Le Fort I Osteotomy, Bilateral Sinus Lift, and Inlay Bone-Grafting for Reconstruction in the Severely Atrophic Maxilla: A New Vision of the Sandwich Technique, Using Bone Scrapers and Piezosurgery

Reconstruction of the severely atrophic edentulous maxillae with calvarial bone grafts

“…This surgical procedure can improve even large discrepancies between the maxilla and mandible, provide sufficient bone volume, and enable ideal implant placement (Munoz‐Guerra et al. ). However, it is only indicated if the remaining horizontal bone volume is sufficient to permit subsequent implant placement.…”

Piezosurgery in oral and maxillofacial surgery

“…MUNOZ-GUERRA et al used piezosurgery for a combined Le Fort I osteotomy and bilateral sinus lift, then inlay bone grafted using their own modification of the sandwich technique in a patient with a severely atrophic maxilla to gain the desired amount of bone; this allowed the ideal placement of dental implants and improved the discrepancy between upper and lower arches 18 .…”

Effect of piezoelectric instruments on healing propensity of alveolar sockets following mandibular third molar extraction

“…Though recognized as a safe alternative for extraction, other new indications are now being widely proposed for piezosurgical instruments. Researchers have evaluated its application to periodontal osseous surgery, 9 germectomy, 6 distraction of jaw, 10 sinus grafting, 7,9,12 cranial osteoplasty, 13 hand surgery, 14 rhinoplasty, 15 orthognathic surgery, 12,16 and head/neck oncological and reconstruction surgery. 17,18 Although some had proposed advantages of piezosurgical instruments for tooth extraction, there were no clinical data to describe the effect of piezosurgical instruments on postoperative periodontal healing.…”