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The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices.

Identifieur interne : 001A98 ( PubMed/Curation ); précédent : 001A97; suivant : 001A99

The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices.

Auteurs : Nicholas J. Toscano [États-Unis] ; Dan Holtzclaw ; Paul S. Rosen

Source :

RBID : pubmed:20059429

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English descriptors

Abstract

The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with perforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.

DOI: 10.1902/jop.2009.090190
PubMed: 20059429

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pubmed:20059429

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<title xml:lang="en">The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices.</title>
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<name sortKey="Toscano, Nicholas J" sort="Toscano, Nicholas J" uniqKey="Toscano N" first="Nicholas J" last="Toscano">Nicholas J. Toscano</name>
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<name sortKey="Holtzclaw, Dan" sort="Holtzclaw, Dan" uniqKey="Holtzclaw D" first="Dan" last="Holtzclaw">Dan Holtzclaw</name>
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<name sortKey="Rosen, Paul S" sort="Rosen, Paul S" uniqKey="Rosen P" first="Paul S" last="Rosen">Paul S. Rosen</name>
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<term>Dental Implantation, Endosseous (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Intraoperative Complications (prevention & control)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications peropératoires ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Maxillaire ()</term>
<term>Muqueuse respiratoire (traumatismes)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Ostéotomie ()</term>
<term>Ostéotomie (effets indésirables)</term>
<term>Ostéotomie (instrumentation)</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose d'implant dentaire endo-osseux (effets indésirables)</term>
<term>Procédures de chirurgie préprothétique en odontologie (effets indésirables)</term>
<term>Reconstruction de crête alvéolaire ()</term>
<term>Sinus maxillaire ()</term>
<term>Sujet âgé</term>
<term>Ultrasonothérapie ()</term>
<term>Ultrasonothérapie (instrumentation)</term>
<term>Vibration</term>
<term>Études rétrospectives</term>
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<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Procédures de chirurgie préprothétique en odontologie</term>
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<term>Osteotomy</term>
<term>Ultrasonic Therapy</term>
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<term>Alveolar Ridge Augmentation</term>
<term>Dental Implantation, Endosseous</term>
<term>Osteotomy</term>
<term>Ultrasonic Therapy</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Intraoperative Complications</term>
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<term>Jaw, Edentulous</term>
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<term>Mâchoire édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Maxilla</term>
<term>Maxillary Sinus</term>
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<term>Complications peropératoires</term>
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<term>Humains</term>
<term>Jeune adulte</term>
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<term>Mâle</term>
<term>Ostéotomie</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Reconstruction de crête alvéolaire</term>
<term>Sinus maxillaire</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with perforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.</div>
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<ArticleTitle>The effect of piezoelectric use on open sinus lift perforation: a retrospective evaluation of 56 consecutively treated cases from private practices.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with perforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Clinical data (Schneiderian membrane perforation, Underwood septa, and laceration of the lateral arterial blood supply to the maxillary sinus) were obtained retrospectively from two private practices and pooled for analysis. The information was collated after an exhaustive chart review. Fifty-six consecutively treated lateral window sinus lifts were performed on 50 partially or completely edentate patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Zero perforations of the Schneiderian membrane occurred during the piezoelectric preparation of the lateral antrostomies, whereas two perforations were noted during subsequent membrane elevations using hand instrumentation. In both instances, membrane perforations were associated with sinus septa. The overall sinus perforation rate was 3.6%. Arterial branches of the posterior superior alveolar artery were encountered in 35 cases, and there were zero instances of arterial laceration.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This retrospective case series from clinical private practices confirmed that a lateral window approach to sinus elevation incorporating piezoelectric technology in conjunction with hand instrumentation was an effective means to achieve sinus elevation while minimizing the potential for intraoperative complications. Further prospective and randomized controlled studies are warranted to qualify these observations.</AbstractText>
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