tag:blogger.com,1999:blog-12685598426854125632024-02-07T04:41:21.052-03:00Dental Implants ArticlesOral Implantology blog, with articles and clinical cases about dental implantsCesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comBlogger31125tag:blogger.com,1999:blog-1268559842685412563.post-56908984386355904002022-08-16T01:28:00.003-03:002022-08-16T01:30:02.749-03:00Articulo Desarrolllo de un Esterilzador UV-C<p> <span style="background-color: white; color: #505050; font-size: 20.8px; text-align: justify;">Desarrollo de un esterilizador de aire UV-C para el control de la transmisión aérea del COVID-19</span></p><div id="simple-author-date-view" style="background: rgb(255, 255, 255); border-bottom-color: rgb(216, 232, 235); border-bottom-style: solid; border-image: initial; border-left-color: initial; border-left-style: initial; border-right-color: initial; border-right-style: initial; border-top-color: initial; border-top-style: initial; border-width: 0px 0px 1px; color: #444444; font-family: Arial, Helvetica, sans-serif; font-size: 13px; margin: 10px 0px 5px; outline: 0px; padding: 0px 0px 2px; text-align: justify; vertical-align: baseline;"><div class="simple-item-view-authors" style="background: transparent; border: 0px; float: left; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><div style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><span class="metadata-label" style="background: transparent; border: 0px; color: #707070; font-weight: bold; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;">Authors: </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" xmlns:i18n="http://apache.org/cocoon/i18n/2.1"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/62333" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Macias, Manuel Germán</a> | </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/50570" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Luchetti, César Gabriel</a> | </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/50569" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Kitrilakis, Alicia Elena</a> | </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/51429" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Pelizza, Sebastián Alberto</a> | </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/65776" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Laborde, Juan Martín</a> | </span><span class="ds-dc_contributor_author-authority" style="background: transparent; border: 0px; color: #982521; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=authority&filter=http://voc.sedici.unlp.edu.ar/node/65779" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Ayala, Miguel Ángel</a> | </span><span class="metadata-value" style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><a href="http://sedici.unlp.edu.ar/discover?filtertype=author&filter_relational_operator=equals&filter=Zubieta,%20Mart%C3%ADn" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: transparent; color: #607890; margin: 0px; padding: 0px; text-decoration-line: none; vertical-align: baseline;">Zubieta, Martín</a></span></div><div style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><br /></div><div style="background: transparent; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"><h2 style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-bottom-color: rgb(216, 232, 235); border-bottom-style: solid; border-image: initial; border-left-color: initial; border-left-style: initial; border-right-color: initial; border-right-style: initial; border-top-color: initial; border-top-style: initial; border-width: 0px 0px 1px; font-size: 13px; line-height: normal; margin: 20px 0px 3px; outline: 0px; padding: 0px; text-rendering: optimizelegibility; vertical-align: baseline;">Abstract</h2><div style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border: 0px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" xmlns:i18n="http://apache.org/cocoon/i18n/2.1"><span class="metadata-lang" style="background: rgb(192, 192, 192); border: 0px; color: white; font-size: 10px; margin: 0px; outline: 0px; padding: 2px 5px; vertical-align: baseline;">In Spanish</span><p style="background: transparent; border: 0px; margin: 0px 0px 10px; outline: 0px; padding: 0px; vertical-align: baseline; white-space: pre-line;" xmlns:i18n="http://apache.org/cocoon/i18n/2.1">En el contexto de la pandemia por COVID-19, y considerando que existe una transmisión área del virus, que la OMS tardó en reconocer, pero que hoy está comprobado, decidimos desarrollar un Esterilizador de Aire con una combinación específica de Filtros Especiales y el uso de Luz UV-C. Luego del desarrollo del esterilizador (Belerofonte I), se realizaron pruebas biológicas, con Virus, Bacterias, Hongos y Esporas, para ver su efectividad en esterilizar ambientes. Luego de los resultados contundentes obtenidos, y de las pruebas de flujo de aire realizadas en Ingeniería, el equipo se escaló a un tamaño más pequeño, logrando las mismas prestaciones (Belerofonte II). Con el segundo prototipo se repitieron las pruebas, mostrando la misma efectividad. Si bien el desarrollo se enmarca en la pandemia por COVID-19, sería de utilidad a largo plazo, dadas sus prestaciones, para evitar infecciones intrahospitalarias, y que podría ser aplicable a consultorios, transporte público, locales comerciales, entre otros.</p><span class="metadata-lang" style="background: rgb(192, 192, 192); border: 0px; color: white; font-size: 10px; margin: 0px; outline: 0px; padding: 2px 5px; vertical-align: baseline;">In English</span><p style="background: transparent; border: 0px; margin: 0px 0px 10px; outline: 0px; padding: 0px; vertical-align: baseline; white-space: pre-line;" xmlns:i18n="http://apache.org/cocoon/i18n/2.1">In the context of the COVID-19 pandemic, and considering that there is an airborne transmission of the virus, which the WHO was slow to recognize, but is now proven, we decided to develop an Air Sterilizer with a specific combination of Special Filters and the use UV-C Light. After the development of the sterilizer (Belerofonte I), biological tests were carried out with Viruses, Bacteria, Fungi and Spores, to see its effectiveness in sterilizing environments. After the strong results obtained, and the air flow tests carried out in Engineering, the equipment was scaled to a smaller size, with the same performance (Belerofonte II). The tests were repeated with the second prototype, showing the same effectiveness. Although the development is a part to fight the COVID-19 pandemic, it would be useful in the long term, given its benefits, to avoid intra-hospital infections, and it could be applicable to clinics, public transport, and commercial premises, among others.</p></div></div></div></div><h1 style="background: rgb(255, 255, 255); border: 0px; clear: both; color: #505050; font-family: Arial, Helvetica, sans-serif; font-size: 20.8px; line-height: normal; margin: 10px 0px 0px; outline: 0px; padding: 0px; text-align: justify; text-rendering: optimizelegibility; vertical-align: baseline;"><br /></h1><div>Descargar articlulo desde: <a href="http://sedici.unlp.edu.ar/handle/10915/110828" style="-webkit-tap-highlight-color: rgb(94, 159, 255); background: rgb(255, 255, 255); color: #607890; font-family: Arial, Helvetica, sans-serif; font-size: 13px; margin: 0px; padding: 0px; text-align: justify; text-decoration-line: none; vertical-align: baseline;" target="_blank">http://sedici.unlp.edu.ar/handle/10915/110828</a></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div><br /></div><div>.</div><div><br /></div><div><br /></div><div>.</div>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-66937474823939915542022-08-16T01:12:00.003-03:002022-08-16T01:12:33.343-03:00Esterilizador de Ambientes UV-C<p><b><span style="font-size: medium;"> </span><span style="font-size: large;">Diferentes notas sobre el desarrollo efectuado por nuestro grupo acerca del esterilizador de ambientes: </span></b></p><p><span style="font-size: medium;"><b><a href="https://miradaprofesional.com/landingpage?id=53620" target="_blank">https://miradaprofesional.com/landingpage?id=53620</a></b></span></p><p><span style="font-size: medium;"><b><a href="https://infocielo.com/unlp/odontologos-platenses-disenaron-un-esterilizador-uv-reducir-la-carga-viral-centros-salud-n117712" target="_blank">https://infocielo.com/unlp/odontologos-platenses-disenaron-un-esterilizador-uv-reducir-la-carga-viral-centros-salud-n117712</a></b></span></p><p><span style="font-size: medium;"><b><a href="https://www.pagina12.com.ar/269245-la-universidad-nacional-de-la-plata-contra-el-coronavirus-de" target="_blank">https://www.pagina12.com.ar/269245-la-universidad-nacional-de-la-plata-contra-el-coronavirus-de</a></b></span></p><p><b><a href="https://www.diariocontexto.com.ar/2020/05/02/coronavirus-odontologos-platenses-desarrollaron-un-esterilizador-de-aire-uv/" target="_blank">https://www.diariocontexto.com.ar/2020/05/02/coronavirus-odontologos-platenses-desarrollaron-un-esterilizador-de-aire-uv/</a></b></p><p><b><a href="https://pulsonoticias.com.ar/67704/unlp-desarrollan-un-esterilizador-de-aire-para-purificar-ambientes/" target="_blank">https://pulsonoticias.com.ar/67704/unlp-desarrollan-un-esterilizador-de-aire-para-purificar-ambientes/</a></b></p><p><b><a href="https://clipurbanosalud.com/2020/05/03/convocados-por-la-unlp-odontologos-platenses-desarrollaron-un-esterilizador-de-aire-uv/" target="_blank">https://clipurbanosalud.com/2020/05/03/convocados-por-la-unlp-odontologos-platenses-desarrollaron-un-esterilizador-de-aire-uv/</a></b></p><p><b><a href="https://www.diarionorte.com/191543-desarrollan-un-esterilizador-de-aire-para-purificar-el-ambiente-" target="_blank">https://www.diarionorte.com/191543-desarrollan-un-esterilizador-de-aire-para-purificar-el-ambiente-</a></b></p><p><b><a href="https://www.infoblancosobrenegro.com/nota/8500/odontologos-platenses-desarrollaron-un-dispositivo-para-purificar-ambientes-con-alta-carga-microbiana/" target="_blank">https://www.infoblancosobrenegro.com/nota/8500/odontologos-platenses-desarrollaron-un-dispositivo-para-purificar-ambientes-con-alta-carga-microbiana/</a></b></p><p><b><a href="https://diariohoy.net/interes-general/un-esterilizador-de-aire-para-combatir-el-coronavirus-fue-desarrollado-por-odontologos-de-la-unlp-129451" target="_blank">https://diariohoy.net/interes-general/un-esterilizador-de-aire-para-combatir-el-coronavirus-fue-desarrollado-por-odontologos-de-la-unlp-129451</a></b></p><p><b><a href="https://www.0221.com.ar/nota/2020-5-4-7-27-0-odontologos-de-la-unlp-desarrollaron-un-esterilizador-de-aire-contra-el-coronavirus" target="_blank">https://www.0221.com.ar/nota/2020-5-4-7-27-0-odontologos-de-la-unlp-desarrollaron-un-esterilizador-de-aire-contra-el-coronavirus</a></b></p><p><b><a href="https://www.clarin.com/sociedad/transporte-seguro-plata-desinfectan-micros-rayos-ultravioletas_0_FngiUVx_P.html" target="_blank">https://www.clarin.com/sociedad/transporte-seguro-plata-desinfectan-micros-rayos-ultravioletas_0_FngiUVx_P.html</a></b></p><p><b><a href="https://dentistaentuciudad.com/noticias-dentales/dentistas-argentinos-disenaron-esterilizador-de-aire/" target="_blank">https://dentistaentuciudad.com/noticias-dentales/dentistas-argentinos-disenaron-esterilizador-de-aire/</a></b></p><p><b><a href="https://patentedeinvencion.blogspot.com/2020/05/" target="_blank">https://patentedeinvencion.blogspot.com/2020/05/</a></b></p><p><br /></p><p><br /></p><p><br /></p><p><br /></p>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-8767448094312265582015-07-11T01:28:00.001-03:002016-05-14T12:48:12.474-03:00Immediate Dental Implants in Infected Sockets<!--[if gte mso 9]><xml>
