Implant Site Preparation with Piezosurgery Or Conventional Drills- Histological Randomized Study in Humans PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Implant Site Preparation with Piezosurgery Or Conventional Drills- Histological Randomized Study in Humans PDF full book. Access full book title Implant Site Preparation with Piezosurgery Or Conventional Drills- Histological Randomized Study in Humans by Elisabetta Vignudelli. Download full books in PDF and EPUB format.
Author: Elisabetta Vignudelli
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
BackgroundPiezoelectric surgery is a soft tissue-sparing bone-cutting technique that reduce iatrogenic damage of neurological and vascular structures. Recent studies have shown that piezoelectric surgery may modify and improve initial histological phases of implant osseointegration. However, only in vivo studies and no human study are available. AIMThe aim of this randomized clinical trial is aimed to compare histological, histomorphometric, and immunoistochemical outcomes of piezosurgery approach and conventional drill approach for implant site preparation. Material and MethodsThis study was designed as a pilot, split-mouth, double blinded, randomized clinical trial, approved by ethical committee of University of Bologna. Six patients were enrolled to rehabilitate 12 different edentulous sextants and they were randomized into 2 groups (T0): Group A (piezoelectric implant site preparation) (Piezo-group) and Group B (conventional drill preparation) (Drill-group). In each sextants, one additional implant (study fixture) was placed to be retrieved after 4 weeks. After 28 days (T1), in both groups the study-fixtures were biopsied for histological, histomorphometric and immunoistochemical analysis. Inflammatory infiltrate, necrotic bone area (NBA%), newly-formed bone (nFBA%), , and total bone area rates (TBA) were evaluated. Neo-angiogenesis and osseointegration markers (CD31 and STAB-2) were also analyzed. Statistical comparison was made and statistical significance was set at uf061=0.05. STATA software was used for statistical analysis (significance uf061=0.05).Results: In total, 12 edentulous ridges in six patients were completely treated according to the split-mouth protocol. No drop-outs occurred. Histological features were similar imn the two study groups: residual trabecular bone, bone necrosis areas, and bone formation areas. Three histological zones were evident: Zone 1, Zone 2 and Zone 3 according to histological findings (i.e. chronic inflammatory infiltrates). Considering immuno-histochemical markers, piezo-group showed statistically higher rates of SATB2 and CD31 than those of drill-group. No surgical or healing complication was recorded during T0 and T1 surgery. STATA software was used for statistical analysis (significance uf061=0.05). Conclusion and clinical implicationsThis pilot study suggests that piezosurgery implant site preparation gives a small amount of necrotic bone, higher bone activity, and higher vessel proliferation compared to drill implant site preparation. Further studies are needed to confirm histological, histomorphometric, and immunoistochemical improvements of this surgical approach.
Author: Elisabetta Vignudelli
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
BackgroundPiezoelectric surgery is a soft tissue-sparing bone-cutting technique that reduce iatrogenic damage of neurological and vascular structures. Recent studies have shown that piezoelectric surgery may modify and improve initial histological phases of implant osseointegration. However, only in vivo studies and no human study are available. AIMThe aim of this randomized clinical trial is aimed to compare histological, histomorphometric, and immunoistochemical outcomes of piezosurgery approach and conventional drill approach for implant site preparation. Material and MethodsThis study was designed as a pilot, split-mouth, double blinded, randomized clinical trial, approved by ethical committee of University of Bologna. Six patients were enrolled to rehabilitate 12 different edentulous sextants and they were randomized into 2 groups (T0): Group A (piezoelectric implant site preparation) (Piezo-group) and Group B (conventional drill preparation) (Drill-group). In each sextants, one additional implant (study fixture) was placed to be retrieved after 4 weeks. After 28 days (T1), in both groups the study-fixtures were biopsied for histological, histomorphometric and immunoistochemical analysis. Inflammatory infiltrate, necrotic bone area (NBA%), newly-formed bone (nFBA%), , and total bone area rates (TBA) were evaluated. Neo-angiogenesis and osseointegration markers (CD31 and STAB-2) were also analyzed. Statistical comparison was made and statistical significance was set at uf061=0.05. STATA software was used for statistical analysis (significance uf061=0.05).Results: In total, 12 edentulous ridges in six patients were completely treated according to the split-mouth protocol. No drop-outs occurred. Histological features were similar imn the two study groups: residual trabecular bone, bone necrosis areas, and bone formation areas. Three histological zones were evident: Zone 1, Zone 2 and Zone 3 according to histological findings (i.e. chronic inflammatory infiltrates). Considering immuno-histochemical markers, piezo-group showed statistically higher rates of SATB2 and CD31 than those of drill-group. No surgical or healing complication was recorded during T0 and T1 surgery. STATA software was used for statistical analysis (significance uf061=0.05). Conclusion and clinical implicationsThis pilot study suggests that piezosurgery implant site preparation gives a small amount of necrotic bone, higher bone activity, and higher vessel proliferation compared to drill implant site preparation. Further studies are needed to confirm histological, histomorphometric, and immunoistochemical improvements of this surgical approach.
