Mesh : Humans Periosteum / surgery Sutures Bone Regeneration Dental Care Mouth, Edentulous

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Abstract:
Guided bone regeneration (GBR) requires a stable graft-membrane complex. This article presents a novel technique that uses membrane fixation screws to serve as anchors for membrane stabilization sutures without the need for periosteal dissection and biting of the buccoapical periosteum. This technique may be a viable alternative when there is a preference to avoid the complexities of periosteal suturing and direct membrane fixation using tacks or screws. The technique, which utilizes anchoring screws as mooring lines, can be used at the time of tooth extraction as well as for ridge augmentation of an edentulous site in preparation for future dental implant placement. Two case reports are presented that illustrate the feasibility of the technique, in which the integrity and stability of a resorbable membrane is preserved prior to final closure, suggesting that screws used as anchors for stabilization sutures might be a predictable option when addressing challenging horizontal defects requiring GBR.
摘要:
引导骨再生(GBR)需要稳定的移植膜复合物。本文介绍了一种新颖的技术,该技术使用膜固定螺钉作为膜稳定缝合线的锚固件,而无需进行骨膜解剖和骨根尖骨膜咬合。当倾向于避免使用大头钉或螺钉进行骨膜缝合和直接膜固定的复杂性时,该技术可能是可行的替代方法。技术,利用锚固螺钉作为系泊线,可以在拔牙时使用,也可以用于缺牙部位的隆脊,为将来的牙科植入物放置做准备。提供了两个病例报告,说明了该技术的可行性,其中在最终闭合之前保持可再吸收膜的完整性和稳定性,这表明,当解决需要GBR的具有挑战性的水平缺陷时,用作稳定缝线锚固的螺钉可能是可预测的选择。
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