Comparison of Tunnel and Crestal Incision Techniques in Reconstruction of Localized Alveolar Defects

Altıparmak, Nur; Uçkan, Sina; Bayram, Burak; Soydan, Sıdıka Sinem

doi:10.11607/jomi.5275

Cited by 5 publications

(4 citation statements)

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“…Most studies have horizontal and vertical incisions, which present considerable postoperative exposure rates, possibly due to lower blood supply during the healing period. 21 Similarly, Miyamoto et al 45 found higher exposure incidence in more complex bone defects, such as those in which the bone volume to be restored is higher. Pellegrino et al 23 described the largest exposure area in late postoperative periods in their sample.…”

Section: Discussionmentioning

confidence: 96%

“…5,16 Unfortunately, the current literature focuses on the possible measures to avoid mesh exposure, and less is know about how to treat it. Many authors have suggested different approaches to decrease the incidence of mesh exposure, such as avoiding the use of dental prostheses in the early postoperative period, 5 applying medications to the flap sutures, 17,18 preoperative soft tissue expansion to increasing the amount of mucosa available, 19,20 variations in the incision 21 and use of platelet aggregates (PRF or PRP). 10 It is also available to studies on how to handle exposure and keep the site clean 5,7,22,23 instead of treatment to enhance the soft tissue phenotype, improving the promote better nutrition to the graft.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review

Cunha

Carvalho

Quirino

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

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Study Design: A systematic review according to PRISMA statement has been designed to answer the preliminary question: “ In titanium mesh exposures, is there a treatment alternative which leads to an increased graft maintenance?” and fill the PICO assessment out. Objective: To review studies published in the past 20 years (1999-2019) in which mesh exposure has occurred, detecting the suitable approaches to treat exposure allowing the graft maintenance. Methods: Initial search on PUBMED, SCOPUS, and COCHRANE databases resulted in 777 articles, and hand-searching identified 6 articles. After removing duplicates and unrelated articles, eligibility criteria were applied, and 31 studies were selected (randomized clinical trials, retrospective/prospective clinical trials, and case series). Results: A total of 677 surgical sites and 225 cases of mesh exposure were identified. Eleven treatments have been identified. Chlorhexidine was the primary approach in 46% of cases, followed by oral hygiene instructions and follow-up with 22.5% of occurrences. In 21% of clinical situations, titanium mesh removal was the treatment of choice, associated with other measures (i.e., antibiotic prescription). There seems to be a consensus in cases of infection. When this complication was associated with tissue dehiscence, the primary treatment was mesh removal. The same does not occur when the site needs to be cleaned for long-term periods. Conclusion: In 2 decades of use of titanium meshes, the available treatments do not seem to have evolved, and there is not enough data to establish a guideline.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review

Cunha

Carvalho

Quirino

et al. 2021

Craniomaxillofacial Trauma & Reconstruction

View full text Add to dashboard Cite

show abstract

“…A mid-crestal incision followed by a full-thickness mucoperiosteal flap extending from molar to molar in mandibular arches full thickness was elevated. [ 3 ] Releasing incisions were given bilaterally to ease the vision of the operating field. A pilot drill was used and paralleling pins were used to check the position of implants in each arch.…”

Section: Discussionmentioning

confidence: 99%

Workflow for the full-mouth rehabilitation of a patient with different prosthetic materials in opposing arches: A bold move in desperate scenario

Rajaraman

Nesappan

Maiti

et al. 2022

J Adv Pharm Technol Res

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“…yaptığı klinik çalışmada tünel tekniği kullanılarak 50 vakada ağız içi onley otojen kemik grefti yerleştirilmiş ve alıcı sahada 2 vakada greft kaybı (4%) yani, major komplikasyon görülmüştür.15 Donör saha olarak ağız içi bölgelerin kullanıldığı lokalize alveolar defektlerin rekonstrüksiyonunda tünel ve krestal insizyon tekniklerinin karşılaştırıldığı 68 hasta ve 75 bölgeyi içeren diğer bir çalışmada yumuşak doku açılımının ve greft kaybının tünel tekniği kullanılan grupta anlamlı derecede düşük olduğu görülmüştür. 18 Hasson ve ark. 19 sığır grefti kullanarak yapmış oldukları diğer bir çalışmada minimal invaziv bir yöntem olarak subperiosteal tunel yaklaşımını uygulayarak dar alveolar kenar ogmentasyonu uygulamışlardır.…”

