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Case Reports in Dentistry
Volume 2017, Article ID 9315070, 4 pages
Case Report

Bone Lid Technique Using a Piezoelectric Device for the Treatment of a Mandibular Bony Lesion

1Department of Oral Surgery, School of Dentistry, Saint Joseph University, Beirut, Lebanon
2Department of Radiology, Lebanese University, Beirut, Lebanon
3Department of Periodontology, School of Dentistry, Saint Joseph University, Beirut, Lebanon

Correspondence should be addressed to Maroun Dagher; moc.loa@rehgadfm

Received 30 July 2017; Revised 1 November 2017; Accepted 9 November 2017; Published 7 December 2017

Academic Editor: Wasiu L. Adeyemo

Copyright © 2017 Ronald Younes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Different techniques for the enucleation of jaw cyst lesion in the oral and maxillofacial regions have been proposed, including the bone lid technique. The purpose of this case report is to describe the case of a cystic lesion, approached with the bone lid technique performed using a piezoelectric device, with an 8-month clinical and radiographic follow-up. A 14-year-old male patient was treated for a suspicious lesion detected on a panoramic radiograph. The concerned area was surgically accessed, and a radiographically predetermined bony window was drawn, and the beveled bony lid was removed. The underlying lesion was enucleated and sent for pathology as a routine procedure, and the removed bony lid was repositioned in situ and secured with a collagen tape. Healing was uneventful with limited swelling and reduced pain. A complete radiographic bone healing at the previously diseased site was confirmed with an 8-month cone beam computed tomography (CBCT) scan with no buccal bone resorption nor ridge collapse. The bone lid technique with a piezoelectric device was noninvasive and atraumatic in this case. Further studies are needed and could lead to the adaptation of this approach as a possible standard of care.