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Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips

Identifieur interne : 002933 ( Pmc/Curation ); précédent : 002932; suivant : 002934

Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips

Auteurs : Alessandro Moro [Italie] ; Giulio Gasparini [Italie] ; Enrico Foresta [Italie] ; Gianmarco Saponaro [Italie] ; Marco Falchi [Italie] ; Lorenzo Cardarelli [Italie] ; Paolo De Angelis [Italie] ; Mario Forcione [Royaume-Uni] ; Umberto Garagiola [Italie] ; Giuseppe D'Amato [Italie] ; Sandro Pelo [Italie]

Source :

RBID : PMC:5303585

Abstract

The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation.


Url:
DOI: 10.1155/2017/4530378
PubMed: 28246596
PubMed Central: 5303585

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Links to Exploration step

PMC:5303585

Le document en format XML

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<p>The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation. </p>
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</TEI>
<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Biomed Res Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Biomed Res Int</journal-id>
<journal-id journal-id-type="publisher-id">BMRI</journal-id>
<journal-title-group>
<journal-title>BioMed Research International</journal-title>
</journal-title-group>
<issn pub-type="ppub">2314-6133</issn>
<issn pub-type="epub">2314-6141</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28246596</article-id>
<article-id pub-id-type="pmc">5303585</article-id>
<article-id pub-id-type="doi">10.1155/2017/4530378</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Clinical Study</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Alveolar Ridge Split Technique Using Piezosurgery with Specially Designed Tips</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Moro</surname>
<given-names>Alessandro</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-5137-8500</contrib-id>
<name>
<surname>Gasparini</surname>
<given-names>Giulio</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Foresta</surname>
<given-names>Enrico</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9760-2419</contrib-id>
<name>
<surname>Saponaro</surname>
<given-names>Gianmarco</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Falchi</surname>
<given-names>Marco</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-1416-5116</contrib-id>
<name>
<surname>Cardarelli</surname>
<given-names>Lorenzo</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>De Angelis</surname>
<given-names>Paolo</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-4045-8011</contrib-id>
<name>
<surname>Forcione</surname>
<given-names>Mario</given-names>
</name>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-3256-6725</contrib-id>
<name>
<surname>Garagiola</surname>
<given-names>Umberto</given-names>
</name>
<xref ref-type="aff" rid="I5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>D'Amato</surname>
<given-names>Giuseppe</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pelo</surname>
<given-names>Sandro</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Oral and Maxillofacial Surgery, Catholic University of the Sacred Heart Medical School, Rome, Italy</aff>
<aff id="I2">
<sup>2</sup>
Department of Oral and Maxillofacial Surgery, Foligno Hospital, Foligno, Italy</aff>
<aff id="I3">
<sup>3</sup>
Department of Oral and Maxillofacial Surgery, Nuovo Ospedale San Giovanni Battista, Foligno, Italy</aff>
<aff id="I4">
<sup>4</sup>
Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK</aff>
<aff id="I5">
<sup>5</sup>
Department of Orthodontics, University of Milan, Milan, Italy</aff>
<author-notes>
<corresp id="cor1">*Giulio Gasparini:
<email>giulio.gasparini@rm.unicatt.it</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Shinji Kuroda</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>29</day>
<month>1</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>4530378</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>5</day>
<month>1</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Alessandro Moro et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>The treatment of patients with atrophic ridge who need prosthetic rehabilitation is a common problem in oral and maxillofacial surgery. Among the various techniques introduced for the expansion of alveolar ridges with a horizontal bone deficit is the alveolar ridge split technique. The aim of this article is to give a description of some new tips that have been specifically designed for the treatment of atrophic ridges with transversal bone deficit. A two-step piezosurgical split technique is also described, based on specific osteotomies of the vestibular cortex and the use of a mandibular ramus graft as interpositional graft. A total of 15 patients were treated with the proposed new tips by our department. All the expanded areas were successful in providing an adequate width and height to insert implants according to the prosthetic plan and the proposed tips allowed obtaining the most from the alveolar ridge split technique and piezosurgery. These tips have made alveolar ridge split technique simple, safe, and effective for the treatment of horizontal and vertical bone defects. Furthermore the proposed piezosurgical split technique allows obtaining horizontal and vertical bone augmentation. </p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Design of the tips.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Delicate groove at the centre of the ridge traced setting at low power.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Design of the osteotomies on the mandibular bone.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Cortical bone harvesting from the ipsilateral mandibular ramus.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Cortical graft stabilised by means of screws.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Resorbable membrane covering the grafted site.</p>
</caption>
<graphic xlink:href="BMRI2017-4530378.006"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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