Current state of conventional vertical bone regeneration vs with titanium occlusive barriersliterature review

Zulay Palima González, Makhlouf Maklouf Jessika, Márquez Bogarin Carlos Alberto
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Abstract

Introduction: The alveolar bone is part of a specialized structure of the bones of the face, specifically the maxilla and mandible, this being the main support for the teeth, which is composed of cortical bones that form the vestibular and palatine walls and lingual. It is also made up of spongy bone, within it there are numerous medullary perforations, being smaller in the cortex. The alveolus is subject to continuous changes that are produced by dental eruption, chewing and a variety of periodontal diseases that can influence its constant remodeling. Materials and methods: An electronic search was carried out to provide support and justification for this literature review. This bibliographic search was carried out in the Pubmed / Medline, Science Direct and Scielo databases of scientific articles published in English, which had the objective of describing the bone remodeling processes that occur in the alveolar bone after dental loss and the possible treatments for vertical bone regeneration that can be provided to the patient for the subsequent placement of the dental implant. Results: Of the different conventional vertical bone augmentation techniques described in the literature over the years, CAD/CAM titanium meshes are the ones that present the highest percentage of gain. Likewise, greater bone gain was observed combined with collagen membranes than without them. Distraction osteogenesis presented a lower percentage of gain, followed by guided bone regeneration with non-resorbable membrane and, finally, the onlay or bone block graft technique. However, with the recent appearance of titanium occlusive barriers, the literature reports the highest percentage of gain. Conclusions: Regarding complications, we can conclude that distraction osteogenesis and block bone grafts are those that obtained the highest complication rate, followed by CAD/CAM titanium meshes and non-resorbable membranes.
传统垂直骨再生与钛合金闭塞屏障的对比现状文献综述
简介牙槽骨是面部骨骼(特别是上颌骨和下颌骨)特殊结构的一部分,是牙齿的主要支撑,由皮质骨组成,形成前庭壁、腭壁和舌骨。它也由海绵状骨构成,内部有许多髓质穿孔,在皮质中较小。牙槽骨受牙齿萌出、咀嚼和各种牙周疾病的影响而不断发生变化,从而影响其不断重塑。材料和方法:我们进行了一次电子检索,为本文献综述提供支持和依据。该文献检索在 Pubmed/Medline、Science Direct 和 Scielo 数据库中对以英文发表的科学文章进行了检索,目的是描述牙齿缺失后牙槽骨的骨重塑过程,以及为患者提供垂直骨再生的可能治疗方法,以便随后植入种植牙。结果:多年来,文献中描述了不同的传统垂直骨增量技术,其中 CAD/CAM 钛网增量比例最高。同样,结合胶原蛋白膜的骨增量也比不结合胶原蛋白膜的高。牵引成骨技术的骨增量比例较低,其次是使用不可吸收膜的引导骨再生技术,最后是嵌体或骨块移植技术。然而,随着最近钛闭塞屏障的出现,文献报道的增益百分比最高。结论:关于并发症,我们可以得出这样的结论:牵张成骨和块状骨移植的并发症发生率最高,其次是 CAD/CAM 钛网和非吸收膜。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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