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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Bone spreader technique: a preliminary 3-year study.

Renato Sussumu Nishioka1, Francisley Avila Souza

  • 1Department of Dental Materials and Prostodontics, State University of São Paulo, São Paulo Brazil. Nishioka@fosjc.unesp.br

The Journal of Oral Implantology
|December 19, 2009
PubMed
Summary

This study shows that a bone spreader technique for immediate dental implant placement in the maxilla has a high survival rate. This minimally invasive method achieved a 95.58% success rate over three years.

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Published on: April 11, 2012

Area of Science:

  • Dental Implantology
  • Oral Surgery
  • Bone Grafting Techniques

Background:

  • Immediate dental implant placement in resorbed bone presents challenges.
  • Standardized dilation techniques are crucial for successful osseointegration.
  • Minimally invasive approaches are preferred in bone augmentation procedures.

Purpose of the Study:

  • To evaluate the clinical outcomes of immediate implant placement using a bone spreading and dilation technique.
  • To assess the efficacy of a screw-type expander and threadformers in horizontally resorbed maxilla.
  • To determine the survival rate of dental implants placed with this crest-expanding method.

Main Methods:

  • A cohort of 53 patients with 41 treated edentulous areas in the maxilla.
  • Immediate implant placement using a bone spreader and screw-type threadformers.
  • Insertion torque of at least 40 Ncm and abutment delivery at 4-6 months.

Main Results:

  • Sixty-eight implants were placed with an overall failure rate of 4.41% (3 failures).
  • A retrieved implant after 3 years showed bone resorption to the third thread level.
  • The cumulative survival rate for this implant placement method was 95.58% at 3 years.

Conclusions:

  • The bone spreader technique is a less invasive alternative to traditional methods like Summers' osteotome.
  • This crest-expanding technique demonstrates an unusually low failure rate in the maxilla.
  • The study confirms the viability of bone spreading for immediate implant placement in resorbed bone.