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<span lang="EN-US" style="mso-ansi-language: EN-US;"><b>PhD Thesis:</b>
“Immediate Dental Implants in Infected Sockets” </span></div>
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<span lang="EN-US" style="mso-ansi-language: EN-US;"><b>Author:</b>
Cesar Luchetti</span></div>
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<span class="hps"><span lang="EN" style="mso-ansi-language: EN;">Complete
PhD </span></span><span lang="EN-US" style="mso-ansi-language: EN-US;">Thesis (In
Spanish)</span><span class="hps"><span lang="EN-US" style="mso-ansi-language: EN;"> </span></span><span class="hps"><span lang="EN" style="mso-ansi-language: EN;">can be accessed from</span></span><span lang="EN" style="mso-ansi-language: EN;"> <span class="hps">the following</span> <span class="hps">link</span> <span class="hps">and then</span>, <span class="hps">at the
end of the page, you have the option to</span> <span class="hps">download the</span>
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<span style="color: red;"><b>NEW!! </b></span> <a href="https://drive.google.com/file/d/0B1YrBFxtxrsuWVdXVWw0cGFpbDA/view?usp=sharing" target="_blank">Direct Download</a><br />
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<br />Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-70157813912592297432013-08-05T00:34:00.000-03:002016-05-14T12:38:41.883-03:00Immediate Implant Placement in Maxillary Molars Using Septa Dilatation with Threaded Expanders: 3 years follow up and use of the technique in complex cases<h3 class="post-title entry-title">
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<span style="font-weight: bold;"><span style="font-size: small;">Luchetti, C; Kurtzman, G; Kitrilakis, A; Ostrowicz, D. “Immediate Implant Placement in Maxillary Molars Using Septa Dilatation with Threaded Expanders: 3 years follow up and use of the technique in complex cases” International Journal of Oral Implantology and Clinical Research, 2012, 3 (3): 138-145</span></span></div>
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Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-9966115712483584012012-01-01T03:01:00.000-03:002016-05-14T12:40:08.964-03:00Tratamento de Lesões Ósseas Periimplantárias e Reosseointegração<h3>
<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Luchetti,C. “Tratamento de Lesões Ósseas Periimplantárias e
Reosseointegração”<span style="font-size: small;"> </span>Maxillaris (Portugal), 2011, 6 (36):42-54</span></span></h3>
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publicado no</span></span><span lang="PT"> <span class="hps">Jornal</span> <span class="hps">Maxillaris</span> <span class="hps">(Portugal),</span>
<span class="hps">edição de setembro</span> <span class="hps">de 2011.</span><br /></span></span></span></div>
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<span style="font-size: small;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="PT"><span class="hps"><b><span style="font-size: small;">. </span></b></span></span></span></span></div>
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Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-66911870004343010932011-03-01T22:48:00.014-03:002016-05-14T12:40:54.649-03:00Peri-implant Bone Lesions and Re-osseointegration<div style="font-family: Arial,Helvetica,sans-serif; text-align: left;">
<span style="font-size: small;"><b>César Luchetti </b></span></div>
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<span lang="EN-US" style="font-size: small;">Article published in the December 2010 issue of Maxillaris (Spain). Article in Spanish.</span><br />
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.Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-44479277733702932092010-01-28T02:11:00.011-03:002016-05-14T12:42:00.213-03:00Successful Management of a Severe Case of Bisphosphonates Related Osteonecrosis of the Jaw in a Multiple Myeloma Patient<div style="font-weight: bold; text-align: left;">
<span style="font-size: 130%;"></span><span style="font-family: "arial" , "helvetica" , sans-serif; font-weight: bold;">Cesar Luchetti, Sebastian Yantorno, Julian Barrales, Juan Napal, Jorge Milone, Alicia Kitrilakis.</span></div>
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Article published in the October 2009 issue of the Journal of Implants and Advanced Clinical Dentistry.</div>
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-21818571728832397112009-06-14T07:37:00.018-03:002012-01-09T23:56:58.911-03:00All Ceramic Crowns for the Upper Incisors<div style="font-family: Arial,Helvetica,sans-serif; text-align: left;"><span style="font-weight: bold;">Cesar Luchetti</span></div><br />
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-78671389571159188802009-06-14T07:12:00.011-03:002016-05-14T12:42:49.973-03:00Immediate Implant Placement in Maxillary Molars using Threaded Expanders<div style="font-family: Arial,Helvetica,sans-serif;">
<span style="font-weight: bold;">Cesar Luchetti, Gregori Kurtzman and Alicia Kitrilakis</span></div>
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<a href="http://cesarluchetti.com.ar/Documentos/Luchetti%20-%20JIACD%20june09%20-%20Expanders.pdf" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;" target="_blank"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhF1Z0w1ENRg_DKEvuyZ001uZ3WbnPRrBi2vg9i9PpO6M8x6y9XRNIlIhEXAuyIpeJ0u7ijX7V8N4h_LAwhapviErER7mEGH_e_NatCd6izT6fBAFgH5V3Xk7oR1pRuAWa8QTEnUS-n5EX-/s320/Threaded+Expanders.JPG" width="248" /></a></div>
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<b><span style="font-size: small;"><a href="https://drive.google.com/open?id=0B1YrBFxtxrsueERwQ2hHMjIzMlE" target="_blank">DOWNLOAD FILE </a></span></b><br />
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Also, you can access at <a href="http://www.jiacd.com/" target="_blank">www.jiacd.com</a></div>
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-74796285377257742162009-01-28T13:13:00.012-02:002012-01-09T23:58:17.469-03:00Immediate Dental Implants After Extraction - Video<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesar Luchetti</span></div><br />
<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX"><o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
<span lang="ES-MX"><o:p></o:p></span>This case is from a middle age woman with periodontal compromise in the anterior teeth. The video shows the immediate implant placement for the upper anterior area. The lower anteriors, two implants at laterals, were done in the same surgery but are not presented here.</div><div class="MsoNormal"><span style="font-family: Arial,Helvetica,sans-serif;">Please, click on SEE ON HD (High Definition) option to see the video better. Or HQ button from the menu on the lower right.</span></div><div class="MsoNormal"><br />
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-40213172035279331552008-07-05T04:01:00.014-03:002012-01-09T23:58:46.365-03:00Flapless Surgery and Immediate Loading. Definitive Crown<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesar Luchetti</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX"><o:p><br />
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</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">Here we are presenting the final pictures of the case that was showed in video sometime ago.</div><div class="MsoNormal"><br />
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<a href="http://www.youtube.com/watch?v=KzhefkQeo1s" target="_blank"><span lang="EN-US">Dental Implants. Flapless Surgery and Immediate Loading</span></a><br />
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-70286348257102358382008-03-22T00:52:00.027-03:002012-01-10T00:00:26.913-03:00Ridge Splitting, Nasal Cavity Lift and Simultaneous Dental Implants Placement<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesa</span><span style="font-weight: bold;">r Luch</span><span style="font-weight: bold;">etti </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX"> </span><span lang="EN-US"><br />
Ridge splitting is a procedure used to expand the bone by separating the buccal and palatal plates.</span> <br />
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</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Nasal cavity lift associated with implant placement is not a common procedure. However, is useful in some cases with ridge atrophy and a low nasal floor.</span></div><div class="MsoNormal"><span lang="EN-US"></span><br />
<div style="font-family: Arial,Helvetica,sans-serif;"></div><span style="font-family: Arial,Helvetica,sans-serif;">In this case, we use both approaches together, in order to have the possibility to place the implants. </span></div><br />
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<tr><td style="text-align: center;"><span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyLpuL9zrcuXIGatQsoFXsvIATfJlJQv7kPTBdS6do85Ia1EskGnlXo4Q3jFBAHIYn6ieDJAQdzdl-pxXM2VyArkcJ6Gifaemsu71jrX92TL-MD5FMQlzKLqgVwFLCV1nzhFhaK4UEYyp9/s1600-h/expansion+y+fosas.JPG" style="margin-left: auto; margin-right: auto;"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5180402326250667186" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyLpuL9zrcuXIGatQsoFXsvIATfJlJQv7kPTBdS6do85Ia1EskGnlXo4Q3jFBAHIYn6ieDJAQdzdl-pxXM2VyArkcJ6Gifaemsu71jrX92TL-MD5FMQlzKLqgVwFLCV1nzhFhaK4UEYyp9/s400/expansion+y+fosas.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" /></a></span></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Preoperatory situation.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH5AD2EdGK7JydNFAlwZJF27xHa_iNIZlDxh8sUvX5c2ZoIaKJ6iDPTYuALnhDsr9E1aJuvwfAzmmZJ7RsO0N-X2I2qp1C4O9FJWZ5DOvMb0OInaZRQhhOEcnuChV9OIuyD9AwHlWZKva4/s1600-h/expansion+y+fosas+%281%29.JPG" style="margin-left: auto; margin-right: auto;"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5180402197401648290" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH5AD2EdGK7JydNFAlwZJF27xHa_iNIZlDxh8sUvX5c2ZoIaKJ6iDPTYuALnhDsr9E1aJuvwfAzmmZJ7RsO0N-X2I2qp1C4O9FJWZ5DOvMb0OInaZRQhhOEcnuChV9OIuyD9AwHlWZKva4/s400/expansion+y+fosas+%281%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Flap raised. An extremely atrophied ridge is observed. </span><br />
<span style="font-size: small;">Also, the nasal cavity is shown. (Black arrows)</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgu5MzNhIJCWRQRoCRgrNKTgO2GMPVnZ5BNRVqz8wiPSAVDJwV47wvDF49P5devWOYqjw4Xj8VBINRXDnlvcZZE-Pc_XP57jEbdTFkKJPumyQ0TJcOrl3wSX2eV_GfkeDN9obezojqgLMQc/s1600-h/expansion+y+fosas+%282%29.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5180402102912367762" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgu5MzNhIJCWRQRoCRgrNKTgO2GMPVnZ5BNRVqz8wiPSAVDJwV47wvDF49P5devWOYqjw4Xj8VBINRXDnlvcZZE-Pc_XP57jEbdTFkKJPumyQ0TJcOrl3wSX2eV_GfkeDN9obezojqgLMQc/s400/expansion+y+fosas+%282%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Doing the pituitary membrane lift using a curette.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3Q1aHCxTtj7MG41Q6kH7MRi6PEuZhblTQvD35XS1Azmye5Myyh0X6Cik5DHdwccsTUWGMLgwdx3GxKqjxs_Yzo36dtiLgyKPzAQ8i4UnB2drdnY9Y6yvJy5OBcePn6gLkuQw9UTwQxEnS/s1600-h/expansion+y+fosas+%283%29.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" id="BLOGGER_PHOTO_ID_5180401986948250754" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg3Q1aHCxTtj7MG41Q6kH7MRi6PEuZhblTQvD35XS1Azmye5Myyh0X6Cik5DHdwccsTUWGMLgwdx3GxKqjxs_Yzo36dtiLgyKPzAQ8i4UnB2drdnY9Y6yvJy5OBcePn6gLkuQw9UTwQxEnS/s400/expansion+y+fosas+%283%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Doing the pituitary membrane lift using a curette. </span></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"><br />
