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Mandibular split crest: piezo cuts and a bone segment mobilized with the Mallet

Boschini describes mobilizing the buccal bone segment in a mandibular split-crest procedure and then answers questions about flap release and the bone characteristics that guide the choice of cuts.

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👏🏻👏🏻👏🏻👏🏻

Original text

👏🏻👏🏻👏🏻👏🏻

↳ Reply

Did you also have to release the flap slightly?

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Original text

Hai dovuto anche rilasciare un po’ il lempo?

↳ Reply

Yes. I released the lingual flap slightly and the buccal flap extensively.

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Certo. Ho rilasciato un po’ il lembo linguale e abbondantemente quello vestibolare.

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With a similar bone configuration in the maxilla, would you have used the same approach but without the mesial and distal releasing corticotomies?

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Original text

Una situazione ossea simile nel mascellare avresti fatto uguale senza però incisioni ossee mesiali e distali giusto?

↳ Reply

The distinction between maxilla and mandible is less important than assessing the characteristics of the cortical and cancellous bone.

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Diciamo che non conta tanto il fatto di essere nel superiore o nell’inferiore, quanto valutare che tipo di corticale e midollare hai.

↳ Reply

Less mineralised bone is more common in the maxilla than in the mandible, although this is not an absolute rule.

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È però vero che nel mascellare superiore abbiamo più frequentemente osso meno mineralizzato che nell’inferiore, ma non è una regola.

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Congratulations as always

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Complimenti come sempre

↳ Reply

Okay.

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Original text

Ok grazie mille

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