关键词: Bone defects GBR Guided bone regeneration Horizontal ridge augmentation Severe bone loss Vertical ridge augmentation

来  源:   DOI:10.1016/j.ijscr.2024.110146   PDF(Pubmed)

Abstract:
UNASSIGNED: Surgical intervention is necessary to address significant three-dimensional bone loss in the posterior mandibular alveolar ridge when implants are planned, and primary stability cannot be achieved due to anatomical limitations. The objective of this study is to elucidate the surgical procedures for reconstructing significant bone loss in the posterior mandibular region and to present the outcomes and insights gained from this clinical case.
METHODS: A 42-year-old woman exhibited first lower molar loss, significant movement of the second molar, and severe bone loss at the same site. Vertical and horizontal bone augmentation was performed to enable the restoration of teeth loss by inserting dental implants.
UNASSIGNED: Significant bone loss poses a great limitation in replacing missing teeth, particularly in the posterior mandible, given anatomical constraints. Therefore, it is essential to establish an adequate amount of bone to ensure primary stability for the implants.
CONCLUSIONS: This clinical case demonstrates a restoration technique of severe bone loss in the posterior mandible to enable stable dental implant placement, highlighting the importance of combining vertical and horizontal augmentation to overcome anatomical limitations and ensure primary stability.
摘要:
在计划植入时,必须进行手术干预,以解决下颌后牙槽脊中明显的三维骨质流失,和主要的稳定性不能实现由于解剖学的限制。这项研究的目的是阐明重建下颌后部区域明显骨丢失的外科手术方法,并介绍从该临床病例中获得的结果和见解。
方法:一名42岁的女性表现出第一下磨牙脱落,第二磨牙的显著运动,以及同一部位的严重骨质流失。进行垂直和水平骨增强,以通过插入牙种植体来恢复牙齿缺失。
显著的骨丢失对替换缺失的牙齿有很大的限制,特别是在后下颌骨,给定解剖学约束。因此,必须建立足够的骨量以确保植入物的主要稳定性。
结论:该临床病例证明了一种在后下颌骨中严重骨丢失的修复技术,以实现稳定的牙种植体放置,强调垂直和水平增强相结合的重要性,以克服解剖学的局限性,并确保主要的稳定性。
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