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div style="text-align: left;"></div><div class="MsoNormal" style="text-align: left;"><span style="font-size: small;"><span lang="EN-US">Diamond disk used to perform the cut of the ridge to initiate</span></span></div><div></div><div class="MsoNormal" style="text-align: left;"><span style="font-size: small;"><span lang="EN-US">the splitting.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Making the cut using the disk.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Initial ridge split.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Ridge split after using the chisels.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Surgical sockets.</span></td></tr>
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<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: arial; font-size: small;">Implants placed.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Graft placed in the nasal cavity. (Black arrows)</span></td></tr>
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-75679593848677791142008-03-20T03:20:00.011-03:002012-01-10T00:00:52.817-03:00Maxillary Sinus Lift in a Case with a Complete Partition Wall and Simultaneously Placement of Dental Implants<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesar Luchetti</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX"><o:p><br />
</o:p></span></div><span lang="ES-MX"><span style="font-family: Arial,Helvetica,sans-serif; font-weight: bold;"><br />
</span><span style="font-family: Arial,Helvetica,sans-serif;">Maxillary sinus usually presents partition wall inside, but normally they are incomplete. When a complete partition wall is present, the sinus lift procedure could be more difficult. In such cases, the lateral wall must be taken out (because it is impossible to move it medially inside the sinus) and create two different access at both sides of the partition wall.<br />
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In the following case the technique to do this is showed.</span><span style="font-weight: bold;"><br />
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span lang="ES-MX" style="font-size: small;">Preoperatory situation</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">First load of the bone graft into the medial </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">part of the sinus.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span lang="ES-MX" style="font-size: small;">Suture.</span></td></tr>
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-49964372630073956672008-03-14T02:48:00.006-02:002012-01-10T00:01:28.254-03:00Dental Implants. Flapless Surgery and Immediate Loading<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesar Luchetti</span><br />
<br />
<span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX"><o:p><br />
</o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
<span lang="EN-US"><o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"><o:p></o:p>Implant dentistry is pushing their limits towards less invasive procedures and with results in a day.</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"><o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Although this is a valid approach, an adequate diagnosis is necessary to perform these cases in a secure way.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Flapless surgery is usually faster and gives more postoperative comfort to the patient. However, the adequate tridimensional position of the implants must not be sacrificed just to avoid a flap, especially in cases when bone reconstruction is needed.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Long term prognosis is influenced by a good tridimensional positioning of the implants which is determined by the biomechanical requirements of the teeth being replaced.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Immediate loading is useful because the patient retrieves the function instantaneously, but it must be done just in cases with a good initial fixation. <o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">The following video shows a case with a flapless approach.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Implant site development was made with threaded expander in order to increase bone density allowing a better initial fixation.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US"><span style="font-family: Arial,Helvetica,sans-serif;">The implant used, B&W CIH (</span><st1:country-region st="on" style="font-family: Arial,Helvetica,sans-serif;"><st1:place st="on">Argentina</st1:place></st1:country-region><span style="font-family: Arial,Helvetica,sans-serif;">), has an implant carrier who can be adapted as an abutment. A provisory crown was made over it a few moments after surgery. </span><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US"><o:p></o:p><br />
<object height="355" width="425"><param name="movie" value="http://www.youtube.com/v/KzhefkQeo1s&rel=0&color1=0xd6d6d6&color2=0xf0f0f0&border=0"><param name="wmode" value="transparent"><embed src="http://www.youtube.com/v/KzhefkQeo1s&rel=0&color1=0xd6d6d6&color2=0xf0f0f0&border=0" type="application/x-shockwave-flash" wmode="transparent" width="425" height="355"></embed></object><br />
<br />
<span style="font-family: Arial,Helvetica,sans-serif;">To see the video in full screen, please click in the link below (opens in a new window). Then, click in the lower right square of the screen.</span></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div style="font-family: Arial,Helvetica,sans-serif;"><a href="http://www.youtube.com/watch?v=KzhefkQeo1s" target="_blank"><span lang="EN-US">Dental Implants. Flapless Surgery and Immediate Loading</span></a></div><br />
<br />
<div class="MsoNormal">...</div><br />
<a href="https://twitter.com/LuchettiCesar" class="twitter-follow-button" data-show-count="false">Follow @LuchettiCesar</a><br />
<script>!function(d,s,id){var js,fjs=d.getElementsByTagName(s)[0];if(!d.getElementById(id)){js=d.createElement(s);js.id=id;js.src="//platform.twitter.com/widgets.js";fjs.parentNode.insertBefore(js,fjs);}}(document,"script","twitter-wjs");</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-81297690715998091502008-03-12T16:16:00.007-02:002011-04-02T06:45:14.347-03:00Treatment of the agenesis of a lateral incisor<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Daniel Ostrowicz - Barcelona, Spain</span><br />
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<span lang="EN-US" style="color: #231f20;"></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="color: #231f20;">In multiple situations, the possibility to place implants must face some challenges. <o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="color: #231f20;">A frequent situation is the limited space between adjacent teeth, which can be due to extractions made long time ago without the proper repositioning or without the use of space maintainers, or in case of a tooth agenesis. <o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="color: #231f20;">In this article, Dr. Ostrowicz presents a good clinical report on how to manage a case of a lateral incisor agenesis with limited mesio-distal space and with some atrophie of the buccal plate.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Although the article is in Spanish, it has a lot of photos that are self explanatory.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"><o:p> </o:p></span> </div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">Below, you can access the article.</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><span lang="EN-US" style="font-family: "; font-size: 12;"></span><br />
<div class="MsoNormal"><br />
</div><a href="http://www.4shared.com/file/40587670/63168431/Ostrowicz_-_Maxillaris_-_Feb_2008.html" target="_blank"><img border="0" src="http://dc50.4shared.com/img/40587670/63168431/Ostrowicz_-_Maxillaris_-_Feb_2008.pdf" /></a><br />
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<div class="MsoNormal"><span lang="EN-US"><span style="font-family: Arial,Helvetica,sans-serif;">Click in the image above and a new page will open. Then scroll down and click in “download file”.</span><br style="font-family: Arial,Helvetica,sans-serif;" /> <br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial,Helvetica,sans-serif;"> I want to thank Daniel for share this article with us.</span><br style="font-family: Arial,Helvetica,sans-serif;" /> <br style="font-family: Arial,Helvetica,sans-serif;" /><span style="font-family: Arial,Helvetica,sans-serif;"> I hope you it find interesting. </span><o:p></o:p></span></div><br />
<br />
...Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-23663711661445308232007-11-28T22:52:00.002-03:002011-04-01T23:56:29.681-03:00Dental Implants. Flapless Surgery and Immediate Loading<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-weight: bold;">Cesar Luchetti</span><br />
<br />
<span style="font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span style="font-weight: bold;"></span><span lang="ES-MX"><o:p><br />
</o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
<span lang="EN-US"><o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US"><o:p></o:p>Implant dentistry is pushing their limits towards less invasive procedures and with results in a day.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Although this is a valid approach, an adequate diagnosis is necessary to perform these cases in a secure way.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Flapless surgery is usually faster and gives more postoperative comfort to the patient. However, the adequate tridimensional position of the implants must not be sacrificed just to avoid a flap, especially in cases when bone reconstruction is needed.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Long term prognosis is influenced by a good tridimensional positioning of the implants which is determined by the biomechanical requirements of the teeth being replaced.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Immediate loading is useful because the patient retrieves the function instantaneously, but it must be done just in cases with a good initial fixation. <o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">The following video shows a case with a flapless approach.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US">Implant site development was made with threaded expander in order to increase bone density allowing a better initial fixation.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US"><span style="font-family: Arial,Helvetica,sans-serif;">The implant used, B&W CIH (</span><st1:country-region st="on" style="font-family: Arial,Helvetica,sans-serif;"><st1:place st="on">Argentina</st1:place></st1:country-region><span style="font-family: Arial,Helvetica,sans-serif;">), has an implant carrier who can be adapted as an abutment. A provisory crown was made over it a few moments after surgery. </span><o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US"><o:p></o:p><br />
<object height="355" width="425"><param name="movie" value="http://www.youtube.com/v/KzhefkQeo1s&rel=0&color1=0xd6d6d6&color2=0xf0f0f0&border=0"><param name="wmode" value="transparent"><embed src="http://www.youtube.com/v/KzhefkQeo1s&rel=0&color1=0xd6d6d6&color2=0xf0f0f0&border=0" type="application/x-shockwave-flash" wmode="transparent" width="425" height="355"></embed></object><br />
<br />
<span style="font-family: Arial,Helvetica,sans-serif;">To see the video in full screen, please click in the link below (opens in a new window). Then, click in the lower right square of the screen.</span></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div style="font-family: Arial,Helvetica,sans-serif;"><a href="http://www.youtube.com/watch?v=KzhefkQeo1s" target="_blank"><span lang="EN-US">Dental Implants. Flapless Surgery and Immediate Loading</span></a></div><br />
