Document Detail


Minimally invasive approaches to optimize block grafting: a case report.
MedLine Citation:
PMID:  25233065     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract In narrow alveolar ridge many surgical approaches exist, and the most frequently used is bone graftingThe subperiosteal tunneling approach is a minimal safety procedure that allows to allocate the graft in a space that is obtained between the soft tissues and the underlying bone, through an access rapresented by one single incision on the mesial limit of the bone defect. A 55-year-old caucasian woman with a severe bone atrophy in the maxillary arch was treated with horizontal bone augmentation. A mucoperiosteal tunnel with a periosteal elevator through one single incision of moderate dimensions per hemiarch, insertion of tissue bank ilium bicortical bone(FFB) and a consequent complete prosthetic-implant rehabilitation was realized. The tunnel technique provided primary intention closure of the surgical wound, avoiding dehiscences and infections, and reducing the edema and the post-operative discomfort for the patient. Clinical and histological studies support the use of FFB and it has been suggested that the results of a graft with homologous and with autologus bone can be comparable, even though the healing phase is more critical and longer for the allograft. The combination of homologous grafts with the tunnel technique reduces significantly the surgical trauma and the postoperative discomfort, as well as the risk of exposure of the graft during the healing phase, with the risk of graft failiure. In our experience, onlay grafting with frozen bone is a predictable technique for horizontal augmentation.
Authors:
Gilberto Sammartino; Giuseppe Pantaleo; Paolo Nuzzolo; Massimo Amato; Francesco Riccitiello
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-9-18
Journal Detail:
Title:  The Journal of oral implantology     Volume:  -     ISSN:  0160-6972     ISO Abbreviation:  J Oral Implantol     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-9-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801086     Medline TA:  J Oral Implantol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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