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Piezoelectric and conventional osteotomy in alveolar distraction osteogenesis in a series of 17 patients.

Identifieur interne : 002016 ( PubMed/Corpus ); précédent : 002015; suivant : 002017

Piezoelectric and conventional osteotomy in alveolar distraction osteogenesis in a series of 17 patients.

Auteurs : Alberto González-García ; Márcio Diniz-Freitas ; Manuel Somoza-Martín ; Abel García-García

Source :

RBID : pubmed:19014159

English descriptors

Abstract

Piezoelectric osteotomy is based on ultrasonic vibration of an osteotomic device that permits precise cutting of bone structures without cutting adjacent soft tissues. To date, however, there have been no studies of the outcome and complications of alveolar distraction for piezoelectric osteotomy versus conventional osteotomy. The present study evaluated piezoelectric versus conventional osteotomy in alveolar distraction.

PubMed: 19014159

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pubmed:19014159

Le document en format XML

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<title xml:lang="en">Piezoelectric and conventional osteotomy in alveolar distraction osteogenesis in a series of 17 patients.</title>
<author>
<name sortKey="Gonzalez Garcia, Alberto" sort="Gonzalez Garcia, Alberto" uniqKey="Gonzalez Garcia A" first="Alberto" last="González-García">Alberto González-García</name>
<affiliation>
<nlm:affiliation>Oral Surgery Department, School of Dentistry, University of Santiago de Compostela, Spain. gonzalezygarcia@gmail.com</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Diniz Freitas, Marcio" sort="Diniz Freitas, Marcio" uniqKey="Diniz Freitas M" first="Márcio" last="Diniz-Freitas">Márcio Diniz-Freitas</name>
</author>
<author>
<name sortKey="Somoza Martin, Manuel" sort="Somoza Martin, Manuel" uniqKey="Somoza Martin M" first="Manuel" last="Somoza-Martín">Manuel Somoza-Martín</name>
</author>
<author>
<name sortKey="Garcia Garcia, Abel" sort="Garcia Garcia, Abel" uniqKey="Garcia Garcia A" first="Abel" last="García-García">Abel García-García</name>
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<title xml:lang="en">Piezoelectric and conventional osteotomy in alveolar distraction osteogenesis in a series of 17 patients.</title>
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<name sortKey="Gonzalez Garcia, Alberto" sort="Gonzalez Garcia, Alberto" uniqKey="Gonzalez Garcia A" first="Alberto" last="González-García">Alberto González-García</name>
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<nlm:affiliation>Oral Surgery Department, School of Dentistry, University of Santiago de Compostela, Spain. gonzalezygarcia@gmail.com</nlm:affiliation>
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<author>
<name sortKey="Diniz Freitas, Marcio" sort="Diniz Freitas, Marcio" uniqKey="Diniz Freitas M" first="Márcio" last="Diniz-Freitas">Márcio Diniz-Freitas</name>
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<author>
<name sortKey="Somoza Martin, Manuel" sort="Somoza Martin, Manuel" uniqKey="Somoza Martin M" first="Manuel" last="Somoza-Martín">Manuel Somoza-Martín</name>
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<author>
<name sortKey="Garcia Garcia, Abel" sort="Garcia Garcia, Abel" uniqKey="Garcia Garcia A" first="Abel" last="García-García">Abel García-García</name>
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<series>
<title level="j">The International journal of oral & maxillofacial implants</title>
<idno type="ISSN">0882-2786</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Alveolar Ridge Augmentation (instrumentation)</term>
<term>Alveolar Ridge Augmentation (methods)</term>
<term>Dental Implantation, Endosseous</term>
<term>Female</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Mandible (surgery)</term>
<term>Middle Aged</term>
<term>Mouth Mucosa (injuries)</term>
<term>Osteogenesis, Distraction (instrumentation)</term>
<term>Osteogenesis, Distraction (methods)</term>
<term>Osteotomy (methods)</term>
<term>Paresthesia (etiology)</term>
<term>Retrospective Studies</term>
<term>Surgical Wound Dehiscence</term>
<term>Trigeminal Nerve Injuries</term>
<term>Ultrasonic Therapy (adverse effects)</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Ultrasonic Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Paresthesia</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Mouth Mucosa</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Osteogenesis, Distraction</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Alveolar Ridge Augmentation</term>
<term>Osteogenesis, Distraction</term>
<term>Osteotomy</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Dental Implantation, Endosseous</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Surgical Wound Dehiscence</term>
<term>Trigeminal Nerve Injuries</term>
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<front>