<br />
<div class="MsoNormal">...<br />
</div>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-39643824409063797182007-11-21T03:03:00.009-03:002012-01-10T00:02:22.549-03:00Bone Expansion by means of Ridge Splitting<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><b>Cesar Luchetti and Alicia Kitrilakis</b><br />
<b><br />
Department of Implant Dentistry. National University of La Plata. Argentina</b><br />
<b><br />
</b>Ridge splitting is a procedure used to expand the bone by separating the buccal and palatal plates.</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;">It is normally performed in the maxilla using chisels, osteotomes and a mallet.<br />
<br />
It could be done also in the mandible, but is a little bit more complicated due to the denser bone. In this case, is recommended to use a cutting disk or piezoelectric devices and threaded expanders, because these are less traumatic.<br />
<br />
It is indicated when:<br />
-The bone is less than 3 mm wide. (If we have more we normally can expand it just by means of osteotomes or expanders)<br />
-The bone is enough to place an implant but we want to expand it for esthetics reasons.<br />
<br />
Typically, the procedure is initiated by thin chisels, followed by wider ones and then osteotomes.<br />
<br />
Residual spaces are filled with a bone graft.<br />
<br />
A clinical case is showed below.</div><span style="font-family: times new roman; font-size: small;"></span><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxY7UslOIBYEX7UyNKkRF4toVHbxrA1liqjZN8FxRs6sFOMwYKP5NF6Jxnu574h_Tr80N-H7kJe0Ho9ItqrisjD_3ESIckAu7kKqZFpolgK94hFyP4bKEXFYRKJGGj488iX8is9kJYeFbI/s1600-h/01.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135163484145348274" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxY7UslOIBYEX7UyNKkRF4toVHbxrA1liqjZN8FxRs6sFOMwYKP5NF6Jxnu574h_Tr80N-H7kJe0Ho9ItqrisjD_3ESIckAu7kKqZFpolgK94hFyP4bKEXFYRKJGGj488iX8is9kJYeFbI/s400/01.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Preoperative x-ray.</span><span style="font-size: 130%;"><br />
</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6IKpOVH2ogszqKXKphcdnumbwIyaytq7e3I5wPmj7SaaOc8PmAe8_4FejPvD-pjV5AIPPvFhhU3CGvdmBdNDlhmBVlcBF1upXw0dZ31c4UxzM0v2p2d4STUhVAfbk9EfCJkUt-OLh1pFY/s1600-h/03.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135164158455213794" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6IKpOVH2ogszqKXKphcdnumbwIyaytq7e3I5wPmj7SaaOc8PmAe8_4FejPvD-pjV5AIPPvFhhU3CGvdmBdNDlhmBVlcBF1upXw0dZ31c4UxzM0v2p2d4STUhVAfbk9EfCJkUt-OLh1pFY/s400/03.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;">Preoperative situation. A fistula is </span></div><div class="MsoNormal"><span style="font-size: small;">observed at canine level due to a </span></div><div class="MsoNormal"><span style="font-size: small;">root fracture.</span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8hh-wx6snKi4aojoIj5QZX3bAxxEBxO-JLCZieJ-JL1j-QGIWsf4YsnJf8-CqOh5F1JGA-2qhLfNHHK39pun3CsH5mS_k138Pw9Kh2m3x_FGoGefi9HYxI1K65iEGVheGaUd05TPuaiD-/s1600-h/04.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135163896462208722" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8hh-wx6snKi4aojoIj5QZX3bAxxEBxO-JLCZieJ-JL1j-QGIWsf4YsnJf8-CqOh5F1JGA-2qhLfNHHK39pun3CsH5mS_k138Pw9Kh2m3x_FGoGefi9HYxI1K65iEGVheGaUd05TPuaiD-/s400/04.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;">Flap raised. A longitudinal fracture of </span></div><div class="MsoNormal"><span style="font-size: small;">the canine root is observed.</span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCFlZriw5JZ-eceioL4G3mfJmhjyrinvSHOgFEXU7XwC1g82ybfMBKANLPixViMD-0C_ZNWErYjlaUnVF7Ks0mflVHuEviXf5N0kGMpiPSUL7FWQXGL6Wsj4wxFbIjraTA_5K1-vKwUwt-/s1600-h/02.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135163711778614978" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjCFlZriw5JZ-eceioL4G3mfJmhjyrinvSHOgFEXU7XwC1g82ybfMBKANLPixViMD-0C_ZNWErYjlaUnVF7Ks0mflVHuEviXf5N0kGMpiPSUL7FWQXGL6Wsj4wxFbIjraTA_5K1-vKwUwt-/s400/02.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial,Helvetica,sans-serif; font-size: small;">View of the narrow ridge after the extraction.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsZuFycZdtgvbmJE9gIRnFvTX84r2QCG4KOXPU5CGn_2EDzb4xOqNrA2eiOv0PtQj1oCT7826x4XeN-ZkF5ws9C8ZomQFab_LpaT47AVzooNE8W_uDBLGKfY0Cch4Qj6sXHgyopgU7AWcv/s1600-h/05.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135164334548872946" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjsZuFycZdtgvbmJE9gIRnFvTX84r2QCG4KOXPU5CGn_2EDzb4xOqNrA2eiOv0PtQj1oCT7826x4XeN-ZkF5ws9C8ZomQFab_LpaT47AVzooNE8W_uDBLGKfY0Cch4Qj6sXHgyopgU7AWcv/s400/05.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial,Helvetica,sans-serif; font-size: small;">Start of the ridge splitting with thin chisels.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg19KRkfP8nPdgKD7p7GQchNF2ytH4Ww0vMIO-eyho-50pfjTbgoYsZeSF8qZCFEwtCy7aj3meOzlMvpbT8eJUi1njNS7WWzSCJbZFhEzeAyIMAD9OXg5Qe9gSGD0TflMe13d7J6bwBf1Nx/s1600-h/06.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135164553592205058" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg19KRkfP8nPdgKD7p7GQchNF2ytH4Ww0vMIO-eyho-50pfjTbgoYsZeSF8qZCFEwtCy7aj3meOzlMvpbT8eJUi1njNS7WWzSCJbZFhEzeAyIMAD9OXg5Qe9gSGD0TflMe13d7J6bwBf1Nx/s400/06.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial,Helvetica,sans-serif; font-size: small;">Ridge splitting with chisels.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3Wa0_vW6OxPayL9PeoUU61YLmNczQWQ7sMCd3lZTdOt7S_nJY__STGQKhGCvUhlypYHTmP1Xe62yzNyeyuBV4bRSMoQQ2k2X1XsspgNWQurhhCvlCU9z5c5BIa6MUyc1tcD8FK7KT9_B3/s1600-h/07.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135164755455667986" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj3Wa0_vW6OxPayL9PeoUU61YLmNczQWQ7sMCd3lZTdOt7S_nJY__STGQKhGCvUhlypYHTmP1Xe62yzNyeyuBV4bRSMoQQ2k2X1XsspgNWQurhhCvlCU9z5c5BIa6MUyc1tcD8FK7KT9_B3/s400/07.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial,Helvetica,sans-serif; font-size: small;">Initial ridge splitting.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgg0juk1NiQLy9c0O8a7xSMHEhVlfxSt2zCY3qlvQU4KLMhB3RSj0yu1fLsPH9N2O7KU2HowMISnACwEFnzX8ZQ_Y31FDahyphenhyphen9Ew5Qg0VKj7z8iV87NoC2f3r2YbQQGLG0EqkHHTrk8vriP4/s1600-h/08.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135164914369457954" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgg0juk1NiQLy9c0O8a7xSMHEhVlfxSt2zCY3qlvQU4KLMhB3RSj0yu1fLsPH9N2O7KU2HowMISnACwEFnzX8ZQ_Y31FDahyphenhyphen9Ew5Qg0VKj7z8iV87NoC2f3r2YbQQGLG0EqkHHTrk8vriP4/s400/08.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Continuation of the procedure by means of </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">osteotomes to prepare the implants sites and </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">to get the final expansion.</span></span></div></td></tr>
</tbody></table><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOyUWDG_bRUKjzBmPrbg1Lex77cPVJoUENw_4hiR7b-UkoQ7G6NRiMOwVSYiKyQvQeJ7s8_UGGRI-bnvRTnuX8t1hAOYANHklpRnbBEuhsRwmht8QcEPpiactLZHh3H6zRuFEYUUbkJR8W/s1600-h/09.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135165077578215218" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOyUWDG_bRUKjzBmPrbg1Lex77cPVJoUENw_4hiR7b-UkoQ7G6NRiMOwVSYiKyQvQeJ7s8_UGGRI-bnvRTnuX8t1hAOYANHklpRnbBEuhsRwmht8QcEPpiactLZHh3H6zRuFEYUUbkJR8W/s400/09.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Continuation of the procedure by means of </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">osteotomes to prepare the implants sites and </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">to get the final expansion.</span></span></div></td></tr>
</tbody></table><table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXND3ZADnin9i87LuvHiIlvWcz5UcIjfcpsW4y9IRHgRkZ8JBQ6fWoUyRlN84i3mfNgOlnbD3uXCzRoMwBcVYfZdsV5l99sL6hoZ6V1xk9qP1KNC-Fnycie1tFRUbV51DD2nXW90-uPSM6/s1600-h/10.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135165348161154882" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXND3ZADnin9i87LuvHiIlvWcz5UcIjfcpsW4y9IRHgRkZ8JBQ6fWoUyRlN84i3mfNgOlnbD3uXCzRoMwBcVYfZdsV5l99sL6hoZ6V1xk9qP1KNC-Fnycie1tFRUbV51DD2nXW90-uPSM6/s400/10.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Final expansion.</span><span style="font-size: 130%;"><br />
</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPk3UNU5F3S686U0GnEbiWfd7AwFGq6A16UzbRpp7sVP4J_C7rYmHKLp3mTSLCbOHeks2cRQV3FFEPpY4iccCPbEKiiNOp5ygZtEbhQCRHF2Rd0jiXogUc8huxgsCjxKPGMrjtASjchRTD/s1600-h/11.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135165519959846738" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPk3UNU5F3S686U0GnEbiWfd7AwFGq6A16UzbRpp7sVP4J_C7rYmHKLp3mTSLCbOHeks2cRQV3FFEPpY4iccCPbEKiiNOp5ygZtEbhQCRHF2Rd0jiXogUc8huxgsCjxKPGMrjtASjchRTD/s400/11.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Comparison between the initial aspect of the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">ridge and the situation after the expansion.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAy1ACnkIdBmg-UX1hemqXm9BOPrEuDKLM64hp2oGZ2_ea1BXUT0twE6E1cFOb8AoDQKsWJPnwlLYBWyOV6CivTAhep63duej84aMLTp91sDY6g-gMj4V8LpgQgyGUsq_cpUB_T-H8VLh6/s1600-h/12.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135165786247819106" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgAy1ACnkIdBmg-UX1hemqXm9BOPrEuDKLM64hp2oGZ2_ea1BXUT0twE6E1cFOb8AoDQKsWJPnwlLYBWyOV6CivTAhep63duej84aMLTp91sDY6g-gMj4V8LpgQgyGUsq_cpUB_T-H8VLh6/s400/12.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Implants placed.</span><span style="font-size: 130%;"><br />
</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlv6iEXaXiVao0Rua1xtc_NJI_vr3cIbPysmPD20H9b8U3TCTOGQAl64m6i5ZBJMWz4fE3urP9uh9tn8dt4k7rItHzNYLfFBW3A31EIDrF0_BdB4SavesOW529pXUOYaz4WyV2ybjTE1Y/s1600-h/13.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135165966636445554" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlv6iEXaXiVao0Rua1xtc_NJI_vr3cIbPysmPD20H9b8U3TCTOGQAl64m6i5ZBJMWz4fE3urP9uh9tn8dt4k7rItHzNYLfFBW3A31EIDrF0_BdB4SavesOW529pXUOYaz4WyV2ybjTE1Y/s400/13.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial,Helvetica,sans-serif; font-size: small;">Bone graft filling the residual spaces.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2Nog9Q_tEVnmCW0pIaYluk5u4DLUN_fgQx6oqse8ZBatxuc4_HBxaZbNOxvTLUR2skWmrg2zV428LPkeWUBEA879IaBmybGsU2r2KIgfZ1k2LuOY6mfHMvM-MVO-QSXL_GAEtVlrMWrxi/s1600-h/14.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135166202859646850" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2Nog9Q_tEVnmCW0pIaYluk5u4DLUN_fgQx6oqse8ZBatxuc4_HBxaZbNOxvTLUR2skWmrg2zV428LPkeWUBEA879IaBmybGsU2r2KIgfZ1k2LuOY6mfHMvM-MVO-QSXL_GAEtVlrMWrxi/s400/14.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Suture.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6-94kFGQ8cUaf0_KaX30KUfHMD6qwt4BNc0m3pzeIczl3MPFgWoN8gJRyR-8KirFrNhNVK6nnNR5Mz_Dx9M0xiaY0i8mOsFzYdytIvOJR8oz7R-jhPHcPVMODGRUVTIFWrbQIT4im2uKu/s1600-h/15.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135166387543240594" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6-94kFGQ8cUaf0_KaX30KUfHMD6qwt4BNc0m3pzeIczl3MPFgWoN8gJRyR-8KirFrNhNVK6nnNR5Mz_Dx9M0xiaY0i8mOsFzYdytIvOJR8oz7R-jhPHcPVMODGRUVTIFWrbQIT4im2uKu/s400/15.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Abutments in place.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMgPfM9V9FWhQWQuc5xFfy9CQ2NdezsJbLiwftgR39f6MXhM8OLH3UkazkiPgrmSWNOlufdKn5jq2SNtx5pgGMzVcLzGDP5ZAs3zACISpCu2FVFsOPPk46qBoaec0O3w20sOmKezF91WUR/s1600-h/16.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135166589406703522" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMgPfM9V9FWhQWQuc5xFfy9CQ2NdezsJbLiwftgR39f6MXhM8OLH3UkazkiPgrmSWNOlufdKn5jq2SNtx5pgGMzVcLzGDP5ZAs3zACISpCu2FVFsOPPk46qBoaec0O3w20sOmKezF91WUR/s400/16.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Definitive crowns.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJwgUMhyphenhyphenW1MQJPYPlAb36ooUbJhQzsktD87vEe1-VqdBKnQY0BJh-yA6OQXMUei3hWFAe_lUcFn-H2WuNye3oRZ-WBgu9aQYop0j9nhgUizQ86ZgcHyRxTBN4c9P_UH5LPxmLm2QWHTZb5/s1600-h/17.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135163325231558306" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJwgUMhyphenhyphenW1MQJPYPlAb36ooUbJhQzsktD87vEe1-VqdBKnQY0BJh-yA6OQXMUei3hWFAe_lUcFn-H2WuNye3oRZ-WBgu9aQYop0j9nhgUizQ86ZgcHyRxTBN4c9P_UH5LPxmLm2QWHTZb5/s400/17.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Pre and post operative comparison.</span><span style="font-size: 130%;"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgK0csVw04Skv6Hbsc3Z_YAkDhyphenhyphenHOsuvfn2ya84Vpoa-aZyyHm8d5_aw23Hf3X_zec3YI9yaAKVbiBLCvS-fHf5zfZD6SzaBwgaXVJOE33ijMRxu4X6z_oSiXVwxBlif2vgvxuuI7TavLKO/s1600-h/18.JPG" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5135163196382539410" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgK0csVw04Skv6Hbsc3Z_YAkDhyphenhyphenHOsuvfn2ya84Vpoa-aZyyHm8d5_aw23Hf3X_zec3YI9yaAKVbiBLCvS-fHf5zfZD6SzaBwgaXVJOE33ijMRxu4X6z_oSiXVwxBlif2vgvxuuI7TavLKO/s400/18.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Post operative x-ray.</span><span style="font-size: 130%;"><br />
