New Bone Formation during Horizontal Alveolar Distraction Osteogenesis

Yıl 2020, Cilt: 6 Sayı: 3, 1 - 7, 31.12.2020

Abdulkareem Almarrawi

Öz

Distraction osteogenesis is a method of generating new bone following an osteotomy and gradual distraction. It presents an alternative procedure for the augmentation of atrophic alveolar bone before inserting dental implants. The present study evaluates the bone formation during horizontal alveolar distraction osteogenesis used to expand the edentulous narrow ridges in the posterior region of the mandible. A total of 7 patients with an edentulous narrow alveolar bone ridge in the posterior mandibular region were included in the present study, horizontal alveolar distraction osteogenesis technique was applied to increase the width of alveolar bone. After 4 months of surgery at the time of implants insertion, 7 biopsies (one from each patient) of the regenerative zone were taken with trephine burr for histological analysis.The histological study showed that the interzone was bounded on either side by areas of bone formation that originated from the host bone margins. The newly formed bone consisted of woven bone reinforced by lamellar bone with the presence of bone marrow spaces in the newly formed bone. The activity of the osteoblast differentiation was good to excellent in 6 samples, and poor with intense vascular congestion and inflammation in one sample.Horizontal alveolar distraction osteogenesis successfully inducing the bone formation, and is a reliable technique to expand the narrow alveolar bone.

Anahtar Kelimeler

narrow alveolar ridge, Horizontal alveolar distraction osteogenesis, bone formation, histology

Yatay Alveoler Distraksiyon Osteogenezi Tekniğinde Yeni Kemik Oluşumu

Öz

Distraksiyon osteogenezi, bir osteotomi ve aşamalı traksiyon sonrası yeni kemik üretme yöntemidir. Dental implantları yerleştirmeden önce atrofik alveoler kemiğin büyütülmesi için alternatif bir teknik sunar. Bu çalışmada, mandibulanın posterior bölgesindeki dişsiz dar sırtları genişletmek için kullanılan yatay alveolar, distraksiyon osteogenezi sırasında kemik oluşumunu değerlendirir.Posterior mandibular bölgesinde, dişsiz ve dar alveolar kemik sırtına sahip toplam 7 hasta çalışmaya dahil edildi. Alveolar kemiğin genişliğini arttırmak için yatay alveoler distraksiyon osteogenez tekniği uygulandı. İmplantların yerleştirildiği ameliyattan 4 ay sonra, Rejeneratif bölgenin biyopsisi (her hastadan bir tane) histolojik analiz için trefin burr ile alındı.Histolojik çalışma, interzonun her iki tarafından kemik oluşumu ile sınırlandığını (kemik olusumu konak kemik sınırlarından kaynaklanır) göstermiştir. Yeni oluşan kemik, lamel kemiği ile güçlendirilmiş dokuma kemikten oluşuyordu ve yeni oluşan kemikte kemik iliği boşlukları tespit edildi. 6 biyopside osteoblast farklılaşmasının etkinliği iyi ila mükemmel arasındaydı, 1 biyopside ise osteoblast farklılaşmasının etkinligi zayif ayrica yoğun vasküler konjesyon ve inflamasyon vardi. Yatay alveoler distraksiyon osteogenezi, kemik oluşumunu başarılı bir şekilde indükler ve dar alveolar kemiği genişletmek için güvenilir bir tekniktir.

Anahtar Kelimeler

dar alveolar sırt, Yatay alveoler distraksiyon osteogenezi, kemik oluşumu, histoloji

Kaynakça

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