USE OF PTFE MEMBRANES AND TITANIUM MESH IN VERTICAL BONE AUGMENTATION

Öz

Inadequate alveolar bone height and width, which is a common problem in the field of implant surgery, is caused by trauma, tooth extraction or age-related changes. To achieve a predictable and successful outcome in terms of aesthetics and function, adequate volume and quality of alveolar bone are required. Augmentation techniques are employed to increase the thickness and width of the existing alveolar bone. Commonly preferred augmentation methods include ridge split osteotomy, distraction osteogenesis, block grafts harvested from intraoral or extraoral sites, the use of resorbable and non-resorbable membranes, or guided bone regeneration with titanium mesh. Various membranes are available for use in hard tissue augmentation. Each membrane has advantages and disadvantages. The properties, benefits and limitations of membranes need to be understood in order to make the most appropriate choice for the clinical application. Recently, systematic reviews on the effectiveness of vertical ridge augmentation using different techniques have confirmed that guided bone regeneration is the most predictable approach for increasing bone volume for implant and prosthetic restorations. Many authors consider autogenous bone grafts to be the gold standard for alveolar bone augmentation applications due to their osteogenic, osteoinductive, and osteoconductive properties. The technique of harvesting autogenous grafts requires sensitivity and a lot of complications may result during surgery. In addition, pain, infection, bleeding and prolonged surgical operation time are common. The risks associated with the use of autogenous bone have forced researchers to find alternative materials. The aim of this review is to understand the physical properties of non-resorbable materials used in alveolar bone augmentation procedures, discuss their advantages and disadvantages, and examine related materials.

Anahtar Kelimeler

• Guided bone regeneration
• PTFE membrane
• Non-resorbable membrane
• Vertical ridge augmentation
• Autogenous bone

VERTİKAL KEMİK OGMENTASYONUNDA PTFE MEMBRANLAR VE TİTANYUM MESH KULLANIMI

Öz

İmplant cerrahisi alanında yaygın bir sorun olarak karşımıza çıkan, yetersiz alveolar kemik miktarı; travma, diş çekimi veya yaşa bağlı değişiklikler nedeniyle meydana gelmektedir. İmplant tedavilerinde estetik ve fonksiyon açısından öngörülebilir, başarılı bir sonuç elde etmek için yeterli hacim ve kalitede alveoler kemik bulunması gerekmektedir. Mevcut alveoler kemiğin kalınlığını ve genişliğini arttırmak amacıyla çeşitli ogmentasyon yöntemlerine başvurulmaktadır. Kret split osteotomisi, distraksiyon osteogenezisi, intraoral veya ekstraoral bölgelerden alınan blok greftler, rezorbe olan ve olmayan membranların kullanımı veya titanyum mesh ile yönlendirilmiş kemik rejenerasyonu (YKR) en sık tercih edilen ogmentasyon yöntemlerindendir. Sert doku ogmentasyonunda çeşitli membranlar kullanılmaktadır. Her membranın avantajları ve dezavantajları bulunmaktadır. Klinik uygulamadaki gereksinime en uygun seçimin yapılması için membranların özellikleri, sağladıkları faydalar ve sınırlamaların anlaşılması gerekmektedir. Son zamanlarda yapılan sistematik incelemeler, vertikal kret ogmentasyonunun kemik hacmini artırmaya yönelik en öngörülebilir yaklaşım olduğunu doğrulamıştır. Çeşitli yazarlar osteojenik, osteoindüktif ve osteokondüktif özelliklerinden dolayı, alveoler kemik ogmentasyonu uygulamaları için otojen kemik greftlerinin kullanımının altın standart olduğunu düşünmektedir. Otojen greftlerin elde edilme tekniği hassasiyet gerektirmekte ve cerrahi esnasında birtakım komplikasyonlar oluşabilmektedir. Buna ek olarak ağrı, enfeksiyon, kanama görülmekte ve cerrahi operasyon süresi uzamaktadır. Otojen kemiğin kullanımıyla ilişkili riskler araştırmacıları alternatif materyaller bulmaya zorlamıştır. Bu derlemenin amacı, alveoler kemik ogmentasyonu prosedürlerinde kullanılan rezorbe olmayan materyallerin fiziksel özelliklerinin kavranması, avantaj ve dezavantajlarının tartışılması ve ilgili materyallerin incelenmesidir.

Anahtar Kelimeler

• Yönlendirilmiş Kemik Rejenerasyonu
• PTFE membran
• Rezorbe olmayan membran
• vertikal kret ogmentasyonu
• Otojen Kemik

Kaynakça

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