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Bilateral Bone Ridge Splitting in Maxilla with Immediate Implant Placement in a Patient with Osteoporosis: A Clinical Report with 2-Year Follow-up

机译:在颌骨中分裂的双侧骨脊分裂,立即在骨质疏松症的患者中植入植入物:一个临床报告,具有2年的随访

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摘要

Every year, a higher percentage of bisphosphonates is prescribed for osteoporosis treatment which can lead to bone osteonecrosis after several surgical procedures in the oral cavity. This report describes an approach to restore two missing teeth, employing bilateral bone ridge splitting in the maxilla with immediate placement of implants in a patient using bisphosphonates in the management of osteoporosis. Two titanium implants with a width of 3.45 mm and a length of 10 mm were placed in the maxillary ridge with a diameter of 4.4 mm and 3.0 mm in positions 15 and 24 according to the classification of the World Dental Federation. The implants were placed immediately by bone splitting, using a piezosurgery device and guided bone regeneration with an alloplastic material and a collagen membrane. Five months later, the implants were uncovered and the final porcelain crowns were cemented. 24 months later, the control through clinical and radiographical examinations showed no bone loss in the collar part of the implants and the proper status of the peri-implant soft tissue without any signs of inflammation. Piezosurgery is a useful and safe method of ridge splitting in a very thin ridge (4.5 and 3.0 mm).
机译:每年,在口腔中几种外科手术后,骨质疏松症治疗的骨质疏松症治疗规定了更高百分比的双膦酸盐。本报告描述了一种恢复两颗缺失牙齿的方法,在颌骨中使用双侧骨脊分裂,立即使用双膦酸盐在骨质疏松症的管理中施用植入物。宽度为3.45毫米的两种钛植入物,置于较大的3.4mm和3.0mm的上颌脊,根据世界牙科联合的分类,直径为4.4mm和3.0mm。使用压渗装置和引导骨再生,通过用代形材料和胶原膜引导骨再生,立即置于植入物。五个月后,植入物被揭示,最后的瓷冠粘合。 24个月后,通过临床和射线照相检查的对照显示植入物的衣领部分没有骨质损失,并且没有任何炎症迹象的植入物软组织的适当状态。压渗是一种非常薄的脊(4.5和3.0 mm)中的脊劈裂的有用和安全的方法。

著录项

  • 作者

    Rafał Flieger;

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  • 年度 2019
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  • 原文格式 PDF
  • 正文语种 eng
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