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Comparison between implants inserted into piezo split and unsplit alveolar crests.

Matteo Danza1, Riccardo Guidi, Francesco Carinci

  • 1Dental School, University of Chieti, Chieti, Italy.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|October 20, 2009
PubMed
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Piezoelectric surgery (PES) split crests show comparable outcomes to standard procedures for dental implants. This precise cutting technique offers advantages without compromising bone remodeling or implant survival rates.

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Biomaterials Science

Background:

  • Piezoelectric surgery (PES) utilizes modulated ultrasonic frequencies for precise hard tissue cutting.
  • PES offers enhanced safety and precision in surgical procedures.
  • Alveolar ridge splitting is a technique used to increase bone width for implant placement.

Purpose of the Study:

  • To compare the clinical outcomes of dental implants placed in piezoelectric surgery (PES) split crests versus unsplit bone.
  • To evaluate implant survival and bone resorption rates between the two groups.
  • To determine if PES-assisted bone splitting yields comparable results to conventional methods.

Main Methods:

  • A retrospective study involving 86 patients and 234 spiral family implants.

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  • 21 implants were placed in PES split crests; the remainder were in unsplit bone.
  • Kaplan-Meier analysis was used to compare survival and clinical success rates over a mean follow-up of 13 months.

    • Main Results:

    • An overall implant survival rate of 96.2% was observed, with 9 losses occurring exclusively in the unsplit group (no statistical difference).
    • Crestal bone loss analysis showed no statistically significant difference between PES split crests and untreated alveolar ridges.
    • A trend towards better outcomes was noted for implants placed in PES split crests.

    Conclusions:

    • PES split crests provide advantages in dental implant procedures.
    • Clinical outcomes, particularly bone remodeling, are comparable to standard procedures.
    • PES-assisted bone splitting is a viable alternative for implant placement.