Management of maxillary alveolar process fractures by combination of “Osteon” and “Colla Guide” resorbable membrane

摘要

Incidence of maxillofacial traumas is reported steadily increasing, maxillary fractures being extremely severe. Maxillary alveolar process (AP) and front teeth are traumatized more frequently than any other parts of the maxilla. Deprivation of teeth and AP post-traumatic flaw as well as loss of alveolar height not only create a cosmetic defect but also complicate subsequent prosthetics of the patients. The work was initiated to assess efficacy of “Osteon”, an osteoplastic material, and “Colla Guide” resorbable membrane in prevention of AP post-traumatic flaws and deformities. To achieve the aim 41 patients (33 men and 8 women) aged from 18 to 45 with the comminuted fractures of maxillary AP emergently hospitalized at the Maxillofacial Surgery Department, Tashkent Medical Academy 2nd Clinic were examined and treated. The findings showed that the materials above can be considered as those to increase efficacy of the treatment, facilitating preservation of AP shape and AP crest height. In addition, preservation of bone tissue mineralization helps avoid risk of the bone wound inflammatory morbidity.