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Hydrodynamic ultrasonic maxillary sinus lift : review of a new technique and presentation of a clinical case

机译:流体动力超声上颌窦提升术:一种新技术的回顾和临床病例的介绍

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摘要

Objectives: Placing implants in the posterior maxillary area has the drawback of working with scarce, poor quality bone in a significant percentage of cases. Numerous advanced surgical techniques have been developed to overcome the difficulties associated with these limitations. Subsequent to reports on the elevation of the maxillary sinus through the lateral approach, there were reports on the use of the crestal approach, which is less aggressive but requires a minimal amount of bone. Furthermore, it is more sensitive to operator technique, as the integrity of the sinus membrane is checked indirectly. The aim of this paper is to review the technical literature on minimally invasive sinus lift and compare the advantages of different techniques with Intralift?, a new technique. Study Design: The present study is a review of techniques used to perform minimally invasive sinus lift published in Cochrane, Embase and Medline over the past ten years and the description of the crestal sinus lift technique based on minimally invasive piezosurgery, with the example of a case report. Results: Only eight articles were found on minimally invasive techniques for sinus lift. The main advantage of this new technique, Intralift, is that it does not require a minimum amount of crestal bone (indeed, the smaller the width of the crestal bone, the better this technique is performed). The possibility of damage to the sinus membrane is minimised by using ultrasound based hydrodynamic pressure to lift it, while applying a very non-aggressive crestal approach. Conclusions: We believe that this technique is an advance in the search for less traumatic and aggressive techniques, which is the hallmark of current surgery. © Medicina Oral.
机译:目的:将植入物放置在上颌后部区域的缺点是,在相当多的病例中,它们会处理稀缺,劣质的骨骼。已经开发出许多先进的外科手术技术来克服与这些限制有关的困难。关于通过外侧入路上颌窦抬高的报道,随后有关于使用顶入入路的报道,这种入路较不积极,但需要的骨骼量很少。此外,由于对窦膜的完整性进行间接检查,因此对操作员技术更加敏感。本文的目的是回顾有关微创鼻窦移位术的技术文献,并将不同技术与新技术Intralift?的优势进行比较。研究设计:本研究是对过去十年在Cochrane,Embase和Medline上发表的用于进行微创鼻窦提升术的技术的综述,并介绍了基于微创压电外科手术的高位鼻窦提升技术,例如案例报告。结果:仅发现八篇关于微创鼻窦提升技术的文章。这项新技术Intralift的主要优势在于,它不需要最少的牙骨(实际上,牙骨的宽度越小,该技术的执行效果越好)。通过使用基于超声的流体动力压力将其抬升,同时应用非常非侵略性的地壳方法,可以最大程度地减少损坏窦膜的可能性。结论:我们认为,这项技术是寻找创伤小,攻击性强的技术的进步,这是当前手术的标志。 ©Medicina Oral。

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