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 DEFINITION
It is that surgical skill for which there rises the soil of the maxillary bosom in order to be able to obtain a good bony base and be able to place in her implants osteointegrados.
SKILL
A good case history and an exploration bucofacial and radiological meticulous they are indispensable before indicating this skill before to the laying of the implants. In a phase inical the space is worked raising the soil sinusal later to place in him material autólogo or not. This skill has good results usually using bone autólogo of the proper patient extracted from the hip. In the second phase the laying is located of or of the implants, following the habitual rule.
COMPLICATIONS
The complications are infrequent and they split in immediate and mediate (secondary or late).
The immediate complications can be:
- bony breaks,
- nasal soil or sinusal or jaw;
- tears,
- hemorrhages,
- hurt by soft parts;
- injuries of the nerves;
- submucous emphysema,
- set of instruments break,
- break of obstructions or prosthesis neighbors, etc.
The mediate complications can be:
- infectious (osteitis, abscesses, osteorradionecrosis, cellulitis, lockjaw, sinusitis, etc);
- hemorrhagic (of local or general cause);
- mucositis and periimplantitis;
- personal details (bacteriemas, septicemias, glomerulonefritis, crisis hiperglucémica or hyperthyroid, descompensaciones cardiac, hepatitis, etc).
Sometimes there can take place the reabsorption of the bone or placed material.
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