1. The bone lid technique in oral surgery: a case series study
- Author
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Giulia Brunello, F. Fistarol, Stefano Sivolella, Christian Bacci, and Edoardo Stellini
- Subjects
Adult ,Male ,medicine.medical_specialty ,Adolescent ,medicine.medical_treatment ,Radiography ,Oral Surgical Procedures ,Dentistry ,Bone tissue ,Osteotomy ,bone lid ,bone window ,bony lid ,osteotomy ,piezoelectric surgery ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,medicine ,Alveolar Process ,Humans ,Ostectomy ,Piezosurgery ,Dental alveolus ,Fixation (histology) ,Aged ,Piezoelectric surgery ,business.industry ,030206 dentistry ,Middle Aged ,eye diseases ,Surgery ,medicine.anatomical_structure ,Treatment Outcome ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Female ,Oral Surgery ,business ,Mouth Diseases ,Tomography, X-Ray Computed ,Bone Plates ,Case series - Abstract
The aim of this case series study was to illustrate the bone lid technique implemented using piezoelectric surgery to access mandibular alveolar bone diseases and to assess the clinical and radiographic outcomes. The technique was used to treat 21 consecutive patients with various conditions: cysts in six cases, impacted teeth with associated cysts in nine, keratocystic odontogenic tumours in three, impacted teeth in two, and an endodontic lesion in one. The bone lid was fashioned using piezoelectric surgery and a thin osteotomy insert. After the surgical procedure, the bone lid was replaced and fixed with miniplates. On clinical and radiological follow-up at 12 months, the outcome measures were bone lid integration and alveolar bone volume recovery. Any complications were also documented. The lesion and bone lid healed completely in 19 cases; one patient experienced permanent mild paresthesia and one experienced trauma-induced bone lid necrosis. Computed tomography volumetric analyses conducted on 11 cases indicated a mean recovery of 93.8% of the volume of bone lost. Based on healthy biological reasoning, the bone lid technique with piezoelectric surgery and rigid fixation may be considered a valid alternative to ostectomy for the purposes of bone tissue healing.
- Published
- 2017