Velasquez P Vittorini, Falisi G, Galli M
MDS.
Oral Implantol (Rome). 2009 Oct;2(4):11-8. Epub 2010 May 25.
The implant supported rehabilitation of upper back sectors, sometimes, is conditioned to the pneumatization of the jawbone and so, reducing the possibility to apply the implants when the bone portion is inferior to 4 mm (important condition for the primary stability).The great rise of the jawbone and the simultaneous application of implants is, surely, the condition to have the best success guarantees compared to the only application of filling material.The surgical technologies used in the self bone grafts are various (Ilium crest, calvaria, fibula) and so also for implant applications.In this article we want to put in evidence a new technology in order to reduce at the minimum the invasive surgery of the removal and the patient morbidity.It has been executed a longitudinal study on 21 consecutive cases and illustrated by a clinical one; the success was of 94.5%. The advantages of this technique are: Functional and anatomical recovery of the jaw cavityImmediate application of implants with a thickness of remaining bone in fervor to 4 mm.Reduction of surgical timesReduced morbidity of the patientLocal an anesthesia.
上颌后部区域的种植体支持修复有时取决于颌骨的气化情况,因此,当骨量小于4mm时(这是实现初期稳定性的重要条件),种植体植入的可能性会降低。与仅使用填充材料相比,颌骨的大幅隆起以及同时植入种植体肯定是获得最佳成功保障的条件。自体骨移植所使用的外科技术多种多样(髂嵴、颅骨、腓骨),种植体植入也是如此。在本文中,我们想要展示一种新技术,以便将切除手术的侵入性和患者的发病率降至最低。我们对21例连续病例进行了纵向研究,并通过临床病例进行说明;成功率为94.5%。该技术的优点包括:颌骨腔的功能和解剖结构恢复;能立即植入种植体,剩余骨厚度可达4mm;手术时间缩短;患者发病率降低;局部麻醉。