Case Report
OTOJEN DENTİN BLOK GREFTİ İLE ESTETİK BÖLGE KRET OGMENTASYONU ARDINDAN İMPLANT YERLEŞTİRME – BİR VAKA RAPORU
Abstract
Giriş: Eksik dişlerin yerine tercih edilen dental implantlar; travma, onkolojik hastalıklar, eksik dişler gibi etkenler nedeniyle meydana gelen dikey ve yatay kemik kayıplarında uygun şekilde yerleştirilemezler. Kaybedilen kemiği yeniden yapılandırmak için kemik arttırımına yönelik çeşitli teknikler kullanılır ve otojen kemik blokları, bu alanda altın standart olarak kabul edilir. Bu vaka raporu, otojen blok greftlerin uygulanmasına bir alternatif olarak, otojen dentin blok greft ile kemik arttırmayı amaçlamıştır.
Olgu: 28 yaşında sağlıklı erkek hastada, derin periodontal cep ve mobilite gösteren, yatay yönde sınıf III şiddetli atrofik krete sahip olan sağ üst birinci santral diş (11 numaralı diş) çekilmiş ve 20 yaş dişinden elde edilen dentin bloklar kullanılarak kalan kemik ogmente edilmiştir. Operasyondan 5 ay sonra operasyon sahasına implant yapılmıştır.
Sonuç: Uygulanan operasyon sonrası, ogmente soket içine yerleştirilen titanyum implantın iyi bir osseointegrasyon gösterdiği ve estetiğin iyi olduğu görülmüştür. Sunulan vakada otojen blok dentinin, implant tedavisi öncesinde alveolar sırtın korunması için otojen kemiğe bir alternatif olabileceği gösterilmiştir.
Keywords
References
- 1. Mahardawi B, Jiaranuchart S, Tompkins KA, Pimkhaokham A. Efficacy of the autogenous dentin graft for implant placement: a systematic review and meta- analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2022;52(5):604–12.
- 2. Buser D, Bornstein MM, Weber HP, Grütter L, Schmid B, Belser UC. Early Implant Placement With Simultaneous Guided Bone Regeneration Following Single-Tooth Extraction in the Esthetic Zone: A Cross- Sectional, Retrospective Study in 45 Subjects With a 2- to 4-Year Follow-Up. J Periodontol. 2008;79(9):1773–81.
- 3. Elraee L, Abdel Gaber HK, Elsayed HH, Adel-Khattab D. Autogenous dentin block versus bone block for horizontal alveolar ridge augmentation and staged implant placement: A randomized controlled clinical trial including histologic assessment. Clin Oral Implants Res. 2022;33(7):723–34.
- 4. Busenlechner D, Tangl S, Mair B, Fugger G, Gruber R, Redl H, et al. Simultaneous in vivo comparison of bone substitutes in a guided bone regeneration model. Biomaterials. 2008;29(22):3195–200.
- 5. Haas R, Haidvogl D, Dörtbudak O, Mailath G. Freeze-dried bone for maxillary sinus augmentation in sheep. Part II: Biomechanical findings. Clin Oral Implants Res. 2002;13(6):581–6.
- 6. Pohl V, Schuh C, Fischer M, Haas R. A New Method Using Autogenous Impacted Third Molars for Sinus Augmentation to Enhance Implant Treatment: Case Series with Preliminary Results of an Open, Prospective Longitudinal Study. Int J Oral Maxillofac Implants. 2016;31(3):622–30.
- 7. Emeka N, Neukam FW. Autogenous bone harvesting and grafting in advanced jaw resorption: Morbidity, resorption and implant survival. Eur J Oral Implantol. 2014;7(June):S203–17.
- 8. Schwarz F, Hazar D, Becker K, Sader R, Becker J. Efficacy of autogenous tooth roots for lateral alveolar ridge augmentation and staged implant placement. A prospective controlled clinical study. J Clin Periodontol. 2018;45(8):996–1004.
- 9. Andersson L. Dentin xenografts to experimental bone defects in rabbit tibia are ankylosed and undergo osseous replacement. Dent Traumatol. 2010;26(5):398–402.
- 10.Andrade C, Camino J, Nally M, Quirynen M, Martínez B, Pinto N. Combining autologous particulate dentin, L-PRF, and fibrinogen to create a matrix for predictable ridge preservation: a pilot clinical study. Clin Oral Investig. 2020;24(3):1151–60.
- 11.Kim Y-K, Lee J, Um I-W, Kim K-W, Murata M, Akazawa T, et al. Tooth-derived bone graft material. J Korean Assoc Oral Maxillofac Surg. 2013;39(3):103.
- 12.Goldberg M, Kulkarni AB, Young M, Boskey A. Dentin: Structure, composition and mineralization. Front Biosci - Elit. 2011;3 E(2):711–35.
