The tunnel technique: a different approach to block grafting procedures.
Identifieur interne : 002208 ( PubMed/Curation ); précédent : 002207; suivant : 002209The tunnel technique: a different approach to block grafting procedures.
Auteurs : Carlo Mazzocco ; Sergio Buda ; Sergio De PaoliSource :
- The International journal of periodontics & restorative dentistry [ 0198-7569 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Alvéoloplastie (), Complications postopératoires (), Douleur postopératoire (), Femelle, Humains, Implants dentaires, Mâchoire partiellement édentée (), Mâle, Pose d'implant dentaire endo-osseux, Prélèvement d'organes et de tissus (), Reconstruction de crête alvéolaire (), Sujet âgé, Titane, Transplantation osseuse (), Vis orthopédiques.
- MESH :
- Adulte, Adulte d'âge moyen, Alvéoloplastie, Complications postopératoires, Douleur postopératoire, Femelle, Humains, Implants dentaires, Mâchoire partiellement édentée, Mâle, Pose d'implant dentaire endo-osseux, Prélèvement d'organes et de tissus, Reconstruction de crête alvéolaire, Sujet âgé, Titane, Transplantation osseuse, Vis orthopédiques.
English descriptors
- KwdEn :
- Adult, Aged, Alveolar Ridge Augmentation (methods), Alveoloplasty (methods), Bone Screws, Bone Transplantation (methods), Dental Implantation, Endosseous, Dental Implants, Female, Humans, Jaw, Edentulous, Partially (surgery), Male, Middle Aged, Pain, Postoperative (prevention & control), Postoperative Complications (prevention & control), Tissue and Organ Harvesting (methods), Titanium.
- MESH :
- chemical : Dental Implants, Titanium.
- methods : Alveolar Ridge Augmentation, Alveoloplasty, Bone Transplantation, Tissue and Organ Harvesting.
- prevention & control : Pain, Postoperative, Postoperative Complications.
- surgery : Jaw, Edentulous, Partially.
- Adult, Aged, Bone Screws, Dental Implantation, Endosseous, Female, Humans, Male, Middle Aged.
Abstract
The purpose of this study was to report on the tunnel technique, an approach to alveolar ridge augmentation in partially edentulous patients that uses bone blocks immobilized with titanium screws prior to implant placement. Twenty patients (7 men and 13 women) between the ages of 35 and 65 years were treated during a 2-year period with the tunnel technique. The technique consists of creating the tunnel, exposing the crestal defect, harvesting the graft, and final adaptation and stabilization of the graft in the defect site. Nineteen of the 20 patients treated had an adequate level of bone postoperatively to place implants 3.75 or 4 mm in diameter and at least 10 mm in length. None of the patients reported temporary or permanent lower lip paresthesia. There were also no infections reported in the donor sites. This method eliminates the need for a membrane because the integrity of the periosteum is preserved, and it greatly reduces patient discomfort since only one surgical field is needed. The learning curve for this procedure is relatively short.
PubMed: 18351202
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<term>Implants dentaires</term>
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<term>Reconstruction de crête alvéolaire</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to report on the tunnel technique, an approach to alveolar ridge augmentation in partially edentulous patients that uses bone blocks immobilized with titanium screws prior to implant placement. Twenty patients (7 men and 13 women) between the ages of 35 and 65 years were treated during a 2-year period with the tunnel technique. The technique consists of creating the tunnel, exposing the crestal defect, harvesting the graft, and final adaptation and stabilization of the graft in the defect site. Nineteen of the 20 patients treated had an adequate level of bone postoperatively to place implants 3.75 or 4 mm in diameter and at least 10 mm in length. None of the patients reported temporary or permanent lower lip paresthesia. There were also no infections reported in the donor sites. This method eliminates the need for a membrane because the integrity of the periosteum is preserved, and it greatly reduces patient discomfort since only one surgical field is needed. The learning curve for this procedure is relatively short.</div>
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