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</script>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-20391866126579997292007-11-14T04:56:00.004-03:002011-04-02T00:18:44.489-03:00Bone Expansion Using Threaded Expanders<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Cesar Luchetti</span><span style="font-size: small;"><br />
</span> <span style="font-size: small; font-weight: bold;"> </span><br />
<span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span><span lang="ES-MX" style="font-size: small;"><o:p><br />
</o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="ES-MX" style="font-size: small;"><o:p><br />
</o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">In the previous post, a group of instruments for bone expansion was analyzed.</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Bone atrophies must be treated adequately to allow the implant placement in optimal position, according to the biomechanical requirements, and also to achieve better esthetics of the future crowns.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US"><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">Here we are presenting a case, where there is bone atrophy and a low insertion of the frenulum. </span></span></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US"><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">The therapeutic approach was to make a bone expansion together with a frenectomy.</span></span> <o:p></o:p></span></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhckxJH4zbkLOwIiaTAnRaFdH4MictaZeuYW7pL09y9RU9l77cAkaI1nkvSacFNwwyTBB3A0lC1Kb58Uu-c18mV5_7atfW8oGqOGcmgEOoVvcLsUjXlgr6ZeE_xETK7IgexhSkomeeyMol5/s1600-h/01.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132603475263579778" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhckxJH4zbkLOwIiaTAnRaFdH4MictaZeuYW7pL09y9RU9l77cAkaI1nkvSacFNwwyTBB3A0lC1Kb58Uu-c18mV5_7atfW8oGqOGcmgEOoVvcLsUjXlgr6ZeE_xETK7IgexhSkomeeyMol5/s400/01.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: arial; font-size: small;">Bone atrophy and a low insertion of the frenulum.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgO7Zc2kwwxu4dZmG4OfRBt1n7hM83ceh2NlvRwjlKOR4BVz2du3R7xuqKlkvOTW-sTLxTvCQWEKwS16syDtzw7h89mlLuuQgjz-VWpbBafj0SWT88LHuQR4FfdAzAWyObzcPWsU4kCJLaV/s1600-h/02.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132603350709528178" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgO7Zc2kwwxu4dZmG4OfRBt1n7hM83ceh2NlvRwjlKOR4BVz2du3R7xuqKlkvOTW-sTLxTvCQWEKwS16syDtzw7h89mlLuuQgjz-VWpbBafj0SWT88LHuQR4FfdAzAWyObzcPWsU4kCJLaV/s400/02.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="EN-US">After raising the flap, the bone atrophy is </span></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><span lang="ES-MX">observed, which is more important in the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="ES-MX" style="font-family: Arial,Helvetica,sans-serif;">anterior part.</span></span><span lang="EN-US"></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz0ShTHZQEeey6-j89NHq-ir4qVDxmW2GUr2FjlZUriDSp0nF9hg79XWeRM9OjlvUjFdIjrMubHY-F-JInZML136dk9Po51xWEei0CkDdh5BCVl6YtZedsjaAFYlqNJjrdUjSy-WgToyKu/s1600-h/03.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132603204680640098" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiz0ShTHZQEeey6-j89NHq-ir4qVDxmW2GUr2FjlZUriDSp0nF9hg79XWeRM9OjlvUjFdIjrMubHY-F-JInZML136dk9Po51xWEei0CkDdh5BCVl6YtZedsjaAFYlqNJjrdUjSy-WgToyKu/s400/03.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Expander number 3 in position.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYuRNldplTke2rPJvso_KifjbjvAmvawpR8uu476qFmE6t29MtdMJARfm0era4OkKsoCQTpuwKcDmCrFIOu4fvPrwlzp19KPhKbVLCXNuQMIMuaJUpUyeeJsCI2b2btkqYgb5alSSOnh3R/s1600-h/04.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132603045766850130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYuRNldplTke2rPJvso_KifjbjvAmvawpR8uu476qFmE6t29MtdMJARfm0era4OkKsoCQTpuwKcDmCrFIOu4fvPrwlzp19KPhKbVLCXNuQMIMuaJUpUyeeJsCI2b2btkqYgb5alSSOnh3R/s400/04.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Expander number 4 in position. With this one </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">is enough to place a 4 mm diameter implant.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiciTQqfhPYvNZg8zth69P_4w9z0fyJw_fVHHDdWT-Q1YQhWk0i2Twr8oC6k-Qmb9RHV1gpTw-Vz858PfGMM0zSCU1-H3AsXsvQ1aU8J1Jff5EWgZExw4RSqy2MSInO8mqQn7aT0wD9rF9E/s1600-h/05.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132602882558092866" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiciTQqfhPYvNZg8zth69P_4w9z0fyJw_fVHHDdWT-Q1YQhWk0i2Twr8oC6k-Qmb9RHV1gpTw-Vz858PfGMM0zSCU1-H3AsXsvQ1aU8J1Jff5EWgZExw4RSqy2MSInO8mqQn7aT0wD9rF9E/s400/05.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Bone expansion achieved.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV9yQIqGfE2gALLPaDLKy1ghR5zjNpZYyl1FVNNSqwVNfYDre8evwC5L7SHU29GKGLp6jXGXd6PQUGJa4ZhCHhPBUjCH9TkrmC8rco5cbVrVjYH2kSMnpK8Bs_RMq-C4Pjuc7JeSw38Bha/s1600-h/06.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132602650629858866" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV9yQIqGfE2gALLPaDLKy1ghR5zjNpZYyl1FVNNSqwVNfYDre8evwC5L7SHU29GKGLp6jXGXd6PQUGJa4ZhCHhPBUjCH9TkrmC8rco5cbVrVjYH2kSMnpK8Bs_RMq-C4Pjuc7JeSw38Bha/s400/06.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Implants in place.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKI4MBYKEjS8qvibT-VHXr5ovjU4fYJzjdV06i7jfNDWhSVwFtul7fpgvxoVJ1kjHUlF_4LQmSV0uYMbbzAvavVHugE56JrbgNADaX84pFHhAYfGjNxFCPpRgdnG-ozhSAOZxxow6eHpc0/s1600-h/07.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132602551845611042" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKI4MBYKEjS8qvibT-VHXr5ovjU4fYJzjdV06i7jfNDWhSVwFtul7fpgvxoVJ1kjHUlF_4LQmSV0uYMbbzAvavVHugE56JrbgNADaX84pFHhAYfGjNxFCPpRgdnG-ozhSAOZxxow6eHpc0/s400/07.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Implants in place from another view.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidKf5TSIA5LSDI0kH25PaEazUGFJdiCJjTEhYs5jYJNcoc-ZJi_a_uUVkOvoVtHC75p2U98l-dlm_zW-DDn9aTlegS-05OYe07N4a81PlmjiAvUaxDxtL4Nk31hvSvGTCBN36ExxBSlZ4u/s1600-h/08.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132602397226788370" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidKf5TSIA5LSDI0kH25PaEazUGFJdiCJjTEhYs5jYJNcoc-ZJi_a_uUVkOvoVtHC75p2U98l-dlm_zW-DDn9aTlegS-05OYe07N4a81PlmjiAvUaxDxtL4Nk31hvSvGTCBN36ExxBSlZ4u/s400/08.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Suture of the flap. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">In the buccal aspect the suture associated </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">with the frenectomy is observed.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOpvCbdbkm8y7b40is-g9w4qKYkDdF9-NPpZyI92qGHDFt5nK1SE2v5unFuehq4m4oDgApZyOzxGWi584zOzVnawPcEfIH7PSV5MsDNUc74kI_ZK6mqbjkcZ9_eK-Vn62vfbUJUDxp0W-E/s1600-h/09.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5132602246902932994" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOpvCbdbkm8y7b40is-g9w4qKYkDdF9-NPpZyI92qGHDFt5nK1SE2v5unFuehq4m4oDgApZyOzxGWi584zOzVnawPcEfIH7PSV5MsDNUc74kI_ZK6mqbjkcZ9_eK-Vn62vfbUJUDxp0W-E/s400/09.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
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...Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-88445580136950871182007-11-14T04:23:00.002-03:002011-04-02T00:20:24.809-03:00Instruments for Bone Expansion: Threaded Expanders<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Cesar Luchetti</span><span style="font-size: small;"><br />
</span> <span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;"><br />
</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Threaded expanders are another group of instruments for bone expansion. They work by rotation, which differentiate them from the osteotomes, which work by impactation. </span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Threaded expanders have an aggressive conical shape and penetrate the bone easily. The principal advantage is that they are less traumatic to the patient and that they can be used in the lower jaw. The rotation movement can be done with a wheel inserted in the back part of the expander, or if more resistance is present, with a racket wrench. <o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">The principal disadvantage is that is easier to loose the direction of the preparation compared to the osteotomes. Anyway, in both cases an adequate training is important.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">In most usual cases, where the expansion needed is not so important, the expanders can be work well. In more extreme cases, is usually necessary to split the ridge first and the make the expansion.</span></div><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKxD81BGhUePr07i3GOa_fa3Z4jYZNdFRCHzTnl-R9YDr4i1QjQU0x3jIHo9hkGVH8kPG1owwyXDlFB-oG4Gnu0-BEBtfU_tvUt9aLi1riPWRAJhpO7_lSJrkn3k_1T4z0m1SjRUcnKMSP/s1600-h/expansores.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="" border="0" height="295" id="BLOGGER_PHOTO_ID_5132583482190816706" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKxD81BGhUePr07i3GOa_fa3Z4jYZNdFRCHzTnl-R9YDr4i1QjQU0x3jIHo9hkGVH8kPG1owwyXDlFB-oG4Gnu0-BEBtfU_tvUt9aLi1riPWRAJhpO7_lSJrkn3k_1T4z0m1SjRUcnKMSP/s400/expansores.jpg" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a><br />
