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Flapless Transcrestal Maxillary Sinus Floor Elevation: computer guided implant surgery combined with expanding-condensing osteotomes protocol

Identifieur interne : 002175 ( Pmc/Checkpoint ); précédent : 002174; suivant : 002176

Flapless Transcrestal Maxillary Sinus Floor Elevation: computer guided implant surgery combined with expanding-condensing osteotomes protocol

Auteurs : A. Pozzi ; G. De Vico ; G. Sannino ; D. Spinelli ; R. Schiavetti ; L. Ottria ; A. Barlattani

Source :

RBID : PMC:3530974

Abstract

SUMMARYPurpose

A novel technique for transcrestal guided sinus lift elevation (TGSL), is described underlining the step by step surgical protocol.

Materials and methods

TGSL modified osteotome technique was planned by the NobelProcera® Software Planning Programm (Nobel Guide, Nobel Biocare AB) and performed by stereolitographic template. The depth of the planned osteotomy was determined precisely via cross-sectional images of the elevation site to facilitate puncture of the bony sinus floor without risk of perforation of the adherent sinus membrane. A customized drilling-osteotome protocol is used to raise the Schneiderian membrane to the final implant length.

Results

The sinus membrane is successfully elevated in all sites without any iatrogenic perforation.

Conclusions

The TGSL modified osteotome technique may provide a new option for minimally invasive transcrestal sinus surgery and may represent a safe method to increase bone volume in the atrophic posterior maxilla. The results of the present study would suggest that this new surgical technique may reduce patient morbidity and extend the indications for transcrestal maxillary sinus floor elevation.


Url:
PubMed: 23285395
PubMed Central: 3530974


Affiliations:


