Smukler Hyman, Capri Diego, Landi Luca
Department of Periodontology, H. M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA.
Int J Periodontics Restorative Dent. 2008 Aug;28(4):411-9.
A modified ridge augmentation technique is introduced for augmenting deficient alveolar ridges in preparation for endosseous implant placement. The technique is based on the principles for guided bone regeneration, in which a created space is kept isolated from the surrounding soft tissues by a resorbable membrane with an excellent extended resorption profile, thus permitting the accrual of bone-formative elements into the graft site. The absorbable membrane is propped up by an autogenous mixture of native corticocancellous bone cores taken in the graft site and reduced to smaller particle sizes and osseous coagulum collected in bone traps and with a special bone scraper. The major advantage of this technique is that all the autogenous bone graft material is obtained from the actual graft site, avoiding second remote intra- or extraoral surgical sites and attendant morbidities. Ridges augmented with this technique permit optimal endosseous implant placement.
介绍了一种改良的牙槽嵴增高技术,用于为种植体植入准备不足的牙槽嵴。该技术基于引导骨再生的原理,即通过具有良好延长吸收特性的可吸收膜将创建的空间与周围软组织隔离开来,从而使骨形成元素在移植部位积累。可吸收膜由取自移植部位的天然皮质松质骨芯的自体混合物支撑,将其减小至更小的颗粒尺寸,并与收集在骨阱中的骨凝块一起用特殊的骨刮匙获取。该技术的主要优点是所有自体骨移植材料均取自实际移植部位,避免了二次远处的口腔内或口腔外手术部位及相关并发症。用该技术增高的牙槽嵴可实现最佳的种植体植入。