Section: Discussionunclassified

Comparison of tunnel and crestal incision techniques in alveolar cret deficiency using extraoral autogeneous onley bone grafts

Develi¹,

Suzen²,

Altıparmak³

et al. 2019

Yeditepe J Dent

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Alveol kret yetersizliğinin extraoral otojen onley kemik greftleri ile ogmentasyonda tünel ve krestal isizyon tekniklerinin karşılaştırılması Comparison of tunnel and crestal incision techniques in alveolar cret deficiency using extraoral autogeneous onley bone grafts ÖZET Amaç: Bu çalışmanın amacı alveoler kret yetersizliğinde krestal ve tünel olmak üzere 2 farklı insizyon tekniği kullanılarak ekstraoral donör sahadan alınan otojen kemik greftin yerleştirilmesinden sonra meydana gelen alıcı bölgedeki komplikasyonların karşılaştırılması ve değerlendirilmesidir. Gereç ve Yöntem: Bu çalışmada 13 hastadaki iliak greft ile ogmente edilen 14 krestal, 27 tünel yöntemi olmak üzere 41 bölgedeki minör (greftte minör açılma, vida başının açılması, sütur açılması, geçici parestezi, ılımlı ve/veya orta şiddette enfeksiyon) ve majör (greft kaybına neden olan enfeksiyon, majör açıklık, kalıcı parestezi) komplikasyonlar retrospektif olarak değerlendirilmiş ve iki farklı insizyon tekniği karşılaştırılmıştır. Ayrıca donör saha morbiditeleri değerlendirilmiştir. Bulgular: Tünel insizyon tekniği kullanılan grupta minor komplikasyon oranı %29.6 iken majör komplikasyon görülmemiştir. Krestal insizyon yapılan grupta % 50 minör komplikasyon ve %28.6 majör komplikasyon görülmüştür. İki farklı insizyon tekniği kullanılan gruplar arasında minör ve majör komplikasyon oranlarında istatistiksel olarak anlamlı fark bulunmuştur. İlaveten krestal teknikte ogmente edilen bölge sayısı ile minör komplikasyon oluşma riski insidansı arasında anlamlı ters korelasyon görülmüştür. Sonuç: Ekstraoral otojen greftlerde subperiosteal tünel yaklaşımı krestal yaklaşıma göre alıcı saha komplikasyon oranı dikkate alındığında daha başarılı ve alternatif bir yöntem olabilir. Anahtar kelimeler: Atrofik çene, ekstraoral onley kemik grefti, tünel insizyon tekniği SUMMARY Aim: The aim of this study was to compare and evaluate two techniques', crestal and tunnel incision, complications after extraoral autogenous bone grafting at recipient area, which are used to treat alveol crest insufficiency. Materials and Method: Minor complications (minor openning in graft, opening of screw head, suture opening, temporary paresthesia, mild/moderate infection) and major complications (Infection causing graft loss, major opening, permanent paresthesia) of 41 graft sites (14 crestal and 27 tunnel methods) which were augmented with iliac graft in 13 patients are evaluated and compared with two different techniques retrospectively. Furthermore, donor area morbidities were evaluated. Results: While minor complication rate in the group where tunnel incision technique used is 29.6%, major complication is not encountered. In the crestal incision group, 50% minor complication and 28.6% major complication are encountered. Minor and major complication rates among groups were statistically significant. In addition, significant negative correlation was found between the number of region which is augmented with crestal technique and incidence risk that leads minor complication. Conclusion: Whe...

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Comparison of Tunnel and Crestal Incision Techniques in Reconstruction of Localized Alveolar Defects

Cited by 5 publications

References 0 publications

Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review

Titanium Mesh Exposure After Bone Grafting: Treatment Approaches—A Systematic Review

Workflow for the full-mouth rehabilitation of a patient with different prosthetic materials in opposing arches: A bold move in desperate scenario

Comparison of tunnel and crestal incision techniques in alveolar cret deficiency using extraoral autogeneous onley bone grafts

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