Clinical comparison of ultrasonic surgery and conventional surgical techniques for enucleating jaw cysts

Yaman, Zekai; Süer, Berkay Tolga

doi:10.1016/j.ijom.2013.05.003

Cited by 17 publications

(10 citation statements)

References 19 publications

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“…This air cavitation also reduces the hemorrhage at surgical site. Due to positive features mentioned above, ultrasound surgery devices have gained widespread acceptance in dentistry [20,21]. These findings are confirmed in this presented study by the author's experiences.…”

Section: Discussionsupporting

confidence: 86%

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Süer¹,

Yaman²

2014

JDODT

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Successful osseointegration of the dental implants requires sufficient bone volume surrounding implant site. The mandibular ramus is considered reliable donor site for reconstructing alveolar ridge defects prior to dental implant placement. The aim of this study was to present the clinical efficiency of using ultrasound surgery for harvesting mandibular ramus bone graft. 20 patients (10 male, 10 female; mean age 47.5 ± 11.4years) with insufficient bone volume, who underwent autogenous bone grafting prior to implant placement, were presented. The grafts were harvested from the ascending ramus along with the external oblique ridge using an ultrasound surgical device (Piezosurgery, Mectron, Italy) from 20 donor sites and used to augment alveolar ridge atrophies. After waiting 4 to 5 months for healing grafted sites, 48 dental implants were inserted. Clinical parameters such as inferior alveolar nerve (IAN) damage, complications at donor and recipient site, the size of the graft and implant placement at the proper site were evaluated retrospectively. Mean graft length was 20.1mm (SD=2.73), and mean graft width was 12mm (SD=2.47). Of 20 recipient sites, 20 healed uneventfully, and of 20 donor sites 18 healed uneventfully. Only one patient had transient altered sensitivity of the lower lip.Ultrasound surgery allowed precise and smooth bone cutting with better intraoperative visibility. Specially angulated tip of the devise made inferior horizontal cut easier and safer. The results of this study suggest that the use of ultrasound surgery is an effective method for harvesting bone grafts from mandibular ramus with avoidance of any major complication.

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Section: Discussionsupporting

confidence: 86%

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Süer¹,

Yaman²

2014

JDODT

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“…9,10,16,23,24 However, animal and clinical studies showed that the ultrasonic surgery yielded faster bone healing and remodeling. 25,26 In the presented study, the authors utilized the ultrasonic surgery device to harvest ramus bone. According to treatment plan, the ramus graft was also planned to splitted into half horizontally as described by Khoury F et al 10 earlier.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary treatment for a young patient with severe bone loss from a trauma: A case report

Süer¹,

Korkmaz²

2017

Yeditepe J Dent

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SUMMARYThe maxillofacial area is one of the most injury susceptible regions through road accidents, interpersonal violence, sports and falls. Due to high survival rates for implant supported restorations, many clinicians prefer dental implants for replacing missing teeth. The final success of dental implants placed in the esthetic zone depends on the available volume of hard and soft tissues. Autogenous bone grafts for the alveolar bone deficiencies still be the gold standard. For many years, practitioners have been using symphysis, ramus, tuberosity or the iliac crest for the alveolar ridge reconstruction and enhancement. The advantageous of using mandibular ramus area, as donor site is that provides denser bone quality with minimal resorption, easy access, minimal morbidity and no need for hospitalization. Herein, the 17-year-old patient was presented with recurrent fistula over tooth number 11, which were traumatized during soccer game two years ago. This case reports describes multidisciplinary esthetic rehabilitation of trauma patient with excessive alveolar bone loss in the anterior maxilla utilizing autogenous ramus bone graft and connective tissue graft.

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“…Cependant les inserts du piézotome sont plus fragiles et peuvent se fracturer lors de l'intervention. La durée de l'acte est également augmentée [13].…”

Section: Discussionunclassified

Le volet osseux réalisé à la micro-scie et repositionnéin situ : une technique alternative à la décortication

Guillerminet

Keller²,

Chatelain

et al. 2015

Med Buccale Chir Buccale

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Introduction : La technique du volet osseux réalisé à la micro-scie et repositionné in situ peut être une technique alternative à la décortication dans le cadre de dents incluses, de chirurgie endodontique, d'exérèse de corps étranger, de lésions kystiques ou de dépose d'implants ostéo-intégrés non fonctionnels. La micro-scie permet un geste rapide qui pourrait remplacer la décortication à la fraise boule ou l'utilisation du piézotome. Technique : Un bloc cortical a été délimité par quatre traits d'ostéotomie à la micro-scie et clivé en regard de la zone à opérer. En fin d'intervention, le volet cortical a été réinséré et impacté en position initiale. En cas de manque de stabilité, il a pu être maintenu, soit par des vis et/ou des plaques d'ostéosynthèse, soit par des ligatures résorbables. Discussion : L'émergence de cette technique est en partie liée au progrès de l'instrumentation chirurgicale. Le repositionnement in situ du volet en fin d'intervention, garant de la conservation osseuse, s'oppose à l'incarcération épithéliale et favorise la régénération osseuse. Toutefois, la fixation du volet osseux en fin d'intervention est une étape délicate qui conditionne la réussite de l'intervention. L'utilisation de la micro-scie permet d'obtenir une bonne visibilité opératoire, moins de perte osseuse lors des ostéotomies et un gain de temps par rapport à la décortication et la piézochirurgie.

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Clinical comparison of ultrasonic surgery and conventional surgical techniques for enucleating jaw cysts

Cited by 17 publications

References 19 publications

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Harvesting Mandibular Ramus Bone Grafts Using Ultrasonic Surgical Device: Report of 20 Cases

Multidisciplinary treatment for a young patient with severe bone loss from a trauma: A case report

Le volet osseux réalisé à la micro-scie et repositionnéin situ : une technique alternative à la décortication

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