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Osteonecrosi spontanea dei mascellari in relazione all’assunzione di bisfosfonati endovenosi: caso clinico 与静脉注射双磷酸盐有关的下颌骨自发性骨坏死:临床病例
Pub Date : 2012-12-01 DOI: 10.1016/J.IOS.2011.09.002
F. Carini, K. Pavanello, V. Pisapia, G. Gatti, G. Porcaro
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引用次数: 0
Approccio terapeutico al paziente in terapia con bisfosfonati orali e affetto da cisti naso-palatina: caso clinico 口腔双磷酸盐和鼻腭囊肿患者治疗方法:临床
Pub Date : 2012-12-01 DOI: 10.1016/J.IOS.2011.05.006
F. Carini, G. Porcaro, D. Monai, L. Barbano, C. Bucalo, F. Pirrone
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引用次数: 0
Utilizzo della chirurgia piezoelettrica nelle avulsioni complesse: caso clinico 在复杂撕脱中使用压电手术:临床病例
Pub Date : 2012-12-01 Epub Date: 2012-04-12 DOI: 10.1016/j.ios.2012.01.005
A. Rossi , L. Tagliatesta , A. Flora , L. Serioli , S. Giglio

Objectives

The authors describe the case of a patient with mandibular first molar with a large degree of bone inclusion and in proximity to the inferior alveolar nerve.

Materials and methods

In this case report the authors present the surgical extraction of a deep impacted first molar with piezoelectric ultrasonic instrumentation.

Results

A new bone lid technique with a piezoelectric device, which is described in this article, may be indicated considering its selective and soft tissue sparing abilities when a conventional operation requires extensive removal of alveolar bone and/or performing surgery in close proximity to the alveolar nerve, when there is an appreciable risk of damage to the inferior alveolar nerve by instrumentation.

Conclusions

The use of piezoelectric equipment seems to be better than the conventional surgery in conducting surgical operations with a lower risk of damaging soft tissues.

目的报告一例下颌第一磨牙骨包涵度大且靠近下牙槽神经的病例。材料和方法在本病例中,作者报告了用压电超声器械手术拔除深阻生第一磨牙。结果当常规手术需要大面积切除牙槽骨和/或在牙槽神经附近进行手术时,当内固定对下牙槽神经有明显的损伤风险时,考虑到其选择性和保留软组织的能力,本文描述的一种新型压电装置骨盖技术可能会被推荐。结论使用压电设备进行外科手术优于常规手术,且损伤软组织的风险较低。
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引用次数: 0
Rialzo crestale “a becco di flauto” della parete inferiore del seno mascellare “长笛嘴”顶棚,位于下颌窦壁
Pub Date : 2012-12-01 Epub Date: 2012-11-07 DOI: 10.1016/j.ios.2012.09.001
E. Gherlone , G. Vrespa , D. Vrespa

Objectives

Considering that recent literature re-evaluated the technique of placing implants in an inclined position, this paper suggests a different method for lifting the lower wall of the maxillary sinus. The new technique represents a logical development of clinical experience consolidated in decades.

Materials and methods

The protocol involves the execution of a bone tunnel by making a longitudinal fracture using dedicated chisels.

Results and conclusions

Clinically, we can observe that the method allows to obtain good stability of the prosthetic restoration, an easy surgical approach, and very short recovery time.

目的考虑到近期文献对种植体倾斜放置技术的重新评价,本文提出了一种不同的上颌窦下壁提升方法。这项新技术代表了几十年来临床经验的合理发展。材料和方法该方案包括通过使用专用凿子进行纵向骨折来执行骨隧道。结果与结论临床观察该方法修复体稳定性好,手术入路简便,恢复时间短。
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引用次数: 0
Analisi facciale globale: approccio diagnostico-terapeutico multidisciplinare alla riabilitazione implantare complessa 全面面部分析:复杂内内恢复的多学科诊断治疗方法
Pub Date : 2012-12-01 Epub Date: 2012-05-19 DOI: 10.1016/j.ios.2012.04.002
G. Perrotti , L. De Vecchi , T. Testori , R.L. Weinstein

Objectives

To illustrate the diagnostic approach to total face analysis.

Materials and methods

The factors for a rational diagnostic evaluation, that is essential in complex implant-prosthetic rehabilitation cases, are provided.

Results and conclusions

Total face analysis reduces the risk of not diagnosing dental–skeletal alterations that may affect the outcome of an implant-prosthetic rehabilitation.

