Piezosurgical osteotomy for harvesting intraoral block bone graft

Lakshmiganthan, Mahalingam; Gokulanathan, Subramanium; Shanmugasundaram, Natarajan; Daniel, Rajkumar; Ramesh, Sadashiva Balakrishnapillai

doi:10.4103/0975-7406.100260

Cited by 12 publications

(11 citation statements)

References 4 publications

(5 reference statements)

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“…Piezosurgery requires much less hand pressure than traditional rotary instruments. 46 The shape of the graft can be accurately removed from the donor site, and donor-site morbidity can be kept as low as possible. Majewski investigated the possibility of harvesting individual bone blocks with an individual piezoelectric cut design.…”

Section: Different Applications In Implantologymentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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Piezosurgery, or the use of piezoelectric devices, is being applied increasingly in oral and maxillofacial surgery. The main advantages of this technique are precise and selective cuttings, the avoidance of thermal damage, and the preservation of soft-tissue structures. Through the application of piezoelectric surgery, implant-site preparation, bone grafting, sinus-floor elevation, edentulous ridge splitting or the lateralization of the inferior alveolar nerve are very technically feasible. This clinical overview gives a short summary of the current literature and outlines the advantages and disadvantages of piezoelectric bone surgery in implant dentistry. Overall, piezoelectric surgery is superior to other methods that utilize mechanical instruments. Handling of delicate or compromised hard- and soft-tissue conditions can be performed with less risk for the patient. With respect to current and future innovative surgical concepts, piezoelectric surgery offers a wide range of new possibilities to perform customized and minimally invasive osteotomies.

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Section: Different Applications In Implantologymentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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“…Also, it minimizes osteocytes damage, allowing for faster healing of the lesion [31,32]. The use of such surgical approach in the current study resulted in a 8,3% recurrence rate after prolonged followup, without relevant postoperative side effects such as swelling, paresthesia or pain.…”

Section: Discussionmentioning

confidence: 78%

Gorlin-Goltz Syndrome: Conservative Treatment of Keratocystic Odontogenic Tumors, Frequent First Clinical Manifestation in Pediatric Age

Favia¹,

Tempesta²

2016

Hereditary Genet

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Objective: Gorlin-Goltz Syndrome, also known as Nevoid Basal Cell Carcinoma Syndrome, is a rare genetic condition resulting from mutations of the PTCH1 (9q22.3) gene. It involves multiple organs, such as the skin, skeleton and jaws. Aim of this study was to describe Keratocystic Odontogenic Tumors as frequent first clinical manifestation of NBCCS during pediatric age, and theirs conservative treatment, that is really important, especially among young patients. Methods:We report on 20 pediatric patients affected by Gorlin-Goltz Syndrome, presenting totally 60 Keratocystic Odontogenic Tumors. Patients underwent conservative lesion enucleation with maximal permanent teeth preservation. The ostectomy and osteoplasty were made with both conventional rotative instruments and piezoelectric tools, in order to remove damaged bone, epithelial remnants and satellite cysts, and to possibly minimize the recurrence risk. All surgical samples were subjected to histopathological examination and the patients were followed-up for a minimum of 18 months. Results:Overall, 60 Keratocystic Odontogenic Tumors were removed (8 patients with single and the remaining with multiple cysts) with healing of all the surgical wounds without complications. Nevertheless, recurrence of 5 lesions (8.3%) from 3 patients occurred: all of them were >5 cm in maximum diameter and associated with permanent teeth.Conclusion: Keratocystic Odontogenic Tumors in pediatric patients require conservative approaches for permanent teeth preservation. While conventional enucleation leads up to 60% recurrence rates, cavity ostectomy with piezoelectric tools significantly reduced the recurrence risk and allowed preservation of permanent teeth.

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“…Lakshmiganthan et al. reported that piezoelectric surgery is a minimally invasive technique that lessens the risk of damage to surrounding soft tissues and important structures such as nerves, vessels, and mucosa [22]. It also decreases damage to osteocytes and permits good survival of bony cells during bone harvesting.…”

Section: Discussionmentioning

confidence: 99%