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The osteotome technique: Part 4--Future site development

R B Summers1

  • 1University of Pennsylvania, School of Dental Medicine, Philadelphia, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|November 1, 1995
PubMed
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Future Site Development (FSD) surgery offers an improved osteotome technique for creating maxillary implant sites, especially with low sinuses and insufficient bone. This method allows for staged implant placement after ridge alteration.

Area of Science:

  • Oral surgery
  • Dental implantology
  • Maxillofacial reconstruction

Background:

  • Previous osteotome techniques (REO, OSFE, BAOSFE) were used for maxillary implant surgery.
  • These methods involved bone compression, ridge expansion, and sinus floor elevation for immediate implant placement.

Observation:

  • This article introduces an improved osteotome method for creating implant sites under low sinuses with limited bone.
  • A new technique, Future Site Development (FSD), uses larger osteotomes to intrude the ridge crest, creating wider areas for sinus floor elevation.

Findings:

  • FSD surgery is presented as a method to alter the maxillary ridge for staged implant placement.
  • The article details a comparison of FSD with existing sinus floor surgery techniques.
  • Advantages of combining FSD with periodontal surgery, regenerative procedures, and tooth extraction are discussed.

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Implications:

  • FSD surgery provides a viable approach for managing insufficient bone in the maxillary sinus area for dental implants.
  • This technique facilitates staged implant placement by enabling ridge modification and sinus floor elevation.
  • FSD surgery may enhance outcomes when combined with other oral surgical and regenerative procedures.