<div type="abstract" xml:lang="en">Piezoelectric osteotomy is based on ultrasonic vibration of an osteotomic device that permits precise cutting of bone structures without cutting adjacent soft tissues. To date, however, there have been no studies of the outcome and complications of alveolar distraction for piezoelectric osteotomy versus conventional osteotomy. The present study evaluated piezoelectric versus conventional osteotomy in alveolar distraction.</div>
</front>
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<PMID Version="1">19014159</PMID>
<DateCompleted>
<Year>2008</Year>
<Month>12</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0882-2786</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>23</Volume>
<Issue>5</Issue>
<PubDate>
<MedlineDate>2008 Sep-Oct</MedlineDate>
</PubDate>
</JournalIssue>
<Title>The International journal of oral & maxillofacial implants</Title>
<ISOAbbreviation>Int J Oral Maxillofac Implants</ISOAbbreviation>
</Journal>
<ArticleTitle>Piezoelectric and conventional osteotomy in alveolar distraction osteogenesis in a series of 17 patients.</ArticleTitle>
<Pagination>
<MedlinePgn>891-6</MedlinePgn>
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<Abstract>
<AbstractText Label="UNLABELLED">Piezoelectric osteotomy is based on ultrasonic vibration of an osteotomic device that permits precise cutting of bone structures without cutting adjacent soft tissues. To date, however, there have been no studies of the outcome and complications of alveolar distraction for piezoelectric osteotomy versus conventional osteotomy. The present study evaluated piezoelectric versus conventional osteotomy in alveolar distraction.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">A retrospective study was performed on all patients of the authors who requested dental implants and who after preliminary evaluation were judged to require alveolar distraction osteogenesis for rehabilitation of edentulous mandibular regions. The distraction was performed using the same distraction system in all cases, but with the osteotomy performed either by conventional techniques using rotary instruments and chisels (conventional osteotomy group, n = 11), or by piezoelectric osteotomy using the Piezosurgery system (Mectron Medical Technology; Carasco, Genoa, Italy; n = 6). The 17 distractions were compared with respect to patient age, patient sex, intra- and postoperative complications, degree of surgical difficulty, postdistraction morphology of the alveolar ridge, and rehabilitation success rate.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Both surgical difficulty (as measured by the number of surgical instruments required) and the incidence of intraoperative complications were significantly lower in the piezoelectric osteotomy group than in the conventional osteotomy group. However, postdistraction morphology of the alveolar ridge (as determined at implant placement) was worse in the piezoelectric osteotomy group than in the conventional osteotomy group (P = .072). The overall rehabilitation success rate was 100% in the conventional osteotomy group versus only 66.7% (4 of 6 cases) in the piezoelectric osteotomy group.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of piezoelectric osteotomy in alveolar distraction appears to simplify surgery and reduce the incidence of intraoperative complications. However, results also suggest that piezoelectric osteotomy increases the risk of postoperative and postdistraction complications and reduces the overall rehabilitation success rate.</AbstractText>
</Abstract>
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<LastName>González-García</LastName>
<ForeName>Alberto</ForeName>
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<Affiliation>Oral Surgery Department, School of Dentistry, University of Santiago de Compostela, Spain. gonzalezygarcia@gmail.com</Affiliation>
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<DescriptorName UI="D000540" MajorTopicYN="N">Alveolar Ridge Augmentation</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<DescriptorName UI="D003758" MajorTopicYN="N">Dental Implantation, Endosseous</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D007575" MajorTopicYN="N">Jaw, Edentulous</DescriptorName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D009061" MajorTopicYN="N">Mouth Mucosa</DescriptorName>
<QualifierName UI="Q000293" MajorTopicYN="N">injuries</QualifierName>
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<DescriptorName UI="D019857" MajorTopicYN="N">Osteogenesis, Distraction</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
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<MeshHeading>
<DescriptorName UI="D010027" MajorTopicYN="N">Osteotomy</DescriptorName>
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<DescriptorName UI="D010292" MajorTopicYN="N">Paresthesia</DescriptorName>
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<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D061221" MajorTopicYN="N">Trigeminal Nerve Injuries</DescriptorName>
</MeshHeading>
<MeshHeading>
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