Bone Lid Technique: Modern Concepts and Applications Giulia Brunello, DDS, PhD
Join us on August 18th, 2026
Description:
The bone lid technique involves the creation of a bony window that is temporarily removed to access the surgical site and then accurately repositioned at the end of the procedure. Its primary aims are to provide optimal visualization of the operative field, preserve bone that would otherwise be sacrificed with more invasive approaches, and promote favorable healing conditions. In implant dentistry, this technique is particularly indicated for the retrieval of displaced implants within the maxillary sinus and for bone preservation during the removal of impacted teeth or pathological lesions, where maintaining native bone architecture is essential. The technique has evolved with the introduction of piezoelectric surgery, which enables highly controlled and precise osteotomies while minimizing trauma to adjacent soft tissues.
More recently, the integration of computer-guided planning has further refined the approach by enabling the design of accurate and reproducible cutting trajectories. Collectively, these advancements have improved surgical predictability and facilitated the precise repositioning of the bony window.
Upon completion of this presentation, participants should be able to:
1) Discuss the history of piezosurgery in dentistry.
2) Explain the evolution of the bone lid technique.
3) Describe the role of computer-guided osteotomy in the bone lid technique.
Giulia Brunello, DDS, PhD
Dr. Giulia Brunello graduated in dentistry in 2011 from the University of Padova (Italy), where she also completed a 2-year Master in Implant Dentistry and obtained in 2020 her PhD at the PhD School in Mechatronics and Product Innovation Engineering. In 2017-2018 she was an ITI scholar in at Queen Mary University of London. In March 2021 she joined the Department of Oral Surgery of the University of Düsseldorf as a full-time post-doc researcher, where she received her Habilitation and subsequently the title of Privatdozentin. Since 2024 she also has a project-related contract at Charité – Universitätsmedizin Berlin. Dr. Brunello is committee member of several scientific societies including AO, EAO and IADR. She is author of more than 70 publications in international peer-reviewed journals and has been appointed EiC of the journal Clinical and Experimental Dental Research. In June 2025 she actively participated in the 1st Global Consensus for Clinical Guidelines in implant dentistry, shaping practice for the rehabilitation of the edentulous maxilla.
Dr. Brunello has indicated she has no relevant financial information to disclose.
Relevant literature for further information:
Sivolella S, Brunello G, Fincato A, De Stavola L. Computer-Guided Bone Lid Technique for Surgical Extraction of Deeply Impacted Mandibular Third Molars: A Technical Report. Appl. Sci. 2024, 14, 3580. doi: 10.3390/app14093580
Sivolella S, Brunello G, Panda S, Schiavon L, Khoury F, Del Fabbro M. The Bone Lid Technique in Oral and Maxillofacial Surgery: A Scoping Review. J Clin Med. 2022;11(13):3667. doi: 10.3390/jcm11133667.
Khoury F. The bony lid approach in pre-implant and implant surgery: a prospective study. Eur J Oral Implantol. 2013 Winter;6(4):375-84.
$50.00