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...Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-31686095264332947312007-07-31T03:54:00.019-03:002011-04-02T00:48:19.357-03:00Instruments for Bone Expansion: Osteotomes<div class="MsoNormal" style="font-weight: bold;"></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Cesar Luchetti</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">In this post we will make a short review of one kind of instruments to expand bone: The osteotomes.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Osteotomes have an active part, slightly conical, which could finish in, basically, two different shapes: Sharpened and concave. Also, they have a handle and a posterior part to apply the mallet. These instruments are used only in the maxilla.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">There are different options in the market, however their designs are similar.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Osteotomes with sharpened end are used to perform bone expansion and for ridge splitting. The principal advantage is that we can make the implant site preparation and to expand the bone at the same time. If we use drills for this purpose, we will loose bone instead of expand it. People must have in mind that expansion usually happens towards the buccal plate, because it normally has less resistance. That is why in most cases, it is important to initiate the preparation slightly to the palatal.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">Osteotomes with concave end, are used to achieve bone compactation and to make sinus lift via alveolar approach.<o:p></o:p></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">In both cases, if the osteotome has too much resistance to go deeper, this technique should be combined with the use of drills.<o:p></o:p></span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-US" style="font-family: Arial,Helvetica,sans-serif; font-size: small;">There is another kind of instrument, the </span><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;">threaded</span></span><span lang="EN-US"><span style="font-size: small;"><span style="font-family: Arial,Helvetica,sans-serif;"> expansors, which are used for the same objective. I will talk about them in a next post.</span></span><o:p></o:p></span></div><div class="MsoNormal"><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgE8rXKhEwVvXWp3tzduKBuzZDQAnXSab_W1cL9bI7YQLNX2_icRP-d3sdevIHuKpQ1EidyhV2MBGEIHSrLRGam9ksDe9XSHOIvIG8VAzETS-5NpP2WhZSc3GWgUbZieDQGcBHVbCAR6M9A/s1600-h/01.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5130320503825197986" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgE8rXKhEwVvXWp3tzduKBuzZDQAnXSab_W1cL9bI7YQLNX2_icRP-d3sdevIHuKpQ1EidyhV2MBGEIHSrLRGam9ksDe9XSHOIvIG8VAzETS-5NpP2WhZSc3GWgUbZieDQGcBHVbCAR6M9A/s400/01.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span lang="EN-US" style="font-size: small;">Osteotomes with sharpened end and a mallet.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span lang="EN-US" style="font-size: small;">Osteotomes with sharpened end in a closer view.</span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Osteotomes with concave end. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">The first one has sharpened end to facilitate</span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">the initial mark of the site.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span lang="EN-US" style="font-size: small;">Osteotomes with concave end</span><span style="font-size: small;"> in a closer view.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpCB5g6KwuSbI7DrRrejkh-5JBA5O1SqJWf3854j3gvxhqA7HoyWvG0EYRYG_Oqct6ST7tzJmDD7nKWQjt26N83wnyE3ZUE_Yh5f0VJ8WKqijMWH-ar5uWgfnV6sWvqE7iqhYGjnc593KD/s1600-h/05.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5130321530322381794" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjpCB5g6KwuSbI7DrRrejkh-5JBA5O1SqJWf3854j3gvxhqA7HoyWvG0EYRYG_Oqct6ST7tzJmDD7nKWQjt26N83wnyE3ZUE_Yh5f0VJ8WKqijMWH-ar5uWgfnV6sWvqE7iqhYGjnc593KD/s400/05.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Differences between the two kind </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">of osteotomes.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfcfOxqrpwPaBQEZ7K5GvPnSmxsYoQy3gDWPrfTOe5NTvE4-fAEdeb250-4PVJYoAUdChuq1mmZbSFeHmT1n1-zg2K-BxiMIRwz8us7qoQqLE_v8yzp0GsAdDiAl7HCuLrNTlBmQrWw5c_/s1600-h/Diapositiva21.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5033889567229478626" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhfcfOxqrpwPaBQEZ7K5GvPnSmxsYoQy3gDWPrfTOe5NTvE4-fAEdeb250-4PVJYoAUdChuq1mmZbSFeHmT1n1-zg2K-BxiMIRwz8us7qoQqLE_v8yzp0GsAdDiAl7HCuLrNTlBmQrWw5c_/s400/Diapositiva21.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Osteotomes use for bone expansion.</span><br />
<span style="font-size: small;">The complete case, from which these photos were taken, </span><br />
<span style="font-size: small;">can be seen <a href="http://oral-implantology.blogspot.com/2007/02/immediate-implant-placement-in-upper.html">here.</a></span><span style="font-size: small;"> </span></td></tr>
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<div style="font-family: Arial,Helvetica,sans-serif;"><br />
<span style="font-size: small;"><br />
<a href="http://oral-implantology.blogspot.com/2007/02/immediate-implant-placement-in-upper.html"></a></span></div><span style="text-decoration: underline;"></span><a href="http://implantologia-oral.blogspot.com/2007/02/implante-inmediato-anterosuperior_8076.html"></a>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-35675238713740039682007-05-31T06:29:00.007-03:002011-04-02T03:30:45.675-03:00Cemented vs Screwed Prosthesis<style>
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<div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><b>Daniel Ostrowicz - Barcelona, Spain</b></span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">One of the most common discussions in implant prosthesis is where we should use cemented or screwed restorations. In this article, Dr. Ostrowicz analyzes the different concepts involved in each option and gives fundaments of why cemented prosthesis are in the most cases the best option.</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Below, you can access the original article in Spanish.</span></div><br />
<br />
<a href="http://www.4shared.com/file/28529290/a5732911/Ostrowicz_Maxillaris.html" target="_blank"><img border="0" src="http://dc43.4shared.com/img/28529290/a5732911" /></a><br />
<br />
<br />
<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Click in the image above and a new page will open. Then scroll down and click in “download file”.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">I want to thank Daniel for share this article with us.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">I hope you find it interesting. </span></div><br />
...Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-89402793909717302802007-04-29T19:13:00.003-03:002011-04-02T00:58:24.163-03:00Restoring a Natural Tooth Adjacent to a Dental Implant<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Cesar Luchetti</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">One of the most challenged situations we must face regarding esthetics results is when we must do a crown over a natural tooth adjacent to a crown over a dental implant.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">The differences between natural tooth and implant anatomy make difficult to harmonize the two emergency profiles.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Over the last years, slopped implants have proposed to be the solution to this problem. Although this could be true regarding the anatomy, there were some difficulties of some clinicians for the correctly implementation of its use.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">We are presenting a case where we must restore a natural upper lateral incisor adjacent to an implant in upper central incisor area.</span></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFTpFfF-SQYn14fKS8pkDHLo5sSwFikkQQgFdof5qnHQtwah6-LrK9sK14McuFUyHzo8oz3WznNYuQT31hH81xPXt1345B_KcMPJuleggQzGkpTXoOjLjsOKej76GKCae2s2WbIeQu/s1600-h/01.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5058985831096621602" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjFTpFfF-SQYn14fKS8pkDHLo5sSwFikkQQgFdof5qnHQtwah6-LrK9sK14McuFUyHzo8oz3WznNYuQT31hH81xPXt1345B_KcMPJuleggQzGkpTXoOjLjsOKej76GKCae2s2WbIeQu/s400/01.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style>
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</style> <![endif]--> <div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Pre-operative situation. An acrylic restoration </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">was present over the lateral with an extension </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">to the central incisor.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles> </xml><![endif]--><!--[if gte mso 10]> <style>
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</style> <![endif]--> <div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Pre-operative situation after the bridge was </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">retired. A depression is noticed in the buccal </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">area together with a loss in papilla height in </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">the mesial aspect of the lateral.</span></span></div></td></tr>
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</style> <![endif]--> <div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Implant placement. Incision was made to the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">palatal and implant was placed in one stage </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">approach to maximize the soft tissue in the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">buccal aspect and to avoid future </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">soft tissue manipulation.</span></span></div></td></tr>
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</style> <![endif]--> <div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Once the implant was integrated, a combined </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">transfer – natural tooth impression was made. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Note that the implant is slightly placed to the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">palatal to achieve better force distribution and </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">also to allow a bigger amount of soft tissue </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">in the buccal area.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Metal substructures try in.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8b3TCD8QyIqbjJAqeUc3HBLjp1kr-SBcX41qIWwj_sA7LcWtx2Dzzs-Fo_sGO4FtyreEyRfWUgTuI9O_ZHdQJr2h078Wmfkub16qsPt-v11nnF0aJLm2gxhVwwp1-s8g-sUAdg8YJ/s1600-h/01+%285%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5058986698680015474" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8b3TCD8QyIqbjJAqeUc3HBLjp1kr-SBcX41qIWwj_sA7LcWtx2Dzzs-Fo_sGO4FtyreEyRfWUgTuI9O_ZHdQJr2h078Wmfkub16qsPt-v11nnF0aJLm2gxhVwwp1-s8g-sUAdg8YJ/s400/01+%285%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Definitive crowns in place.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJ_RS6EBrGTo3TCsUudau_vTEDp_jlbYJHWWhyphenhyphenhDI25TzvO5reoYVMwJdOMo438bpX8cXC1f5bsMfTkxf2fOig_AucxUJIb9ouYJAgBDQQsEo4KR9Hti1izc3Dz6R8p8PulYG4YOAb/s1600-h/01+%286%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5058986844708903554" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJ_RS6EBrGTo3TCsUudau_vTEDp_jlbYJHWWhyphenhyphenhDI25TzvO5reoYVMwJdOMo438bpX8cXC1f5bsMfTkxf2fOig_AucxUJIb9ouYJAgBDQQsEo4KR9Hti1izc3Dz6R8p8PulYG4YOAb/s400/01+%286%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Pre and post-operative comparison.</span></td></tr>
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...Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-58287132157803493422007-04-14T18:35:00.006-03:002011-04-02T01:16:29.103-03:00Maxilary Sinus Lift and Sinus Membrane Reparation with Simultaneous Ridge Augmentation<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Cesar Luchetti</span> <span style="font-size: small; font-weight: bold;"><span style="font-weight: bold;"><br />
