Alveolar Mandible Osteoplasty with Combined Bone Transplants

Introduction. There are various osteoplasty methods aimed at managing the challenge of jaw atrophy. When the scope of the osteoplasty is extensive it is not always possible to prepare an appropriate amount of bone tissue without additional surgeries. In some cases there is a lack of intraoral bone t...

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Main Authors: N. E. Selsky, A. V. Trokhalin, D. M. Mukhamadiev
Format: Article
Language:English
Published: Bashkir State Medical University 2019-11-01
Series:Креативная хирургия и онкология
Subjects:
Online Access:https://www.surgonco.ru/jour/article/view/416
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author N. E. Selsky
A. V. Trokhalin
D. M. Mukhamadiev
author_facet N. E. Selsky
A. V. Trokhalin
D. M. Mukhamadiev
author_sort N. E. Selsky
collection DOAJ
description Introduction. There are various osteoplasty methods aimed at managing the challenge of jaw atrophy. When the scope of the osteoplasty is extensive it is not always possible to prepare an appropriate amount of bone tissue without additional surgeries. In some cases there is a lack of intraoral bone tissue sources for this kind of operations. Using extraoral sources of bone tissue is not always justified; it is invasive and patients take longer to recover and return to work. Using alternative sources of bone biomaterials might help establish a less invasive osteoplasty protocol.Goal. To demonstrate the efficiency of alveolar ridge osteoplasty with the application of laminar technique and using various combinations of autograft and allograft tissues.Materials and methods. To achieve the goal set we have examined and treated fourteen patients (N=14) surgically. All patients presented a clinical picture of severe atrophy in dentoalveolar segments 3 and 4, knife-edged ridge, Cawood and Howell class IV–V. Depending on the combination of autograft and allograft biomaterials patients were split into three study groups and one control group.Results and discussion. Positive outcomes for the treatment administered were observed in 13 out of 14 patients. Complications were determined by the lack of soft tissue, exposure of the graft or its suppuration. All the patients in all the groups underwent a control CT which confirmed the bone tissue growth at the area of the augmentation performed.Conclusion. Using the bone biomaterial allograft in combination with autograft bone makes it possible to get good clinical results in all the groups observed. This method may be a method of choice eliminating the additional invasive procedure of bone transplant harvesting; it does, however, require further, more detailed research.
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spelling doaj-art-80f077cc3a3e4523a84b80fbf5d016a52025-08-20T03:19:20ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012019-11-019319920810.24060/2076-3093-2019-9-3-199-208335Alveolar Mandible Osteoplasty with Combined Bone TransplantsN. E. Selsky0A. V. Trokhalin1D. M. Mukhamadiev2Cosmetology, Plastic and Reconstructive Surgery CenterCosmetology, Plastic and Reconstructive Surgery CenterStomatology Сlinic «Art Oral Sergey Chikunov»Introduction. There are various osteoplasty methods aimed at managing the challenge of jaw atrophy. When the scope of the osteoplasty is extensive it is not always possible to prepare an appropriate amount of bone tissue without additional surgeries. In some cases there is a lack of intraoral bone tissue sources for this kind of operations. Using extraoral sources of bone tissue is not always justified; it is invasive and patients take longer to recover and return to work. Using alternative sources of bone biomaterials might help establish a less invasive osteoplasty protocol.Goal. To demonstrate the efficiency of alveolar ridge osteoplasty with the application of laminar technique and using various combinations of autograft and allograft tissues.Materials and methods. To achieve the goal set we have examined and treated fourteen patients (N=14) surgically. All patients presented a clinical picture of severe atrophy in dentoalveolar segments 3 and 4, knife-edged ridge, Cawood and Howell class IV–V. Depending on the combination of autograft and allograft biomaterials patients were split into three study groups and one control group.Results and discussion. Positive outcomes for the treatment administered were observed in 13 out of 14 patients. Complications were determined by the lack of soft tissue, exposure of the graft or its suppuration. All the patients in all the groups underwent a control CT which confirmed the bone tissue growth at the area of the augmentation performed.Conclusion. Using the bone biomaterial allograft in combination with autograft bone makes it possible to get good clinical results in all the groups observed. This method may be a method of choice eliminating the additional invasive procedure of bone transplant harvesting; it does, however, require further, more detailed research.https://www.surgonco.ru/jour/article/view/416mandibleimmediate implantationlaminar osteoplastybiomaterialsallograftautograftbone chipsalveolar ridge augmentation
spellingShingle N. E. Selsky
A. V. Trokhalin
D. M. Mukhamadiev
Alveolar Mandible Osteoplasty with Combined Bone Transplants
Креативная хирургия и онкология
mandible
immediate implantation
laminar osteoplasty
biomaterials
allograft
autograft
bone chips
alveolar ridge augmentation
title Alveolar Mandible Osteoplasty with Combined Bone Transplants
title_full Alveolar Mandible Osteoplasty with Combined Bone Transplants
title_fullStr Alveolar Mandible Osteoplasty with Combined Bone Transplants
title_full_unstemmed Alveolar Mandible Osteoplasty with Combined Bone Transplants
title_short Alveolar Mandible Osteoplasty with Combined Bone Transplants
title_sort alveolar mandible osteoplasty with combined bone transplants
topic mandible
immediate implantation
laminar osteoplasty
biomaterials
allograft
autograft
bone chips
alveolar ridge augmentation
url https://www.surgonco.ru/jour/article/view/416
work_keys_str_mv AT neselsky alveolarmandibleosteoplastywithcombinedbonetransplants
AT avtrokhalin alveolarmandibleosteoplastywithcombinedbonetransplants
AT dmmukhamadiev alveolarmandibleosteoplastywithcombinedbonetransplants