OPTIMIZING PREIMPLANTARY OFFER TROUGH PIEZOSURGERY TECHNIQUES

• Yazar: Vasile NICOLAE (Yazar)
• Materyal Türü: Kitap
• Baskı/Yayın Bilgisi: Romanian Society of Oral Rehabilitation, 2016-01-01T00:00:00Z.
• Konular: article
• Online Erişim: Connect to this object online.
• Notes: 2066-7000; 2601-4661
• Keywords: bone augmentation; initial bone offer; piezosurgery techniques; Dentistry; RK1-715
• Source: Romanian Journal of Oral Rehabilitation, Vol 7, Iss 4, Pp 84-89 (2016)

Introduction. In most of the cases, duet o post-extractional atrophy the bone offer is insufficent for placing implants. Piezosurgery splitting techniques represent the modern and non-invasive alternative used for ridge remodeling, sinus lift and other surgical bone preservation maneuvres. Purpose. The purpose of this study is to present new surgical techniques that radically simplify maxillary sinus interventation, avoiding membrane perforation and new splitting tecniques in advanced bone and ridge atrophy. Material and method. In this study, sinus lifting was performed using piezo-elevation of the membrane and the pressure ogenerated by the saline solution. Out of 67 patients, 20 have had recieved external sinus windowed osteotomy and membrane lifting using piezosurgery (piezosurgical Mectron system). Also out of 55 patients with advanced bone loss, ridge width between 2 and 4 mm, 26 of them received bone splitting maneuvers. Results and discussion. Schneidarian membrane perforation is a risk for any kind of procedure involving the maxillary sinus. This complication can occur during the osteotomy even if its bur driven or osteotome driven. Piezosurgery intruments cut easily through bone without damaging soft tissue, and schneidarian membrane is lifted without perforation. In bone splitting techniques, the fracture of facial ridge wall is frequently acquainted during manual chiseling (classical methode), can be avoided using piezo-surgery. Conclusion. Using piezo-surgery techniques seem to simplify the procedure and reduces the complication occurance