Palatal piezosurgical window osteotomy for maxillary sinus augmentation.
Identifieur interne : 002D72 ( Ncbi/Curation ); précédent : 002D71; suivant : 002D73Palatal piezosurgical window osteotomy for maxillary sinus augmentation.
Auteurs : S. Stübinger [Suisse] ; B. Saldamli ; C A Landes ; R. SaderSource :
- International journal of oral and maxillofacial surgery [ 1399-0020 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Durapatite, Femelle, Humains, Jeune adulte, Mâchoire édentée (rééducation et réadaptation), Mâle, Nanostructures, Ostéotomie (), Palais osseux (), Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie (), Science des ultrasons, Sinus maxillaire (), Substituts osseux, Sujet âgé.
- MESH :
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Adulte d'âge moyen, Durapatite, Femelle, Humains, Jeune adulte, Mâle, Nanostructures, Ostéotomie, Palais osseux, Pose d'implant dentaire endo-osseux, Procédures de chirurgie préprothétique en odontologie, Science des ultrasons, Sinus maxillaire, Substituts osseux, Sujet âgé.
English descriptors
- KwdEn :
- Adult, Aged, Bone Substitutes, Dental Implantation, Endosseous, Durapatite, Female, Humans, Jaw, Edentulous (rehabilitation), Male, Maxillary Sinus (blood supply), Maxillary Sinus (surgery), Middle Aged, Nanostructures, Oral Surgical Procedures, Preprosthetic (methods), Osteotomy (methods), Palate, Hard (surgery), Ultrasonics, Young Adult.
- MESH :
- chemical : Bone Substitutes, Durapatite.
- blood supply : Maxillary Sinus.
- methods : Oral Surgical Procedures, Preprosthetic, Osteotomy.
- rehabilitation : Jaw, Edentulous.
- surgery : Maxillary Sinus, Palate, Hard.
- Adult, Aged, Dental Implantation, Endosseous, Female, Humans, Male, Middle Aged, Nanostructures, Ultrasonics, Young Adult.
Abstract
This technical note describes a new surgical technique for a palatal approach to the maxillary sinus for a vertical augmentation prior to dental implant placement. In 12 fully or partially edentulous patients (seven women, five men), 16 palatal sinus elevations were performed. After elevation of palatal full-thickness flap a rectangular access window was cut with a piezosurgical device. The raised sinus cavity was augmented with a synthetic nano-structured hydroxyapatite-based graft material. No harm occurred to the greater palatine artery or the sinus membrane. The vestibular and periimplant gingiva were preserved and there was no disharmonious soft tissue distortion or massive scar formation. Swelling and bleeding were minimal. Primary stability was achieved for all but one implant. This technique may be an alternative to other sinus augmentation approaches in cases where enough transversal width of the posterior alveolar crest is available.
DOI: 10.1016/j.ijom.2010.03.001
PubMed: 20409687
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pubmed:20409687Le document en format XML
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<term>Durapatite</term>
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<term>Humans</term>
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<term>Maxillary Sinus (surgery)</term>
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<term>Nanostructures</term>
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<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
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<term>Ostéotomie ()</term>
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<term>Procédures de chirurgie préprothétique en odontologie ()</term>
<term>Science des ultrasons</term>
<term>Sinus maxillaire ()</term>
<term>Substituts osseux</term>
<term>Sujet âgé</term>
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<term>Durapatite</term>
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<term>Palate, Hard</term>
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<term>Aged</term>
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<term>Male</term>
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<term>Humains</term>
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<front><div type="abstract" xml:lang="en">This technical note describes a new surgical technique for a palatal approach to the maxillary sinus for a vertical augmentation prior to dental implant placement. In 12 fully or partially edentulous patients (seven women, five men), 16 palatal sinus elevations were performed. After elevation of palatal full-thickness flap a rectangular access window was cut with a piezosurgical device. The raised sinus cavity was augmented with a synthetic nano-structured hydroxyapatite-based graft material. No harm occurred to the greater palatine artery or the sinus membrane. The vestibular and periimplant gingiva were preserved and there was no disharmonious soft tissue distortion or massive scar formation. Swelling and bleeding were minimal. Primary stability was achieved for all but one implant. This technique may be an alternative to other sinus augmentation approaches in cases where enough transversal width of the posterior alveolar crest is available.</div>
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