Author: Oreste Iocca
Publisher: Springer
ISBN: 3319268724
Category : Medical
Languages : en
Pages : 256
Get Book Here
Book Description
This book covers all aspects of implant dentistry, presenting up-to-date information that reflects the highest level of scientific evidence as presented in the specialized literature. Among the topics addressed by expert authors are the prognosis of natural tooth versus implant restorations, bone response to implant treatment, placement and loading time, implant design and length, platform design, implant abutments, prosthodontic treatment, reconstructive surgery, and periimplantitis. The amount of data available for the clinician working in the field of implantology is huge and constantly increasing. The task of remaining abreast of the latest evidence and applying it effectively in clinical practice is further hindered by the fact that many scientific papers make contradictory claims and contain methodological flaws and biases that generate confusion and lack of reliability. Against this background, Evidence-Based Implant Dentistry will serve the reader as a dependable and scientifically supported guide to current implant treatment and key issues in the field.
Author: Katarzyna Tyburska
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
Background and aimPrimary stability of dental implants depends on implant length and diameter, its structure, quality and quantity of the bone and technique of bone-bed preparation. Implants` cradles can be prepared using cylindrical drills (conventional preparation) or piezosurgery instruments. The aim of the study is to compare the impact of different bone-bed preparation techniques such as conventional drilling and piezosurgery on primary implant stability.Material and methodThe implants` cradles were prepared using conventional preparation by cylindrical drills and piezosurgery technique. Together 54 implants' cradles were performed - three cradles for the each implant in each of the group (conventional and piezosurgery technique). Next, a torque by a dynamometric key, a primary stabilization with Periotest and Osstell Mentor were performed. All measurements were averaged and statistically analyzed using ANOVA procedure of SAS System 9.2.Results1. For implants inserted into a conventional prepared bed, the mean value of Osstell measurements was 70u00b14.3 ISQ, and for implants inserted into a prepared bed using piezosurgery 69.6u00b14.7 ISQ. No statistically significant difference between the groups was found (p
Author: Valente Nicola Alberto
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
Author: Daniel R. Cullum
Publisher: John Wiley & Sons
ISBN: 0813814529
Category : Medical
Languages : en
Pages : 464
Get Book Here
Book Description
Minimally Invasive Dental Implant Surgery presents a new clinical text and atlas focused on cutting edge and rapidly developing, minimally invasive treatment modalities and their applications to implant dentistry. Centered on progress in imaging, instrumentation, biomaterials and techniques, this book discusses both the “how to” as well as the “why” behind the concept of minimally invasive applications in implant surgery. Drawing together key specialists for each topic, the book provides readers with guidance for a broad spectrum of procedures, and coalesces information on the available technologies into one useful resource. Minimally Invasive Dental Implant Surgery will be a useful new guide to implant specialists and restorative dentists seeking to refine their clinical expertise and minimize risk for their patients.
Author: Tomaso Vercellotti
Publisher: Quintessence Publishing (IL)
ISBN: 9780867158328
Category : Electrosurgery
Languages : en
Pages : 0
Get Book Here
Book Description
"Clinical review of piezoelectric principles including piezoelectric cutting, ultrasonic technology, bone classification, and ultra-osseointegration, with piezoelectric surgical protocols for dental extractions, implantology, sinus elevation, bone grafting, and ridge expansion, followed by case studies"--
Author: José Carlos Martins da Rosa
Publisher: Quintessence Publishing (IL)
ISBN: 9788578890360
Category : Dental implants
Languages : en
Pages : 0
Get Book Here
Book Description
Author: Stuart J. Froum
Publisher: John Wiley & Sons
ISBN: 1118976452
Category : Medical
Languages : en
Pages : 736
Get Book Here
Book Description
Dental implants have become one of the most popular and rapidly growing techniques for replacing missing teeth. While their predictability, functionality, and durability make them an attractive option for patients and clinicians alike, complications can arise at any stage from patient assessment to maintenance therapy. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, updates and expands the hallmark first edition, which was the first comprehensive reference designed to provide clinicians of all skill levels with practical instruction grounded in evidence-based research. Featuring cases from a variety of dental specialties, the book covers the most commonly occurring implant complications as well as the unique. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, is organized sequentially, guiding the reader through complications associated with the diagnosis, treatment planning, placement, restoration, and maintenance of implants at any stage. Complications associated with various bone augmentation and sinus lift procedures are also discussed in detail with emphasis on their etiology and prevention. Each chapter utilizes a highly illustrated and user-friendly format to showcase key pedagogical features, including a list of “take home tips” summarizing the fundamental points of each chapter. New chapters include discussions of complications from drug prescribing, implant naturalization, cemented restorations, loose implant restoration syndrome, and craniofacial growth. Readers will also find more case presentations to see how complications have been managed in real-world situations. Dental Implant Complications: Etiology, Prevention, and Treatment, Second Edition, brings together contributions from leading experts in the field under the superior editorship of Dr. Stuart Froum. With its pragmatic approach to preventing and managing implant complications, this expertly crafted text continues to serve as an indispensable clinical reference and guide for all dentists placing or restoring implants.
Author: Boyd J. Tomasetti
Publisher: Springer Nature
ISBN: 3030441997
Category : Medical
Languages : en
Pages : 334
Get Book Here
Book Description
This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.
Author: Tomaso Vercellotti
Publisher: Quintessence Publishing (IL)
ISBN: 9781850971900
Category : Dental instruments and apparatus
Languages : en
Pages : 0
Get Book Here
Book Description
This work contains a summary of all the elements needed to gain insight into the clinical benefits of piezoelectric bone surgery in dentistry, implantology and oral surgery.
