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Updated: Jun 20, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum (TOLF) Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
The friction free osteotome technique: introduction of a modified approach
Tobias Thalmair1, Stefan Fickl, Wolfgang Bolz
1Private Institute for Periodontology and Implantology, Munich, Germany. tobias.thalmair@ipi-muc.de
Abstract:
The current literature suggests that the bone-condensing approach while performing internal sinus floor elevation may not be beneficial for the future implant site. Furthermore, even with refined procedures, a predictable and controlled infraction of the sinus floor prior to graft placement still seems to be technique sensitive. In this context, the present article presents a modified technique along with the use of parallel osteotomes devoid of any contact to the lateral osteotomy wall. Therefore, compression of the adjacent bone will be avoided and the tactility of the site for the surgeon will be preserved as the osteotome is solely in contact with the subsinus cortex.