Petrovskaia V V
Vestn Rentgenol Radiol. 2012 May-Jun(3):4-7.
Congenital fissures of the alveolar process and hard palate are one of the severest pathologies of the teeth and jaws. Plain magnification microfocus radiography and microfocus radioimaging of the upper jaw with bite occlusion are the radiodiagnostic methods of choice for the evaluation of bone defects and regenerative processes. To study the regenerative processes, 52 patients aged 10-16 years with congenital fissures of the alveolar process and hard palate were examined after bone reparative surgery. A bone block from the mental region of the lower jaw, or cancellous iliac crest tissue or biocomponents materials were used to close maxillary alveolar process bony defect. Early and late postoperative osteoreparative processes were evaluated applying plain magnification radiography and microfocus radioimaging. The first signs of osteointegration were observed one month after surgery; the most active processes were detected in the patients in whom a mandibular bone block was employed as an autograft. The patients with a cancellous iliac autograft were found to have partial bone resorption in a number of cases at 6 and 9 months.
牙槽突和硬腭的先天性裂隙是牙齿和颌骨最严重的病变之一。上颌咬颌位的普通放大微焦点X线摄影和微焦点放射成像,是评估骨缺损和再生过程的首选放射诊断方法。为研究再生过程,对52例年龄在10 - 16岁、患有牙槽突和硬腭先天性裂隙的患者在骨修复手术后进行了检查。使用来自下颌颏部的骨块、或松质髂嵴组织或生物复合材料来封闭上颌牙槽突骨缺损。应用普通放大X线摄影和微焦点放射成像评估术后早期和晚期的骨修复过程。术后1个月观察到骨整合的最初迹象;在采用下颌骨块作为自体移植的患者中检测到最活跃的过程。发现采用松质髂骨自体移植的患者在6个月和9个月时,在一些病例中出现了部分骨吸收。