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PMC:3530974

Le document en format XML

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<title xml:lang="en">Flapless Transcrestal Maxillary Sinus Floor Elevation: computer guided implant surgery combined with expanding-condensing osteotomes protocol</title>
<author>
<name sortKey="Pozzi, A" sort="Pozzi, A" uniqKey="Pozzi A" first="A." last="Pozzi">A. Pozzi</name>
</author>
<author>
<name sortKey="De Vico, G" sort="De Vico, G" uniqKey="De Vico G" first="G." last="De Vico">G. De Vico</name>
</author>
<author>
<name sortKey="Sannino, G" sort="Sannino, G" uniqKey="Sannino G" first="G." last="Sannino">G. Sannino</name>
</author>
<author>
<name sortKey="Spinelli, D" sort="Spinelli, D" uniqKey="Spinelli D" first="D." last="Spinelli">D. Spinelli</name>
</author>
<author>
<name sortKey="Schiavetti, R" sort="Schiavetti, R" uniqKey="Schiavetti R" first="R." last="Schiavetti">R. Schiavetti</name>
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<author>
<name sortKey="Ottria, L" sort="Ottria, L" uniqKey="Ottria L" first="L." last="Ottria">L. Ottria</name>
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<name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
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<title xml:lang="en" level="a" type="main">Flapless Transcrestal Maxillary Sinus Floor Elevation: computer guided implant surgery combined with expanding-condensing osteotomes protocol</title>
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<name sortKey="Pozzi, A" sort="Pozzi, A" uniqKey="Pozzi A" first="A." last="Pozzi">A. Pozzi</name>
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<name sortKey="De Vico, G" sort="De Vico, G" uniqKey="De Vico G" first="G." last="De Vico">G. De Vico</name>
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<name sortKey="Sannino, G" sort="Sannino, G" uniqKey="Sannino G" first="G." last="Sannino">G. Sannino</name>
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<name sortKey="Spinelli, D" sort="Spinelli, D" uniqKey="Spinelli D" first="D." last="Spinelli">D. Spinelli</name>
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<name sortKey="Schiavetti, R" sort="Schiavetti, R" uniqKey="Schiavetti R" first="R." last="Schiavetti">R. Schiavetti</name>
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<name sortKey="Ottria, L" sort="Ottria, L" uniqKey="Ottria L" first="L." last="Ottria">L. Ottria</name>
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<name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
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<series>
<title level="j">Oral & Implantology</title>
<idno type="ISSN">1974-5648</idno>
<idno type="eISSN">2035-2468</idno>
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<date when="2011">2011</date>
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<front>
<div type="abstract" xml:lang="en">
<title>SUMMARY</title>
<sec>
<title>Purpose</title>
<p>A novel technique for transcrestal guided sinus lift elevation (TGSL), is described underlining the step by step surgical protocol.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>TGSL modified osteotome technique was planned by the NobelProcera
<sup>®</sup>
Software Planning Programm (Nobel Guide, Nobel Biocare AB) and performed by stereolitographic template. The depth of the planned osteotomy was determined precisely via cross-sectional images of the elevation site to facilitate puncture of the bony sinus floor without risk of perforation of the adherent sinus membrane. A customized drilling-osteotome protocol is used to raise the Schneiderian membrane to the final implant length.</p>
</sec>
<sec>
<title>Results</title>
<p>The sinus membrane is successfully elevated in all sites without any iatrogenic perforation.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The TGSL modified osteotome technique may provide a new option for minimally invasive transcrestal sinus surgery and may represent a safe method to increase bone volume in the atrophic posterior maxilla. The results of the present study would suggest that this new surgical technique may reduce patient morbidity and extend the indications for transcrestal maxillary sinus floor elevation.</p>
</sec>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="iso-abbrev">Oral Implantol (Rome)</journal-id>
<journal-id journal-id-type="publisher-id">OAI</journal-id>
<journal-title-group>
<journal-title>Oral & Implantology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1974-5648</issn>
<issn pub-type="epub">2035-2468</issn>
<publisher>
<publisher-name>CIC Edizioni Internationali</publisher-name>
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<article-id pub-id-type="pmid">23285395</article-id>
<article-id pub-id-type="pmc">3530974</article-id>
<article-id pub-id-type="publisher-id">oai-4-1-2-4</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Flapless Transcrestal Maxillary Sinus Floor Elevation: computer guided implant surgery combined with expanding-condensing osteotomes protocol</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>POZZI</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="corresp" rid="c1-oai-4-1-2-4"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>DE VICO</surname>
<given-names>G.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>SANNINO</surname>
<given-names>G.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>SPINELLI</surname>
<given-names>D.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>SCHIAVETTI</surname>
<given-names>R.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>OTTRIA</surname>
<given-names>L.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>BARLATTANI</surname>
<given-names>A.</given-names>
</name>
</contrib>
<aff id="af1-oai-4-1-2-4">Department of Odontostomatological Science, University of Rome “Tor Vergata”, Rome, Italy</aff>
</contrib-group>
<author-notes>
<corresp id="c1-oai-4-1-2-4">Correspondence to: Dott. Alessandro Pozzi, Department of Odontostomatological Science, University of Rome “Tor Vergata”, Via Montpellier 1 - 00133 Rome, Italy, Tel.: +39 06 20900266, E-mail:
<email>studiopozzi@me.com</email>
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</author-notes>
<pub-date pub-type="collection">
<season>Jan-Jun</season>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub">
<day>08</day>
<month>11</month>
<year>2011</year>
</pub-date>
<volume>4</volume>
<issue>1-2</issue>
<fpage>4</fpage>
<lpage>9</lpage>
<permissions>
<copyright-statement>©2011 CIC Edizioni Internazionali, Rome, Italy</copyright-statement>
<copyright-year>2011</copyright-year>
</permissions>
<abstract>
<title>SUMMARY</title>
<sec>
<title>Purpose</title>
<p>A novel technique for transcrestal guided sinus lift elevation (TGSL), is described underlining the step by step surgical protocol.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>TGSL modified osteotome technique was planned by the NobelProcera
<sup>®</sup>
Software Planning Programm (Nobel Guide, Nobel Biocare AB) and performed by stereolitographic template. The depth of the planned osteotomy was determined precisely via cross-sectional images of the elevation site to facilitate puncture of the bony sinus floor without risk of perforation of the adherent sinus membrane. A customized drilling-osteotome protocol is used to raise the Schneiderian membrane to the final implant length.</p>
</sec>
<sec>
<title>Results</title>
<p>The sinus membrane is successfully elevated in all sites without any iatrogenic perforation.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>The TGSL modified osteotome technique may provide a new option for minimally invasive transcrestal sinus surgery and may represent a safe method to increase bone volume in the atrophic posterior maxilla. The results of the present study would suggest that this new surgical technique may reduce patient morbidity and extend the indications for transcrestal maxillary sinus floor elevation.</p>
</sec>
</abstract>
<trans-abstract xml:lang="it">
<title>RIASSUNTO</title>
<sec>
<title>Finalità</title>
<p>Viene descritto il protocollo chirurgico step by step di una nuova tecnica per l’elevazione del seno mascellare (TGSL).</p>
</sec>
<sec>
<title>Materiali e metodi</title>
<p>La tecnica TGSL viene pianificata con l’ausilio del software NobelClinician (NobelBiocare AB) e realizzata con la dima stereolitografica prodotta dalla pianificazione computerizzata.La profondità dell’osteotomia nel sito di elevazione del seno viene valutata sulle sezioni cross e sulle ricostruzioni 3D per facilitare la frattura controllata del pavimento del seno eliminando il rischio di perforazione della membrana. Una sequenza individualizzata di osteotomi è utilizzata per sollevare in modo atraumatico la membrana di Schneider.</p>
</sec>
<sec>
<title>Risultati</title>
<p>La membrana sinusale è stata sollevata con successo in tutti i siti trattati e nessuna perforazione iatrogena si è verificata.</p>
</sec>
<sec>
<title>Conclusioni</title>
<p>La tecnica TGSL rappresenta una nuova opzione procedurale mini-invasiva per l’elevazione transcre-stale controllata del seno e può rappresentare una metodica a ridotta morbidità postoperatoria per incrementare il volume osseo nel mascellare atrofico posteriore.</p>
</sec>
</trans-abstract>
<kwd-group>
<kwd>dental implants</kwd>
<kwd>computer guided flapless implant placement</kwd>
<kwd>sinus floor elevation</kwd>
<kwd>expanding-condensing osteotomes</kwd>
</kwd-group>
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<name sortKey="Barlattani, A" sort="Barlattani, A" uniqKey="Barlattani A" first="A." last="Barlattani">A. Barlattani</name>
<name sortKey="De Vico, G" sort="De Vico, G" uniqKey="De Vico G" first="G." last="De Vico">G. De Vico</name>
<name sortKey="Ottria, L" sort="Ottria, L" uniqKey="Ottria L" first="L." last="Ottria">L. Ottria</name>
<name sortKey="Pozzi, A" sort="Pozzi, A" uniqKey="Pozzi A" first="A." last="Pozzi">A. Pozzi</name>
<name sortKey="Sannino, G" sort="Sannino, G" uniqKey="Sannino G" first="G." last="Sannino">G. Sannino</name>
<name sortKey="Schiavetti, R" sort="Schiavetti, R" uniqKey="Schiavetti R" first="R." last="Schiavetti">R. Schiavetti</name>
<name sortKey="Spinelli, D" sort="Spinelli, D" uniqKey="Spinelli D" first="D." last="Spinelli">D. Spinelli</name>
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