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Department of Implant Dentistry. National University of La Plata. Argentina</span><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Sinus lift procedures are common in the atrophic posterior maxilla. However they are more or less complicated depending in what approach we decide to use.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">In great atrophies, the lateral window approach is often the most indicated, usually associated with ridge augmentation. Although this is a predictable procedure, sometimes we must face some problems. One of the most common is the perforation of the Schneider membrane.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Here we can have basically three scenarios:</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">1- Small perforation. In this cases, it is normally occluded itself by just raising it.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">2- Medium perforation. Here we can manage it by using collagen membranes or membranes made of PRP.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">3- Large perforation. In these situations, there are usually no possibilities of reparation. The recommendable approach is to clean out the affected Schneider membrane, irrigate the sinus a lot and close the flap. Then, wait at least 3 months and re-enter to do the sinus lift.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">In this work we will describe and show how to manage a medium perforation during sinus lift together with a ridge augmentation.</span></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDjbsM60KnwnQKMdRb_k8KEf_FfUQV_CgOfulpx9YmFjo5IpIbS91W5mEUHxPFThy_1wjrTZoppaZa5GzcAGydWu8UHqmPFEINtlnq4EMBVWnK-VOETrydl9XeLu3X4qFWVZWWHkgq/s1600-h/sinus+lift.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053402160730986274" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhDjbsM60KnwnQKMdRb_k8KEf_FfUQV_CgOfulpx9YmFjo5IpIbS91W5mEUHxPFThy_1wjrTZoppaZa5GzcAGydWu8UHqmPFEINtlnq4EMBVWnK-VOETrydl9XeLu3X4qFWVZWWHkgq/s400/sinus+lift.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Preoperative situation.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1P6Dtv6In6_bZNhEtN9X9QE4keva0JQJ4yR-Zu0wLatHmZjyF7WaYuGDqby156WSQdbnsEmxmeKcLYozwg2YoLbLem8-uLCywFhcf7inKliRLnShmz9AY2RP-CNx4_fLaiLHuAwgq/s1600-h/sinus+lift+%281%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053402624587454258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg1P6Dtv6In6_bZNhEtN9X9QE4keva0JQJ4yR-Zu0wLatHmZjyF7WaYuGDqby156WSQdbnsEmxmeKcLYozwg2YoLbLem8-uLCywFhcf7inKliRLnShmz9AY2RP-CNx4_fLaiLHuAwgq/s400/sinus+lift+%281%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Preoperative situation 15 days after </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">teeth extractions.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_J61tdRCVPHSQ4akuZs0REIXr9B02oRZ63lPFZnyb2DOesG6BkKj1ze9SqHTfZXyqGGjkW6eJJL3hhr52J9cuK15mzCu1kcKiLkF4UVps1oIZy0hbKovaA8hx3YA3CqDjTdOD2oL3/s1600-h/sinus+lift+%282%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053402890875426626" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi_J61tdRCVPHSQ4akuZs0REIXr9B02oRZ63lPFZnyb2DOesG6BkKj1ze9SqHTfZXyqGGjkW6eJJL3hhr52J9cuK15mzCu1kcKiLkF4UVps1oIZy0hbKovaA8hx3YA3CqDjTdOD2oL3/s400/sinus+lift+%282%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Ridge defects are showed after raising the flap</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyes53ydnxou4dgFcg-0LDb2y7XbICea_tw-x1k6w78CgfG5t0cauMkVP_fKJnbj7Sex6WFs3TMLNk1ZMhV7lWx4vWkPG8LRC7fVcpsz8Auom85o9Z1l375-SjflPXhe1R_7iymgUw/s1600-h/sinus+lift+%283%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053404737711363922" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhyes53ydnxou4dgFcg-0LDb2y7XbICea_tw-x1k6w78CgfG5t0cauMkVP_fKJnbj7Sex6WFs3TMLNk1ZMhV7lWx4vWkPG8LRC7fVcpsz8Auom85o9Z1l375-SjflPXhe1R_7iymgUw/s400/sinus+lift+%283%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Access to the maxillary sinus and Schneider </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">membrane elevation. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">A perforation is noticed at the center part.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXQj2S_kBGMNw4l8syGZmhrTbTM5r2kMjtTOhzox_76QUBF342nsPfDESrXgDa80PNsG-savRPaDLK3z_86mZknYgsrEW7CMY8ldeh7A1tl2i6wD829T2HiHQyKRUwDDWG37oWYuk-/s1600-h/sinus+lift+%284%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053405433496065890" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXQj2S_kBGMNw4l8syGZmhrTbTM5r2kMjtTOhzox_76QUBF342nsPfDESrXgDa80PNsG-savRPaDLK3z_86mZknYgsrEW7CMY8ldeh7A1tl2i6wD829T2HiHQyKRUwDDWG37oWYuk-/s400/sinus+lift+%284%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Membrane perforation in a closer view.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgI0XVH9M15ZT17n1oLBpofalSCSHYfnf_6Tx7S4KjDRk7yXQaoSaQYCWk-SZJiXw3RvbgnOL9vgBDs2KUfVLylT1xP2ZY-C4KE7KqZlx2Z8DmoVUEkZD23InWnvUeqJPO5PuKbZY10/s1600-h/sinus+lift+%285%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053405674014234482" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgI0XVH9M15ZT17n1oLBpofalSCSHYfnf_6Tx7S4KjDRk7yXQaoSaQYCWk-SZJiXw3RvbgnOL9vgBDs2KUfVLylT1xP2ZY-C4KE7KqZlx2Z8DmoVUEkZD23InWnvUeqJPO5PuKbZY10/s400/sinus+lift+%285%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Collagen membrane.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkPw_aEI0C-CX1s0puA0aoiNBUl7O4oz_yDM1RO8a03yMIAwJcXJa3iX7Sab03BgXF3UiAdNQBcs0Cfp0XxQXYm7l8plGqtfhPdx1hEGD8NpAtHi6Vn35Ds1bqVgr2arOUCvgJFqIm/s1600-h/sinus+lift+%286%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053406039086454658" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkPw_aEI0C-CX1s0puA0aoiNBUl7O4oz_yDM1RO8a03yMIAwJcXJa3iX7Sab03BgXF3UiAdNQBcs0Cfp0XxQXYm7l8plGqtfhPdx1hEGD8NpAtHi6Vn35Ds1bqVgr2arOUCvgJFqIm/s400/sinus+lift+%286%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Collagen membrane placed to cover </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">the perforation</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifXHJqVyPgHnzNYjac-44QJYBi4RIfqhJ0-KWc884OtqneItc04xWFLmyDsPPTsHn4NWXh7JiOLF5YiD-4WQI9tzQan3NtN9b3ehMPPjb3IZy-eMroaDeZ3u9FNNwQPy2Cx6zSoGwv/s1600-h/sinus+lift+%287%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053406296784492434" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEifXHJqVyPgHnzNYjac-44QJYBi4RIfqhJ0-KWc884OtqneItc04xWFLmyDsPPTsHn4NWXh7JiOLF5YiD-4WQI9tzQan3NtN9b3ehMPPjb3IZy-eMroaDeZ3u9FNNwQPy2Cx6zSoGwv/s400/sinus+lift+%287%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Graft placed into maxillary sinus and in the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">ridge defects. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">In both cases we use Beta Tricalcium Phosphate </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">(spherical in sinus and irregular particles </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">in the ridge)</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2pV-yDy3GQqyKtJko3FPynEaGMbOL0jszs3AdWSZhWCNg5rmqWIpRvQCXS0FfhDQT9NLHsGY0d5fptLaM4hIaKnWC_3NVyuxa-IV6sqyOnzHTPlY15HhIvwbTqRIpOCfBzane-1bR/s1600-h/sinus+lift+%288%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053407460720629666" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2pV-yDy3GQqyKtJko3FPynEaGMbOL0jszs3AdWSZhWCNg5rmqWIpRvQCXS0FfhDQT9NLHsGY0d5fptLaM4hIaKnWC_3NVyuxa-IV6sqyOnzHTPlY15HhIvwbTqRIpOCfBzane-1bR/s400/sinus+lift+%288%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">PRP covering the graft and collagen membrane </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">over the access window. This is not really </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">necessary in our experience, but we decided to </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">do it just to help this difficult case in particular.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFomqdwCuAOtdO4eafbSLqGqpW0jPwMI-f3X0PaAg2GsOa_Qqz3mm0WBIY4c_AFsVCDCY4l-plN0cIR0hOkcPU33k1QmV_3qYbwYy0pEGj-XggFLHhAda5xRPd80m_G1O4Wxpn06zB/s1600-h/sinus+lift+%289%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053408186570102706" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFomqdwCuAOtdO4eafbSLqGqpW0jPwMI-f3X0PaAg2GsOa_Qqz3mm0WBIY4c_AFsVCDCY4l-plN0cIR0hOkcPU33k1QmV_3qYbwYy0pEGj-XggFLHhAda5xRPd80m_G1O4Wxpn06zB/s400/sinus+lift+%289%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Suture</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJ1E99nJs6A8o1zOmVK9XxAL4aOKXfRjJgCFv5wJ_hHZSjlMTGAnOC2Dy6ChLN20qsw7m9HxEdGt0MUdXzCO-cMoiGj7V6RiVKGiR8LNW5x-8SO4H0lcSQpB2zuTXdffeqnq6lgGdk/s1600-h/sinus+lift+%2810%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053408354073827266" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJ1E99nJs6A8o1zOmVK9XxAL4aOKXfRjJgCFv5wJ_hHZSjlMTGAnOC2Dy6ChLN20qsw7m9HxEdGt0MUdXzCO-cMoiGj7V6RiVKGiR8LNW5x-8SO4H0lcSQpB2zuTXdffeqnq6lgGdk/s400/sinus+lift+%2810%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Postoperative picture, prior to implant </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">placement, showing good bone regeneration.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOS1g5pThhmvdgLOfE0EnAmhNvQUxQ9rYSUJImtv7uVh0QazE63ctHrGFwyshsH8t49Dyk-cIcwPpEookGWW5zG-RePE3PmJrTHx09wlLJo9xkMm31zbwGWrWTEtGXyZTMYRDYReC7/s1600-h/sinus+lift+%2811%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053408946779314130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOS1g5pThhmvdgLOfE0EnAmhNvQUxQ9rYSUJImtv7uVh0QazE63ctHrGFwyshsH8t49Dyk-cIcwPpEookGWW5zG-RePE3PmJrTHx09wlLJo9xkMm31zbwGWrWTEtGXyZTMYRDYReC7/s400/sinus+lift+%2811%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Implants in place following a triangular </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">distribution to improve load distribution of the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">future crowns. Also, a small graft was done to </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">achieve a better contour in the posterior area.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm-kNoj1KNtG1WkHFKCeRLFP2CFN-xK6m6vDctyRbB8Avl6P5Dpjr9tSDkaUmXJwVw7y5vzA3Ezs7wbdojXNIfSY3QSQ5r6K4g8ZtHB7nMeiyZLMq3rlMPHfXktG0SmO3Cpn4Q_2r0/s1600-h/sinus+lift+%2812%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053409694103623650" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm-kNoj1KNtG1WkHFKCeRLFP2CFN-xK6m6vDctyRbB8Avl6P5Dpjr9tSDkaUmXJwVw7y5vzA3Ezs7wbdojXNIfSY3QSQ5r6K4g8ZtHB7nMeiyZLMq3rlMPHfXktG0SmO3Cpn4Q_2r0/s400/sinus+lift+%2812%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Suture</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1PZhBU6hub4AxGF_x3g-r2DpWRgDVfPMZpE9xCSOjRrYQoDuKJQllNc2lXF3vDPYFjDyn__ltk-yA6yHDuEqIcRlJE89oNNdn6R8G-mlTGhiJVE2fmERNOjFSRKmk0IgHslBns5z-/s1600-h/sinus+lift+%2813%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053409904557021170" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1PZhBU6hub4AxGF_x3g-r2DpWRgDVfPMZpE9xCSOjRrYQoDuKJQllNc2lXF3vDPYFjDyn__ltk-yA6yHDuEqIcRlJE89oNNdn6R8G-mlTGhiJVE2fmERNOjFSRKmk0IgHslBns5z-/s400/sinus+lift+%2813%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Healing abutments 10 days after the </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">uncover surgery.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUurRDho1coysdO-BAHzMnIP9vAjAmEiA4_oMNkbxWaw03ni79Zp3Z-JuVd39q1_AX8sPuX1PZEN3M-a53P4p88AwOpVC9zlpZaCcYQmy_qJWlASEQlQG-L8izy3DaLG2rvYSxCAJJ/s1600-h/sinus+lift+%2814%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053410256744339458" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUurRDho1coysdO-BAHzMnIP9vAjAmEiA4_oMNkbxWaw03ni79Zp3Z-JuVd39q1_AX8sPuX1PZEN3M-a53P4p88AwOpVC9zlpZaCcYQmy_qJWlASEQlQG-L8izy3DaLG2rvYSxCAJJ/s400/sinus+lift+%2814%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Definitive abutments in place.