目的探讨全脸分析的诊断方法。材料和方法提供了在复杂的种植-假肢康复病例中进行合理诊断评估的因素。结果和结论全面部分析降低了未诊断可能影响种植体-假肢康复结果的牙齿-骨骼改变的风险。
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引用次数: 2
Trattamento chirurgico di una cisti radicolare con recupero e riabilitazione degli elementi dentari coinvolti 根状囊肿的外科治疗,包括牙科元素的恢复和恢复
Pub Date : 2012-12-01 DOI: 10.1016/J.IOS.2011.07.002
S. Mura, M. Dosoli, G. Greco, P. Arosio
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引用次数: 0
Alternativa chirurgica mini-invasiva mediante l’utilizzo di impianti angolati dopo scollamento e dislocazione posteriore della membrana del seno 这是一种微创手术的替代方案,使用胸膜分离和后脱位后的角度植入物
Pub Date : 2012-12-01 DOI: 10.1016/J.IOS.2012.01.006
T. Testori, Federico Mandelli, Matteo Capelli, Francesco Zuffetti, F. Galli, R. Castellaneta, M. Invernizzi, M. Mantovani
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引用次数: 0
Fistole oro-antrali: approccio terapeutico combinato fra chirurgo orale e otorinolaringoiatra 口腔外科医生和耳鼻喉科医生的联合治疗方法
Pub Date : 2012-12-01 DOI: 10.1016/J.IOS.2011.08.003
G. Padoan, T. Testori, F. Galli, Mario Turri-Zanoni, Stefania Gallo, P. Castelnuovo
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引用次数: 0
Rialzo del seno mascellare con prelievo di osso autologo da siti intraorali: chirurgia piezoelettrica vs chirurgia tradizionale 上颌隆起,从口腔内部位取出自体骨:压电手术和常规手术
Pub Date : 2012-12-01 Epub Date: 2011-10-13 DOI: 10.1016/j.ios.2011.08.002
G. Lomartire , F. Carini , V. Santagada , F. Pirrone , G. Bonacina

Objectives

The primary aim of this research was to evaluate the success of bone regeneration achieved with maxillary sinus lifting performed with two different techniques; the secondary aim was to evaluate the outcome of dental implants inserted in the new bone.

Materials and methods

In this study, 10 patients were treated with bilateral sinus lifts performed with autologous bone grafts taken from intraoral sites. Two different techniques were used on each patient: piezoelectric surgery for right-side interventions (group A) and traditional instruments with osteotrites for left-sided interventions (group B). Four to five months after the reconstructive surgery, 40 implants were positioned in the regenerated bone.

Results

Radiographic and clinical assessments of the grafts revealed increases in new bone and increases in height (h) amounting to 3.71 millimeters (49%) in group A and 3.26 millimeters (43%) in group B. Five-year cumulative implant survival rates were 95.46% in group A and 94% in group B.

Conclusions

The results of this study indicate that piezoelectric and traditional techniques for maxillary sinus lifts with intraoral grafts are both effective. The piezoelectric approach is better tolerated, less stressful for the bone tissue, and produces more predictable outcomes than the more invasive procedure with osteotrites.

目的本研究的主要目的是评估两种不同的上颌窦提升技术在骨再生方面的成功;第二个目的是评估牙种植体插入新骨的结果。材料与方法在本研究中,10例患者采用口腔内自体骨移植物进行双侧窦提升。每位患者使用两种不同的技术:右侧干预的压电手术(A组)和左侧干预的传统骨组织器械(B组)。重建手术后4至5个月,将40个植入物放置在再生骨中。结果A组和b组5年累积种植体成活率分别为95.46%和94%,A组的新骨增加了3.71 mm(49%),高(h)增加了3.26 mm (43%), b组的5年累积种植体成活率分别为95.46%和94%。压电方法的耐受性更好,对骨组织的压力更小,并且比骨组织的侵入性手术产生更可预测的结果。
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引用次数: 0
Approccio terapeutico al paziente in terapia con bisfosfonati orali e affetto da cisti naso-palatina: caso clinico 口腔双磷酸盐和鼻腭囊肿患者治疗方法:临床
Pub Date : 2012-12-01 Epub Date: 2011-08-06 DOI: 10.1016/j.ios.2011.05.006
F. Carini , G. Porcaro , D. Monai , L. Barbano , C. Bucalo , F. Pirrone

Objectives

The authors describe the enucleation of a nasopalatine duct cyst in a patient receiving oral bisphosphonate therapy, which can influence the outcome of dental treatments by altering the physiological tissue healing process.

Materials and methods

A surgical approach was used to remove a nasopalatine duct cyst in a patient receiving oral bisphosphonate therapy. Management requires a holistic view of the case in collaboration with the patient's physicians.

Results

Ten days after surgery, the patient was reassessed, and the mucous membrane was found to be healing normally. The patient was monitored with a specific follow-up protocol.

Conclusions

Non-healing of hard and soft tissues is a risk in patients receiving oral bisphosphonate who undergo invasive oral surgery procedures. Thus, an appropriate antibiotic prophylaxis is essential before and after surgery.

目的报道一例接受口服双膦酸盐治疗的鼻腭管囊肿的去核,该囊肿通过改变生理组织愈合过程来影响牙科治疗的结果。材料与方法对一例接受口服双膦酸盐治疗的鼻腭管囊肿行手术切除。管理需要与病人的医生合作,对病例有一个整体的看法。结果术后10 d复查,发现患者粘膜愈合正常。对患者进行了具体的随访监测。结论口服双膦酸盐治疗有创口腔手术患者存在硬、软组织不愈合的风险。因此,手术前后适当的抗生素预防是必不可少的。
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引用次数: 0
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Italian Oral Surgery
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