Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
  Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login  
  Home Print this page Email this page Small font sizeDefault font sizeIncrease font size Users Online: 3626       

   Table of Contents      
INNOVATIONS
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 247-248

Bone-lid technique for cystic enucleation using piezosurgical unit


Department of Oral & Maxillofacial Surgery, AMC Dental College, Ahmedabad 380 008, Gujarat, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Ramita Sood
Department of Oral & Maxillofacial Surgery, AMC Dental College, Ahmedabad 380 008, Gujarat
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2173_19

Rights and Permissions

How to cite this article:
Sood R, Shukla S. Bone-lid technique for cystic enucleation using piezosurgical unit. Indian J Med Res 2020;152, Suppl S1:247-8

How to cite this URL:
Sood R, Shukla S. Bone-lid technique for cystic enucleation using piezosurgical unit. Indian J Med Res [serial online] 2020 [cited 2021 Jul 29];152, Suppl S1:247-8. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/247/316761

Patient's consent obtained to publish clinical information and images.


A 20 yr old male presented to the department of Oral and Maxillofacial Surgery, AMC Dental College, Ahmedabad, India, in August 2018, with the diagnosis of a cystic lesion of mandible [Figure 1] was operated at using a novel bone-lid technique with the use of piezoelectric unit. Conventionally, the cysts or benign tumours in maxillofacial region are enucleated with a method where the approach to reach the pathology included creating a bony window using electric micromotor burst. This resulted in inadvertent bone loss. This case is presented show a novel method to use piezoelectric unit to create a bony lid [Figure 2] to get the access to the pathology for enucleation [Figure 3], and the same bony lid can be fixed back after the enucleation of the pathology leading to preservation of normal bony architecture and further sound prosthetic rehabilitation [Figure 4] and [Figure 5]. This novel technique can benefit the preservation of the natural bony contour, and obviates the necessity for additional procedure of bone grafting, and aids to better prosthetic rehabilitation.
Figure 1: Pre-operative orthopantomogram showing a multilocular radiolucency with a well-defined sclerotic margin and an impacted left mandibular canine suggestive of cystic lesion or odontogenic origin present covering the entire symphyseal region of mandible.

Click here to view
Figure 2: The bony lid created using the piezoelectric unit, which helps in precise cutting of the cortex and the lid preservation.

Click here to view
Figure 3: The enucleated cystic lining with extracted teeth.

Click here to view
Figure 4: The bony lid fixed back and stabilized with resorbable sutures maintaining the buccal cortical contour of mandible.

Click here to view
Figure 5: Postoperative orthopantomogram showing the shadow of bony lid.

Click here to view


Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    Article Figures

 Article Access Statistics
    Viewed168    
    Printed0    
    Emailed0    
    PDF Downloaded18    
    Comments [Add]    

Recommend this journal