</span></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhBfZmcseqV6OsBosOqY4BofvQPQJfO-vlslY41HMzVZJ65zTTCnNzJZUeVhnF3rZz6ruJZel-bQSNGjsPj9vTFVQvXKACiT9S3bcSY1A7gT3wx0OyDpommjhkqWWoqg_mV6192YTN/s1600-h/sinus+lift+%2815%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053410523032311826" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhBfZmcseqV6OsBosOqY4BofvQPQJfO-vlslY41HMzVZJ65zTTCnNzJZUeVhnF3rZz6ruJZel-bQSNGjsPj9vTFVQvXKACiT9S3bcSY1A7gT3wx0OyDpommjhkqWWoqg_mV6192YTN/s400/sinus+lift+%2815%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Metal substructure try in. Notice the depression </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">created in the anterior implant to achieve better </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">esthetics. This was done by compression with </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">the provisionals.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf-DbPjrkQfe3rUI8HXriT4iC5njA5rO4l5WxOuNNB4mn4ZSkZE49O8yaejlcfzL1LZbv6RJTxEYvlNKPr7GVJkU1wnI5ONFDKlx0Js1rxZ-e7QSKuhdTY_YJfoB-3n4V9jJeaD0p7/s1600-h/sinus+lift+%2816%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053410978298845218" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf-DbPjrkQfe3rUI8HXriT4iC5njA5rO4l5WxOuNNB4mn4ZSkZE49O8yaejlcfzL1LZbv6RJTxEYvlNKPr7GVJkU1wnI5ONFDKlx0Js1rxZ-e7QSKuhdTY_YJfoB-3n4V9jJeaD0p7/s400/sinus+lift+%2816%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Definitive crowns.</span></div><br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJHJWOqsHCX3ZKxaqQgCIlFaJyeLHrogV3Y6b7NJtYOL2xy9QAw-q_urVc8ifnwiRQePlboke6I29XKufW28iGk5mUw8PadD3XBm8WvlI7EDFZk7LYxTB5uwM7EdAPRiPB1CQG1J0U/s1600-h/sinus+lift+%2817%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053411158687471666" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiJHJWOqsHCX3ZKxaqQgCIlFaJyeLHrogV3Y6b7NJtYOL2xy9QAw-q_urVc8ifnwiRQePlboke6I29XKufW28iGk5mUw8PadD3XBm8WvlI7EDFZk7LYxTB5uwM7EdAPRiPB1CQG1J0U/s400/sinus+lift+%2817%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Definitive crowns from a more lateral view.</span></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgCWeeEgTYXMALV10Y6Ys5hzFI8uFC1cUCxvJ-zBorBmvp5d9JJOwrzmkM84kLRECE3utoBw0ka5x2f_8LZzPbTdOaelLaUl8EtfrqCCzJxAbZqtYzx49Bo6rzJGHNtrhOEvLUJdNF/s1600-h/sinus+lift+%2818%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053411489399953474" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgCWeeEgTYXMALV10Y6Ys5hzFI8uFC1cUCxvJ-zBorBmvp5d9JJOwrzmkM84kLRECE3utoBw0ka5x2f_8LZzPbTdOaelLaUl8EtfrqCCzJxAbZqtYzx49Bo6rzJGHNtrhOEvLUJdNF/s400/sinus+lift+%2818%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Definitive crowns from an occlusal view.</span></span></div></td></tr>
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGSscD0LqdiCCoPtxFZBGUwCvecs6UPSAwWEUtvesOLmGS6w979dYQowWAsl-O4484HwcBwuAejKNyan8iuJGrIejz2ZtyVF5ybfkyj7qLtZXQ3jnImNBfZGJFg8z2O3fje1CPcc9M/s1600-h/sinus+lift+%2819%29.JPG" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img alt="" border="0" height="300" id="BLOGGER_PHOTO_ID_5053411691263416402" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhGSscD0LqdiCCoPtxFZBGUwCvecs6UPSAwWEUtvesOLmGS6w979dYQowWAsl-O4484HwcBwuAejKNyan8iuJGrIejz2ZtyVF5ybfkyj7qLtZXQ3jnImNBfZGJFg8z2O3fje1CPcc9M/s400/sinus+lift+%2819%29.JPG" style="float: left; margin: 0pt 10px 10px 0pt;" width="400" /></a></td></tr>
<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Pre and postoperative comparison.</span></td></tr>
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<div class="MsoNormal"><span lang="EN-US"> <o:p></o:p></span></div><div class="MsoNormal"><span lang="EN-US"> <o:p></o:p></span></div>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-40419822964533465182007-04-05T10:36:00.011-03:002011-04-02T03:34:00.787-03:00Determination of the Osseointegration of Dental Implants in Postmenopausal Women.<div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Alicia Kitrilakis and </span><span style="font-size: small; font-weight: bold;">Cesa</span><span style="font-size: small; font-weight: bold;">r Luch</span><span style="font-size: small; font-weight: bold;">etti </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina<br />
</span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;">The postmenopause is a state characterized by the estrogen deficiency that can lead to metabolic disorders of the bony weave, osteopenia and osteoporosis. Although a contraindication for implant placement in these patients does not exist, the predictability in the prognosis in the long term is not clear yet. </span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;"><span style="font-weight: bold;">Objectives: </span>The aim of this study was to evaluate the behavior of osseointegrated implants in postmenopausal patients. </span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;"><span style="font-weight: bold;">Material and Methods:</span> </span><span lang="EN-US" style="font-size: small;">24 postmenopausal female patients, who received 59 implants, <metricconverter productid="37 in" st="on">37 in</metricconverter> the maxilla and <metricconverter productid="22 in" st="on">22 in</metricconverter> the mandible (Group M) were selected. 23 premenopausal female patients, under the age of 50, who received 39 implants, <metricconverter productid="24 in" st="on">24 in</metricconverter> the maxilla and <metricconverter productid="15 in" st="on">15 in</metricconverter> the mandible, served as controls (Group C). </span><span lang="EN-US" style="font-size: small;">Baseline Periotest values (PTV) were recorded at second stage surgery. The second measurement has been taken after 12 months of the placement of the prosthesis, and then at 24 and 36 months. </span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
</div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><span lang="EN-US" style="font-size: small;"><span style="font-weight: bold;">Results:</span> Differences between both groups in the maxilla were observed for 2<sup>nd</sup> stage surgery as well as at 12, 24 and 36 months. Nevertheless, the differences between both groups in the mandible were not significant. </span></div><div class="MsoNormal" style="font-family: Arial,Helvetica,sans-serif;"><br />
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><span style="font-size: small;">Progression of Periotest Values in the mandible.</span></td></tr>
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.</div>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.comtag:blogger.com,1999:blog-1268559842685412563.post-48615849087531921342007-03-24T23:01:00.005-03:002011-04-02T02:00:40.525-03:00Block Bone Xenograft<div class="MsoNormal"><span lang="EN-US" style="font-family: Arial;"></span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Block Bone Xenograft: Evaluation of the Properties of a Bovine Substitute. Preliminary Report.<br />
</span><span style="font-size: small; font-weight: bold;">Cesar Luchetti, Mariano Lopez, Miguel Ayala, Adolfo Baez, Cecilia Carbone, Alicia Kitrilakis </span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Department of Implant Dentistry. National University of La Plata. Argentina</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;">Block bone grafts are usually needed in oral reconstruction. Autografts still remains as the best, and almost the only, option in these cases. There are various bone block substitutes in the market, however the evaluation of their properties is lacking.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Aim:</span><span style="font-size: small;"> To evaluate the behavior of a bovine bone xenograft.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Material and Methods:</span><span style="font-size: small;"> 40 Wistar rats, SPF, 16 weeks old and 500 gr. of weight were used. A bovine bone xenograft was placed over the lateral face of the femur, which was previously perforated, and was immobilized by means of circumferential ligatures. The animals were divided in four groups, to be evaluated at 30 (T1), 60 (T2), 90 (T3) and 120 days (T4)</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Results: </span><span style="font-size: small;">Xenograft manipulation presented difficulties due to its fragility. It showed a great capillarity, which allows it to get imbibed in blood quickly after placed over the receptor area. At this moment we have evaluated the first group. Macroscopically, the xenograft was rigid, without signs of resorption and firmly joined with the receptor area. Microscopically, it showed a good integration, with a great quantity of cells and fiber, compatibles with an osseous matrix.</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small;"><br />
</span></div><div style="font-family: Arial,Helvetica,sans-serif;"><span style="font-size: small; font-weight: bold;">Conclusions:</span><span style="font-size: small;"> Within the limits of the present study, we can conclude that the xenograft was compatible with the receptor area. Evaluations at T2, T3 y T4 will permit to evaluate the evolution and the remodeling dynamics of the xenograft.</span></div><div class="MsoNormal" style="margin-left: 7.1pt;"><span lang="EN-US" style="font-family: Arial;"></span></div><br />
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<span style="font-size: small;">Block Bone Xenograft in its original package.</span></span></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Macroscopic view of the block bone xenograft. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">It is a bovine bone piece, without any </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">organic content.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Animal model. The skin over the femur is </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">shaved before the surgery.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">A cylindrical bur is used to perforate the cortical </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">of the femur to activate a medullar response.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Xenograft is placed over the lateral face </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">of the femur.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Xenograft immobilized by means of </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">circumferential ligatures.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Suture. This is done in two planes separately: </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">muscles and skin.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Macroscopic view of block bone xenograft </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">integration. </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">The black line shows the original bone level.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Closer macroscopic view of block bone </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">xenograft integration.</span></span></div></td></tr>
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<tr style="font-family: Arial,Helvetica,sans-serif;"><td class="tr-caption" style="text-align: center;"><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">Microscopic view of block bone xenograft </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">integration showing immature bone organization </span></span></div><div class="MsoNormal"><span style="font-size: small;"><span lang="EN-US">between the remaining structure of the graft.</span></span></div></td></tr>
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</span>Cesar Luchettihttp://www.blogger.com/profile/13303064033721885279noreply@blogger.com