucosal flap based on a median pedicle. The lateral access was performed by vestibular standard incision and development of a mucoperiosteal flap with a vestibular and superior basis. For all osteotomies a piezoelectric device was used. The sinus cavity was augmented with synthetic nanostructured hydroxyapatite graft material. Results. Intraoperative complications during both procedures were minimal and wound healing was uneventful. Membrane perforation occurred in 19% of the palatal group and in 19% of the lateral group. Soft tissue management of the palatal technique was superior to that of the lateral approach, because the vestibular anatomy was not altered and consequently no disharmonious soft tissue scarring and no postoperative swelling occurred. Conclusion. The palatal approach permitted higher postoperative comfort, especially for edentulous patients, because full dentures could be incorporated directly after surgery with almost perfect fit.</div>
</front>
</TEI>
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Palatal versus vestibular piezoelectric window osteotomy for maxillary sinus elevation: a comparative clinical study of two surgical techniques

Palatal versus vestibular piezoelectric window osteotomy for maxillary sinus elevation: a comparative clinical study of two surgical techniques

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri