MİKROPLAK DESTEKLİ KOMBİNE TEDAVİ PROTOKOLÜ İLE ALVEOL KRETİ OGMENTASYONU: OLGU SUNUMU

Yıl 2022, , 585 - 592, 24.08.2022

Nilay Çalıkoğlu , Ece İrem Ravalı , Ayfer Kaynar

https://doi.org/10.15311/selcukdentj.975958

Öz

Maksilla anterior bölgedeki alveolar kemik kaybı, estetik ve fonksiyonel beklentileri karşılayacak uygulamalar (protetik cerrahi / implant) açısından önemli bir sorundur. Kaybedilen kemiği geri kazanmak için yapılan cerrahi yöntemler arasında; alveolar splint osteotomi, otojen blok ile greftleme ve yönlendirilmiş doku rejenerasyonu (YDR) teknikleri sayılabilir. Ogmentasyon alanına gelen yumuşak doku basıncı, iyileşmeyi etkileyen faktörlerden biridir. Bu nedenle; estetik ve fonksiyonel olarak tatmin edici sonuçlara ulaşmak için yumuşak doku ve sert doku bir arada yönetilmelildir.
Bu olguda maksilla anterior bölgedenin ogmentasyon işlemi için; Önce hidrojel içerikli yumuşak doku genişleticilerle yumuşak doku yönlendirilmiştir. Ardından kemik dokunun genişletilmesi ve yeni oluşacak kemik doku üzerindeki basıncın azaltılması için pozisyonlandırılan mikroplakların tespitini takiben, plakla alveol kemiği arasında kalan boşlığa allogreft materyali ve trombositten zengin fibrin (PRF) uygulanmış, ayrıca mikroplak ve greftlerin üzerini örtmek amacıyla plateletten zengin fibrin (PRF) membran kullanılmıştır.

Anahtar Kelimeler

maksilla, alveol kreti ogmentasyonu, mikroplak, trombositten zengin fibrin, doku genişletici

