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Implantation Of Bone Insufficiency Common Repair Methods Of Clinical Research And Discussion

Posted on:2014-07-18Degree:MasterType:Thesis
Country:ChinaCandidate:G Y LiFull Text:PDF
GTID:2254330425970168Subject:Oral and Maxillofacial Surgery
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Objective:This article discusses the repair of oral implant surgery. Apply differenttechnique to solve the implantation areas of bone mass due to the absorption ofalveolar ridge atrophy thus lead to implant difficulties,implant exposure, and implantloss and other problems. The indications for surgery aimed at broadening theimplantation, improve the long-term success rate and extend the scope of applicationof the implant in the treatment of oral and implant.Materials and Methods: collected since2009, come to Dalian City Dental HospitalOral Implantology Center for treatment of dentition defect, and accompanied by theimplantation areas alveolar bone loss in patients with a total of63cases. Applicationof different bone incremental surgery to restore bone mass defect, simultaneous ordelayed implant the Bego system implant,4and6months after the second surgicalrepair of the upper structure.22statistics Bone Splitting surgery implants implant.bone extrusion24, maxillary sinus floor elevation24(including the side wall of themaxillary sinus window augmentation8and16of transalveolar technique), guidedbone regeneration technology22.Onlay bone graft technology4, including jointsurgical applications. Recorded before surgery, after6months of alveolar bone heightand width changes, as well as the load of12months,24months after implant alveolarbone around the presence or absence of bone resorption and uptake, according toAlbrektsson and Zarb Oral Implantology successful evaluation criteria, the actualefficacy in clinical assessment of the various types of grafting techniques.Results: implantation of a total of96implants are used Bego implantation. Inaddition to a maxillary first molar implant3months after surgery due to inflammationaround the implant can not be reserved and removal, the remaining95implants can normally occlusal load, clinical examination, no loose bone stability, sound crisppercussion loud, all around the implant the mucosal ulceration swelling, exposedimplant phenomenon.24months after surgery panoramic piece around the neck of theimplant tooth alveolar bone absorption maximum1.8mm, minimum0.0mm, theaverage absorption0.9mm.Conclusion: For cases with insufficient alveolar bone implant restoration, the pursuitof long-term functional and aesthetic key to success lies preoperative accurate, precisediagnosis and treatment design, according to the morphological characteristics of thebone defect type and defect appropriate way bone Augmentation surgery. Bonesplitting, Bone extrusion,Guide bone regeneration, Onlay bone grafting, Maxillarysinus floor elevation five surgical procedures can effectively solve the implantationareas of bone mass caused by long-term missing teeth due to alveolar ridge atrophyabsorption the problem of insufficient broaden the indications for implant denture toimprove the success rate of the implant denture.
Keywords/Search Tags:Bone defects, Bone splitting, Bone extrusion, Guide bone regeneration, Onlay bone grafting, Maxillary sinus floor elevation
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