Piezoelectric surgery in implantology: a case report--a new piezoelectric ridge expansion technique.
Identifieur interne : 008F63 ( Main/Merge ); précédent : 008F62; suivant : 008F64Piezoelectric surgery in implantology: a case report--a new piezoelectric ridge expansion technique.
Auteurs : T. VercellottiSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Cicatrisation de plaie, Ciments osseux (usage thérapeutique), Céramiques (usage thérapeutique), Humains, Implants dentaires, Lambeaux chirurgicaux, Maxillaire (), Membrane artificielle, Mâchoire édentée (), Mâle, Ostéogenèse, Ostéotomie (), Ostéotomie (instrumentation), Palais (), Pose d'implant dentaire endo-osseux (), Pose d'implant dentaire endo-osseux (instrumentation), Projets pilotes, Substituts osseux (usage thérapeutique), Transfusion de plaquettes, Transfusion sanguine autologue, Électrochirurgie (instrumentation), Études de suivi.
- MESH :
- usage thérapeutique : Ciments osseux, Céramiques, Ostéotomie, Pose d'implant dentaire endo-osseux, Substituts osseux, Électrochirurgie.
- Adulte d'âge moyen, Cicatrisation de plaie, Humains, Implants dentaires, Lambeaux chirurgicaux, Maxillaire, Membrane artificielle, Mâchoire édentée, Mâle, Ostéogenèse, Ostéotomie, Palais, Pose d'implant dentaire endo-osseux, Projets pilotes, Transfusion de plaquettes, Transfusion sanguine autologue, Études de suivi.
English descriptors
- KwdEn :
- Blood Transfusion, Autologous, Bone Cements (therapeutic use), Bone Substitutes (therapeutic use), Ceramics (therapeutic use), Dental Implantation, Endosseous (instrumentation), Dental Implantation, Endosseous (methods), Dental Implants, Electrosurgery (instrumentation), Follow-Up Studies, Humans, Jaw, Edentulous (surgery), Male, Maxilla (surgery), Membranes, Artificial, Middle Aged, Osteogenesis, Osteotomy (instrumentation), Osteotomy (methods), Palate (surgery), Pilot Projects, Platelet Transfusion, Surgical Flaps, Wound Healing.
- MESH :
- chemical , therapeutic use : Bone Cements, Bone Substitutes.
- instrumentation : Dental Implantation, Endosseous, Electrosurgery, Osteotomy.
- methods : Dental Implantation, Endosseous, Osteotomy.
- surgery : Jaw, Edentulous, Maxilla, Palate.
- therapeutic use : Ceramics.
- Blood Transfusion, Autologous, Dental Implants, Follow-Up Studies, Humans, Male, Membranes, Artificial, Middle Aged, Osteogenesis, Pilot Projects, Platelet Transfusion, Surgical Flaps, Wound Healing.
Abstract
The purpose of this preliminary article is to present a new surgical technique that, thanks to the use of modulated-frequency piezoelectric energy scalpels, permits the expansion of the ridge and the placement of implants in single-stage surgery in positions that were not previously possible with any other method. The technique involves the separation of the vestibular osseous flap from the palatal flap and the immediate positioning of the implant between the 2 cortical walls. The case report illustrates the ridge expansion and positioning of implants step by step in bone of quality 1 to 2 with only 2 to 3 mm of thickness that is maintained for its entire height. To obtain rapid healing, the expansion space that was created for the positioning of the implant was filled, following the concepts of tissue engineering, with bioactive glass synthetic bone graft material as an osteoconductive factor and autogenous platelet-rich plasma as an osteoinductive factor. The site was covered with a platelet-rich plasma membrane. A careful evaluation of the site when reopened after 3 months revealed that the ridge was mineralized and stabilized at a thickness of 5 mm and the implants were osseointegrated.
PubMed: 11203575
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pubmed:11203575Le document en format XML
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<term>Bone Cements (therapeutic use)</term>
<term>Bone Substitutes (therapeutic use)</term>
<term>Ceramics (therapeutic use)</term>
<term>Dental Implantation, Endosseous (instrumentation)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Electrosurgery (instrumentation)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Maxilla (surgery)</term>
<term>Membranes, Artificial</term>
<term>Middle Aged</term>
<term>Osteogenesis</term>
<term>Osteotomy (instrumentation)</term>
<term>Osteotomy (methods)</term>
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<term>Pilot Projects</term>
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<term>Cicatrisation de plaie</term>
<term>Ciments osseux (usage thérapeutique)</term>
<term>Céramiques (usage thérapeutique)</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire ()</term>
<term>Membrane artificielle</term>
<term>Mâchoire édentée ()</term>
<term>Mâle</term>
<term>Ostéogenèse</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (instrumentation)</term>
<term>Palais ()</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (instrumentation)</term>
<term>Projets pilotes</term>
<term>Substituts osseux (usage thérapeutique)</term>
<term>Transfusion de plaquettes</term>
<term>Transfusion sanguine autologue</term>
<term>Électrochirurgie (instrumentation)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bone Cements</term>
<term>Bone Substitutes</term>
</keywords>
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<term>Electrosurgery</term>
<term>Osteotomy</term>
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<term>Osteotomy</term>
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<term>Maxilla</term>
<term>Palate</term>
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<keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Ceramics</term>
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<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Ciments osseux</term>
<term>Céramiques</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Substituts osseux</term>
<term>Électrochirurgie</term>
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<term>Dental Implants</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Membranes, Artificial</term>
<term>Middle Aged</term>
<term>Osteogenesis</term>
<term>Pilot Projects</term>
<term>Platelet Transfusion</term>
<term>Surgical Flaps</term>
<term>Wound Healing</term>
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<term>Cicatrisation de plaie</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Lambeaux chirurgicaux</term>
<term>Maxillaire</term>
<term>Membrane artificielle</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Ostéogenèse</term>
<term>Ostéotomie</term>
<term>Palais</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Projets pilotes</term>
<term>Transfusion de plaquettes</term>
<term>Transfusion sanguine autologue</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">The purpose of this preliminary article is to present a new surgical technique that, thanks to the use of modulated-frequency piezoelectric energy scalpels, permits the expansion of the ridge and the placement of implants in single-stage surgery in positions that were not previously possible with any other method. The technique involves the separation of the vestibular osseous flap from the palatal flap and the immediate positioning of the implant between the 2 cortical walls. The case report illustrates the ridge expansion and positioning of implants step by step in bone of quality 1 to 2 with only 2 to 3 mm of thickness that is maintained for its entire height. To obtain rapid healing, the expansion space that was created for the positioning of the implant was filled, following the concepts of tissue engineering, with bioactive glass synthetic bone graft material as an osteoconductive factor and autogenous platelet-rich plasma as an osteoinductive factor. The site was covered with a platelet-rich plasma membrane. A careful evaluation of the site when reopened after 3 months revealed that the ridge was mineralized and stabilized at a thickness of 5 mm and the implants were osseointegrated.</div>
</front>
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