Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 3 , Pages 613-618 , March 2009

Le Fort I Osteotomy, Bilateral Sinus Lift, and Inlay Bone-Grafting for Reconstruction in the Severely Atrophic Maxilla: A New Vision of the Sandwich Technique, Using Bone Scrapers and Piezosurgery

  • Mario Fernando Muñoz-Guerra, MD, PhD

      Affiliations

    • Staff Surgeon, Department of Oral and Maxillofacial Surgery, University Hospital La Princesa, Autónoma University, Madrid, Spain
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Muñoz-Guerra: Department of Maxillofacial Surgery, University Hospital La Princesa, c/ Diego de León 62, 28006 Madrid, Spain
    • ,
  • Luis Naval-Gías, MD, PhD

      Affiliations

    • Staff Surgeon, Department of Oral and Maxillofacial Surgery, University Hospital La Princesa, Autónoma University, Madrid, Spain
    • ,
  • Ana Capote-Moreno, MD

      Affiliations

    • Staff Surgeon, Department of Oral and Maxillofacial Surgery, University Hospital La Princesa, Autónoma University, Madrid, Spain

References 

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  2. Lundgren S, Nyström E, Nilson H, et al. Bone grafting to the maxillary sinuses, nasal floor and anterior maxilla in the atrophic edentulous maxilla (A two-stage technique). Int J Oral Maxillofac Surg. 1997;26:428
  3. Sailer HF. A new method of inserting endosseous implants in totally atrophic maxillae. J Craniomaxillofac Surg. 1989;17:299
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  8. Nyström E, Lundgren S, Gunne J, et al. Interpositional bone grafting and Le Fort I osteotomy for reconstruction of the atrophic edentulous maxilla (A two-stage technique). Int J Oral Maxillofac Surg. 1997;26:423
  9. Keller EE, Tolman DE, Eckert SE. Maxillary antral-nasal inlay autogenous bone graft reconstruction of compromised maxilla: A 12-year retrospective study. Int J Oral Maxillofac Implants. 1999;14:707
  10. Kahnberg KE, Nilsson P, Rasmusson L. Le Fort I osteotomy with interpositional bone grafts and implants for rehabilitation of the severely resorbed maxilla: A 2-stage procedure. Int J Oral Maxillofac Implants. 1999;14:571
  11. Stoelinga PJ, Slagter AP, Brouns JJ. Rehabilitation of patients with severe (class VI) maxillary resorption using Le Fort I osteotomy, interposed bone grafts and endosteal implants: 1-8 years' follow-up on a two-stage procedure. Int J Oral Maxillofac Surg. 2000;29:188
  12. Smedberg JI, Johansson P, Ekenbäck D, et al. Implants and sinus-inlay graft in a 1-stage procedure in severely atrophied maxillae: prosthodontic aspects in a 3-year follow-up study. Int J Oral Maxillofac Implants. 2001;16:668
  13. Chiapasco M, Brusati R, Ronchi P. Le Fort I osteotomy with interpositional bone grafts and delayed oral implants for the rehabilitation of extremely atrophied maxillae: A 1–9-year clinical follow-up study on humans. Clin Oral Implants Res. 2007;18:74
  14. Jennings DE. Treatment of the mandibular compromised ridge: A literature review. J Prosthet Dent. 1989;61:575
  15. Bell WH, Buche WA, Kennedy JW, et al. Surgical correction of the atrophic alveolar ridge (A preliminary report on a new concept of treatment). Oral Surg Oral Med Oral Pathol. 1977;43:485
  16. Härle F, Ewers R. Horseshoe-shaped osteotomy with bone interposition in order to raise the maxillary crest (An operating method stopped after the experiment). Dtsch Zahnarztl Z. 1980;35:105
  17. Farmand M. Long-term results after horseshoe sandwich osteotomy of the edentulous maxilla as a preprosthetic procedure. J Craniomaxillofac Surg. 1992;20:171
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  19. Yerit KC, Posch M, Guserl U, et al. Rehabilitation of the severely atrophied maxilla by horseshoe Le Fort I osteotomy (HLFO). Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:683
  20. Martos Díaz P, Naval Gías L, Sastre Pérez J, et al. Sinus elevation by in situ utilization of bone scrapers: Technique and results. Med Oral Patol Oral Cir Bucal. 2007;12:E537
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  22. Froedel JL, Funk GF, Capper DT, et al. Osseointegrated implants: A comparative study of bone thickness in four vascularized bone flaps. Plast Reconstr Surg. 1993;92:449
  23. Li KK, Stephens W. Fractures of the edentulous atrophic maxilla during Le Fort I osteotomy. Int J Oral Maxillofac Surg. 1996;25:430
  24. Stübinger S, Kuttenberger J, Filippi A, et al. Intraoral piezosurgery: Preliminary results of a new technique. J Oral Maxillofac Surg. 2005;63:1283
  25. Beziat JL, Vercellotti T, Gleizal A. What is piezosurgery? (Two years' experience in craniomaxillofacial surgery). Rev Stomatol Chir Maxillofac. 2007;108:101
  26. Wallace SS, Mazor Z, Froum SJ, et al. Schneiderian membrane perforation rate during sinus elevation using piezosurgery: Clinical results of 100 consecutive cases. Int J Periodont Restor Dent. 2007;27:413

PII: S0278-2391(08)01473-0

doi: 10.1016/j.joms.2008.09.004

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 3 , Pages 613-618 , March 2009

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