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.
