Expansion of the alveolar bone crest with ultrasonic surgery device: clinical study in mandible.
Identifieur interne : 003784 ( Ncbi/Curation ); précédent : 003783; suivant : 003785Expansion of the alveolar bone crest with ultrasonic surgery device: clinical study in mandible.
Auteurs : A. Scarano [Italie] ; G. Murmura ; B. Sinjiari ; B. Assenza ; V. Sollazzo ; G. Spinelli ; F. CarinciSource :
- International journal of immunopathology and pharmacology [ 0394-6320 ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Alveolar Ridge Augmentation, Dental Implantation, Endosseous, Ultrasonic Surgical Procedures.
- prevention & control : Alveolar Bone Loss.
- surgery : Jaw, Edentulous, Partially, Mandible.
- Aged, Female, Humans, Male, Middle Aged.
Abstract
The purpose of this paper was to document the application to the split-crest mandibular procedure in two stage in order to avoid cortical resorption due to periosteal detachment in buccal cortical bone of the alveolar crest. Twenty-two healthy patients with non-contributory past medical history (14 women and 8 men, all non-smokers, mean age 59 years, range 54-65 years) were included in this study. After buccal mucoperiosteal flap was followed by a sagittal corticotomy in the coronal area of the alveolar crest and a second sagittal corticotomy, but in a lower (basal) position and two vertical corticotomies in the buccal wall, using a ultrasonic surgery device (Surgysonic, Esacrom, Imola Italy). Adequate crest expansion was achieved without compromising cortical vascularisation by utilising a combination of scalpel, thin chisels and threaded osteotomes (Bone System, Milano, Italy). Postoperative results were assessed by panoramic and periapical radiographs. Ossification of the osteotomy lines was evident and could be observed as sites with increasing radiopacity on panoramic and periapical radiographs 3 months after implants insertion. No dehiscence of the mucosa was observed. No patient suffered from hypoaesthesia. The mean horizontal bone increase in coronal area was 5±3 mm. Mandibular ridge expansion using a split-crest technique that included grafting the implant sites with a ultrasonic surgery device is a viable therapeutic alternative for implant placement in this patient population.
DOI: 10.1177/03946320110240S213
PubMed: 21781449
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Assenza</name></author><author><name sortKey="Sollazzo, V" sort="Sollazzo, V" uniqKey="Sollazzo V" first="V" last="Sollazzo">V. Sollazzo</name></author><author><name sortKey="Spinelli, G" sort="Spinelli, G" uniqKey="Spinelli G" first="G" last="Spinelli">G. Spinelli</name></author><author><name sortKey="Carinci, F" sort="Carinci, F" uniqKey="Carinci F" first="F" last="Carinci">F. 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Scarano</name><affiliation wicri:level="1"><nlm:affiliation>Dental School, University of Chieti-Pescara, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Dental School, University of Chieti-Pescara</wicri:regionArea><wicri:noRegion>University of Chieti-Pescara</wicri:noRegion></affiliation></author><author><name sortKey="Murmura, G" sort="Murmura, G" uniqKey="Murmura G" first="G" last="Murmura">G. Murmura</name></author><author><name sortKey="Sinjiari, B" sort="Sinjiari, B" uniqKey="Sinjiari B" first="B" last="Sinjiari">B. Sinjiari</name></author><author><name sortKey="Assenza, B" sort="Assenza, B" uniqKey="Assenza B" first="B" last="Assenza">B. Assenza</name></author><author><name sortKey="Sollazzo, V" sort="Sollazzo, V" uniqKey="Sollazzo V" first="V" last="Sollazzo">V. Sollazzo</name></author><author><name sortKey="Spinelli, G" sort="Spinelli, G" uniqKey="Spinelli G" first="G" last="Spinelli">G. Spinelli</name></author><author><name sortKey="Carinci, F" sort="Carinci, F" uniqKey="Carinci F" first="F" last="Carinci">F. Carinci</name></author></analytic><series><title level="j">International journal of immunopathology and pharmacology</title><idno type="ISSN">0394-6320</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Alveolar Bone Loss (prevention & control)</term><term>Alveolar Ridge Augmentation (methods)</term><term>Dental Implantation, Endosseous (methods)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Ultrasonic Surgical Procedures (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule ()</term><term>Mâchoire partiellement édentée ()</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Procédures de chirurgie par ultrasons ()</term><term>Reconstruction de crête alvéolaire ()</term><term>Résorption alvéolaire ()</term><term>Sujet âgé</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Alveolar Ridge Augmentation</term><term>Dental Implantation, Endosseous</term><term>Ultrasonic Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Mandible</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Procédures de chirurgie par ultrasons</term><term>Reconstruction de crête alvéolaire</term><term>Résorption alvéolaire</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this paper was to document the application to the split-crest mandibular procedure in two stage in order to avoid cortical resorption due to periosteal detachment in buccal cortical bone of the alveolar crest. Twenty-two healthy patients with non-contributory past medical history (14 women and 8 men, all non-smokers, mean age 59 years, range 54-65 years) were included in this study. After buccal mucoperiosteal flap was followed by a sagittal corticotomy in the coronal area of the alveolar crest and a second sagittal corticotomy, but in a lower (basal) position and two vertical corticotomies in the buccal wall, using a ultrasonic surgery device (Surgysonic, Esacrom, Imola Italy). Adequate crest expansion was achieved without compromising cortical vascularisation by utilising a combination of scalpel, thin chisels and threaded osteotomes (Bone System, Milano, Italy). Postoperative results were assessed by panoramic and periapical radiographs. Ossification of the osteotomy lines was evident and could be observed as sites with increasing radiopacity on panoramic and periapical radiographs 3 months after implants insertion. No dehiscence of the mucosa was observed. No patient suffered from hypoaesthesia. The mean horizontal bone increase in coronal area was 5±3 mm. Mandibular ridge expansion using a split-crest technique that included grafting the implant sites with a ultrasonic surgery device is a viable therapeutic alternative for implant placement in this patient population.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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