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Delayed expansion of the atrophic mandible by ultrasonic surgery: a clinical and histologic case series.

Identifieur interne : 000575 ( PubMed/Corpus ); précédent : 000574; suivant : 000576

Delayed expansion of the atrophic mandible by ultrasonic surgery: a clinical and histologic case series.

Auteurs : Antonio Scarano ; Adriano Piattelli ; Giovanna Murmura ; Giovanna Iezzi ; Bartolomeo Assenza ; Carlo Mancino

Source :

RBID : pubmed:25615922

English descriptors

Abstract

Ridge expansion is used to widen narrow ridges with adequate height for implant placement. This human case series presents the clinical and histologic results of delayed expansion of mandibles by ultrasonic surgery.

PubMed: 25615922

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pubmed:25615922

Le document en format XML

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<title xml:lang="en">Delayed expansion of the atrophic mandible by ultrasonic surgery: a clinical and histologic case series.</title>
<author>
<name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name>
</author>
<author>
<name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name>
</author>
<author>
<name sortKey="Murmura, Giovanna" sort="Murmura, Giovanna" uniqKey="Murmura G" first="Giovanna" last="Murmura">Giovanna Murmura</name>
</author>
<author>
<name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name>
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<author>
<name sortKey="Assenza, Bartolomeo" sort="Assenza, Bartolomeo" uniqKey="Assenza B" first="Bartolomeo" last="Assenza">Bartolomeo Assenza</name>
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<author>
<name sortKey="Mancino, Carlo" sort="Mancino, Carlo" uniqKey="Mancino C" first="Carlo" last="Mancino">Carlo Mancino</name>
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<title xml:lang="en">Delayed expansion of the atrophic mandible by ultrasonic surgery: a clinical and histologic case series.</title>
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<name sortKey="Scarano, Antonio" sort="Scarano, Antonio" uniqKey="Scarano A" first="Antonio" last="Scarano">Antonio Scarano</name>
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<name sortKey="Piattelli, Adriano" sort="Piattelli, Adriano" uniqKey="Piattelli A" first="Adriano" last="Piattelli">Adriano Piattelli</name>
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<name sortKey="Murmura, Giovanna" sort="Murmura, Giovanna" uniqKey="Murmura G" first="Giovanna" last="Murmura">Giovanna Murmura</name>
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<author>
<name sortKey="Iezzi, Giovanna" sort="Iezzi, Giovanna" uniqKey="Iezzi G" first="Giovanna" last="Iezzi">Giovanna Iezzi</name>
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<name sortKey="Assenza, Bartolomeo" sort="Assenza, Bartolomeo" uniqKey="Assenza B" first="Bartolomeo" last="Assenza">Bartolomeo Assenza</name>
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<name sortKey="Mancino, Carlo" sort="Mancino, Carlo" uniqKey="Mancino C" first="Carlo" last="Mancino">Carlo Mancino</name>
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<series>
<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="eISSN">1942-4434</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Aged</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Process (pathology)</term>
<term>Alveolar Process (surgery)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Animals</term>
<term>Bone Transplantation (methods)</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Osteotomy (methods)</term>
<term>Swine</term>
<term>Ultrasonic Surgical Procedures (methods)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
<term>Ultrasonic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Alveolar Process</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Alveolar Bone Loss</term>
<term>Alveolar Process</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Animals</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">Ridge expansion is used to widen narrow ridges with adequate height for implant placement. This human case series presents the clinical and histologic results of delayed expansion of mandibles by ultrasonic surgery.</div>
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<DateCompleted>
<Year>2015</Year>
<Month>11</Month>
<Day>25</Day>
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<DateRevised>
<Year>2015</Year>
<Month>01</Month>
<Day>24</Day>
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<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1942-4434</ISSN>
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<Volume>30</Volume>
<Issue>1</Issue>
<PubDate>
<MedlineDate>2015 Jan-Feb</MedlineDate>
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<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
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<ArticleTitle>Delayed expansion of the atrophic mandible by ultrasonic surgery: a clinical and histologic case series.</ArticleTitle>
<Pagination>
<MedlinePgn>144-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.11607/jomi.2753</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Ridge expansion is used to widen narrow ridges with adequate height for implant placement. This human case series presents the clinical and histologic results of delayed expansion of mandibles by ultrasonic surgery.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Patients with residual alveolar ridge width between 2.3 and 4.1 mm in the coronal area of the posterior mandible were included in the study. First, four linear corticotomies were carried out by ultrasonic surgical device. Four weeks later, adequate bone expansion with a combination of scalpels, thin chisels, and threaded osteotomes that did not compromise cortical vascularization was performed, and two implants per ridge were inserted. Any gaps were filled with corticospongious porcine biomaterial. Three months after implant placement, healing caps were inserted, and bone cores were harvested from the regenerated areas for histologic analysis. Crestal width was recorded at each surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The postoperative course was uneventful in all 32 patients (64 implants) who took part in the study, and the implant success rate was 96.88% at 3 months. The mean increase in ridge width was 5.17 ± 0.86 mm. The histologic specimens showed a mixture of new bone and particles of biomaterial, as well as newly formed bone. Histomorphometry demonstrated that 64% ± 3.1% of the specimen was composed of newly formed bone, 8% ± 0.8% was made up of marrow spaces, and 27% ± 2.6% comprised the residual grafted biomaterial.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study showed that mandibular ridge expansion using a delayed split-crest technique by means of ultrasonic surgery and association with biomaterial led to good horizontal bone gain, with no fractures of the buccal plate, and a high implant success rate. The histologic specimens showed newly formed bone and good integration of the biomaterial.</AbstractText>
</Abstract>
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<LastName>Scarano</LastName>
<ForeName>Antonio</ForeName>
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<Language>eng</Language>
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<Country>United States</Country>
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<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008334" MajorTopicYN="N">Mandible</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D013552" MajorTopicYN="N">Swine</DescriptorName>
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<DescriptorName UI="D059708" MajorTopicYN="N">Ultrasonic Surgical Procedures</DescriptorName>
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