Использование различных методов вертикальной и горизонтальной аугментации при атрофии альвеолярного отростка верхней и альвеолярной части нижней челюстей

Abstract

Основной проблемой дентальной имплантации, является недостаточное количество кости. Однозначного решения проблемы атрофии не существует. Выбор метода остеопластики и трансплантата зависит от точного определения степени атрофии костной ткани, характера и размеров дефекта. На клинических примерах продемонстрированы методы восстановления объема кости верхней и нижней челюстей с использованием трансплантатов различного происхождения.

The main problem, which is increasingly faced professionals in planning restoration of the integrity of the dentition with the help of dental implants is not enough bone in the area of the supposed implantation. Given the availability of a variety of techniques osteoplasty alveolar defects and a variety of osteoplastic materials, unambiguous solution to the problem does not exist. Planning method and the osteoplasty graft depends on the exact determination of the degree of bone atrophy, nature and extent of the defect. This article on clinical examples demonstrates methods of volume restoration bones of the upper and lower jaws using grafts of different origin. Materials and Methods. In our study we use bone block, taken from the chin of the mandible and the greater wing of the ilium. Also we use bone substitutes, the membranes, the clips (the cortical screw), powder Bio Oss®. For the isolation of the area augmentation applies collagen membrane Bio Gide® (Geistlich Pharma AG, Wolhusen, Switzerland). All surgeries were performed a standard set of surgical instruments and apparatus piezo surgery. Findings and discussion. Through the use of block the autogenous graft and auxiliary materials was successful augmentation of the alveolar bone of the upper and lower jaws with a strong vertical and horizontal atrophy. It was possible to achieve the goals set in the planning phase of treatment. The increase in the cost of therapy is justified for preserving intact adjacent teeth, optimal recovery of the dentition and high functionality and aesthetics prosthetic. It is achieved one of the main goals of dental rehabilitation – improving the quality of life of patients.