Destekleyen Kurum

istanbul üniversitesi diş hekimliği fakültesi

Kaynakça

• 1. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington H v, Coulthard P. Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database of Systematic Reviews [Internet]. 2009 Oct 7 [cited 2021 Mar 23];2009(4). Available from: https://pubmed.ncbi.nlm.nih.gov/19821311/
• 2. Dimitriou R, Mataliotakis GI, Calori GM, Giannoudis P v. The role of barrier membranes for guided bone regeneration and restoration of large bone defects: Current experimental and clinical evidence [Internet]. Vol. 10, BMC Medicine. BMC Med; 2012 [cited 2021 Mar 23]. Available from: https://pubmed.ncbi.nlm.nih.gov/22834465/
• 3. Dimitriou R, Mataliotakis GI, Calori GM, Giannoudis P v. The role of barrier membranes for guided bone regeneration and restoration of large bone defects: Current experimental and clinical evidence [Internet]. Vol. 10, BMC Medicine. BMC Med; 2012 [cited 2021 Mar 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/22834465/
• 4. Knapen M, Gheldof D, Drion P, Layrolle P, Rompen E, Lambert F. Effect of leukocyte- and platelet-rich fibrin (L-PRF) on bone regeneration: A study in rabbits. Clinical Implant Dentistry and Related Research [Internet]. 2015 Jan 1 [cited 2021 Mar 23];17(S1):e143–52. Available from: https://pubmed.ncbi.nlm.nih.gov/24004245/
• 5. Lee JB, Lee JT, Hwang S, Choi JY, Rhyu IC, Yeo ISL. Leukocyte- and platelet-rich fibrin is an effective membrane for lateral ridge augmentation: An in vivo study using a canine model with surgically created defects. Journal of Periodontology [Internet]. 2020 Jan 1 [cited 2021 Mar 23];91(1):120–8. Available from: https://pubmed.ncbi.nlm.nih.gov/31353472/
• 6. Esposito M, Maghaireh H, Grusovin MG, Ziounas I, Worthington H v. Interventions for replacing missing teeth: management of soft tissues for dental implants. Cochrane Database of Systematic Reviews [Internet]. 2012 Feb 15 [cited 2021 Mar 23];2012(2). Available from: https://pubmed.ncbi.nlm.nih.gov/22336822/
• 7. Lim G, Lin G-H, Monje A, Chan H-L, Wang H-L. Wound Healing Complications Following Guided Bone Regeneration for Ridge Augmentation: A Systematic Review and Meta-Analysis. The International Journal of Oral & Maxillofacial Implants [Internet]. 2018 Jan [cited 2021 Mar 23];33(1):51–50. Available from: https://pubmed.ncbi.nlm.nih.gov/28938030/
• 8. Garcia J, Dodge A, Luepke P, Wang H-L, Kapila Y, Lin G-H. Effect of membrane exposure on guided bone regeneration: A systematic review and meta-analysis. Clinical oral implants research. 2018 Mar;29(3):328–38.
• 9. Wiese KG. Osmotically induced tissue expansion with hydrogels: a new dimension in tissue expansion? A preliminary report. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 1993 Oct;21(7):309–13.
• 10. Aludden HC, Mordenfeld A, Hallman M, Dahlin C, Jensen T. Lateral ridge augmentation with Bio-Oss alone or Bio-Oss mixed with particulate autogenous bone graft: a systematic review [Internet]. Vol. 46, International Journal of Oral and Maxillofacial Surgery. Churchill Livingstone; 2017 [cited 2021 Mar 26]. p. 1030–8. Available from: https://pubmed.ncbi.nlm.nih.gov/28366452/
• 11. Troeltzsch M, Troeltzsch M, Kauffmann P, Gruber R, Brockmeyer P, Moser N, et al. Clinical efficacy of grafting materials in alveolar ridge augmentation: A systematic review. Journal of Cranio-Maxillofacial Surgery [Internet]. 2016 Oct 1 [cited 2021 Mar 26];44(10):1618–29. Available from: https://pubmed.ncbi.nlm.nih.gov/27622971/
• 12. Starch-Jensen T, Becktor JP. Maxillary Alveolar Ridge Expansion with Split-Crest Technique Compared with Lateral Ridge Augmentation with Autogenous Bone Block Graft: a Systematic Review. Journal of Oral and Maxillofacial Research [Internet]. 2019 Dec 30 [cited 2021 Mar 26];10(4). Available from: https://pubmed.ncbi.nlm.nih.gov/32158526/
• 13. Jia-Hui Fu H-LW. Horizontal bone augmentation: the decision tree . International Journal of Periodontics & Restorative Dentistry [Internet]. 2011 [cited 2021 Mar 26];31(4):429–36. Available from: https://read.qxmd.com/read/21837309/horizontal-bone-augmentation-the-decision-tree
• 14. Sener, Ismail DDS, PhD; Arc, Selim DDS, PhDıı; Bereket, Cihan DDS, PhD; Tek, Mustafa DDS P. In Vitro Biomechanical Evaluation of Modified Plating Techniques for Bilateral Sagittal Split Ramus Osteotomy in Mandibular Advancement. Journal of Craniofacial Surgery. 2012;23(5):1573–6.
• 15. Raghoebar GM, Louwerse C, Kalk WWI, Vissink A. Morbidity of chin bone harvesting. Clinical Oral Implants Research [Internet]. 2001 [cited 2021 Mar 23];12(5):503–7. Available from: https://pubmed.ncbi.nlm.nih.gov/11564111/
• 16. Cordaro L, Amadè DS, Cordaro M. Clinical results of alveolar ridge augmentation with mandibular block bone grafts in partially edentulous patients prior to implant placement. Clinical Oral Implants Research [Internet]. 2002 Feb [cited 2021 Mar 23];13(1):103–11. Available from: https://pubmed.ncbi.nlm.nih.gov/12005140/
• 17. Aghaloo TL, Moy PK. Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement? The International journal of oral & maxillofacial implants. 2007;22 Suppl:49–70.
• 18. Garcia J, Dodge A, Luepke P, Wang HL, Kapila Y, Lin GH. Effect of membrane exposure on guided bone regeneration: A systematic review and meta-analysis [Internet]. Vol. 29, Clinical Oral Implants Research. Blackwell Munksgaard; 2018 [cited 2021 Mar 23]. p. 328–38. Available from: https://pubmed.ncbi.nlm.nih.gov/29368353/
• 19. Kaner D, Zhao H, Arnold W, Terheyden H, Friedmann A. Pre-augmentation soft tissue expansion improves scaffold-based vertical bone regeneration – a randomized study in dogs. Clinical Oral Implants Research [Internet]. 2017 Jun 1 [cited 2021 Mar 26];28(6):640–7. Available from: https://pubmed.ncbi.nlm.nih.gov/27145448/
• 20. von See C, Gellrich NC, Jachmann U, Laschke MW, Bormann KH, Rücker M. Bone augmentation after soft-tissue expansion using hydrogel expanders: Effects on microcirculation and osseointegration. Clinical Oral Implants Research [Internet]. 2010 Aug [cited 2021 Mar 23];21(8):842–7. Available from: https://pubmed.ncbi.nlm.nih.gov/20345382/
• 21. Abrahamsson P, Isaksson S, Andersson G. Guided bone generation in a rabbit mandible model after periosteal expansion with an osmotic tissue expander. Clinical Oral Implants Research [Internet]. 2011 Nov [cited 2021 Mar 26];22(11):1282–8. Available from: https://pubmed.ncbi.nlm.nih.gov/21985285/
• 22. Uijlenbroek HJJ, Liu Y, He JF, Visscher C, van Waas MAJ, Wismeyer D. Expanding soft tissue with Osmed® tissue expanders in the goat maxilla. Clinical Oral Implants Research [Internet]. 2011 Jan [cited 2021 Mar 26];22(1):121–8. Available from: https://pubmed.ncbi.nlm.nih.gov/20678133/
• 23. Oliveira MR, Silva A de C, Ferreira S, Avelino CC, Garcia IR, Mariano RC. Influence of the association between platelet-rich fibrin and bovine bone on bone regeneration. A histomorphometric study in the calvaria of rats. International Journal of Oral and Maxillofacial Surgery [Internet]. 2015 [cited 2021 Mar 26];44(5):649–55. Available from: https://pubmed.ncbi.nlm.nih.gov/25553712/
• 24. Kargarpour Z, Nasirzade J, Strauss FJ, di Summa F, Hasannia S, Müller HD, et al. Platelet-rich fibrin suppresses in vitro osteoclastogenesis. Journal of periodontology [Internet]. 2020 Mar 1 [cited 2021 Mar 26];91(3):413–21. Available from: https://pubmed.ncbi.nlm.nih.gov/31381154/