- 13. Tolstunov L. Classification of the alveolar ridge width: Implant-driven treatment considerations for the horizontally deficient alveolar ridges. J Oral Implantol. 2014;40:365– 70.
- 14. Valdec S, Pasic P, Soltermann A, Thoma D, Stadlinger B, Rücker M. Alveolar ridge preservation with autologous particulated dentin—a case series. Int J Implant Dent. 2017;3(1).
- 15.Al-Asfour A, Andersson L, Kamal M, Joseph B. New bone formation around xenogenic dentin grafts to rabbit tibia marrow. Dent Traumatol. 2013;29(6):455–60.
- 16.Jensen AT, Jensen SS, Worsaae N. Complications related to bone augmentation procedures of localized defects in the alveolar ridge. A retrospective clinical study. Oral Maxillofac Surg. 2016;20(2):115–22.
- 17.Bormann KH, Suarez-Cunqueiro MM, Sinikovic B, Kampmann A, von See C, Tavassol F, et al. Dentin as a suitable bone substitute comparable to ß-TCP-an experimental study in mice. Microvasc Res. 2012;84(2):116–22.
- 18.Cervera-Maillo JM, Morales-Schwarz D, Morales-Melendez H, Mahesh L, Calvo- Guirado JL. Autologous Tooth Dentin Graft: A Retrospective Study in Humans. Med. 2022;58(1):1–12.
Year 2023,
Volume: 4 Issue: 2, 27 - 32, 02.01.2024
Abstract
References
- 1. Mahardawi B, Jiaranuchart S, Tompkins KA, Pimkhaokham A. Efficacy of the autogenous dentin graft for implant placement: a systematic review and meta- analysis of randomized controlled trials. Int J Oral Maxillofac Surg. 2022;52(5):604–12.
- 2. Buser D, Bornstein MM, Weber HP, Grütter L, Schmid B, Belser UC. Early Implant Placement With Simultaneous Guided Bone Regeneration Following Single-Tooth Extraction in the Esthetic Zone: A Cross- Sectional, Retrospective Study in 45 Subjects With a 2- to 4-Year Follow-Up. J Periodontol. 2008;79(9):1773–81.
- 3. Elraee L, Abdel Gaber HK, Elsayed HH, Adel-Khattab D. Autogenous dentin block versus bone block for horizontal alveolar ridge augmentation and staged implant placement: A randomized controlled clinical trial including histologic assessment. Clin Oral Implants Res. 2022;33(7):723–34.
- 4. Busenlechner D, Tangl S, Mair B, Fugger G, Gruber R, Redl H, et al. Simultaneous in vivo comparison of bone substitutes in a guided bone regeneration model. Biomaterials. 2008;29(22):3195–200.
- 5. Haas R, Haidvogl D, Dörtbudak O, Mailath G. Freeze-dried bone for maxillary sinus augmentation in sheep. Part II: Biomechanical findings. Clin Oral Implants Res. 2002;13(6):581–6.
- 6. Pohl V, Schuh C, Fischer M, Haas R. A New Method Using Autogenous Impacted Third Molars for Sinus Augmentation to Enhance Implant Treatment: Case Series with Preliminary Results of an Open, Prospective Longitudinal Study. Int J Oral Maxillofac Implants. 2016;31(3):622–30.
- 7. Emeka N, Neukam FW. Autogenous bone harvesting and grafting in advanced jaw resorption: Morbidity, resorption and implant survival. Eur J Oral Implantol. 2014;7(June):S203–17.
- 8. Schwarz F, Hazar D, Becker K, Sader R, Becker J. Efficacy of autogenous tooth roots for lateral alveolar ridge augmentation and staged implant placement. A prospective controlled clinical study. J Clin Periodontol. 2018;45(8):996–1004.
- 9. Andersson L. Dentin xenografts to experimental bone defects in rabbit tibia are ankylosed and undergo osseous replacement. Dent Traumatol. 2010;26(5):398–402.
- 10.Andrade C, Camino J, Nally M, Quirynen M, Martínez B, Pinto N. Combining autologous particulate dentin, L-PRF, and fibrinogen to create a matrix for predictable ridge preservation: a pilot clinical study. Clin Oral Investig. 2020;24(3):1151–60.
- 11.Kim Y-K, Lee J, Um I-W, Kim K-W, Murata M, Akazawa T, et al. Tooth-derived bone graft material. J Korean Assoc Oral Maxillofac Surg. 2013;39(3):103.
- 12.Goldberg M, Kulkarni AB, Young M, Boskey A. Dentin: Structure, composition and mineralization. Front Biosci - Elit. 2011;3 E(2):711–35.
- 13. Tolstunov L. Classification of the alveolar ridge width: Implant-driven treatment considerations for the horizontally deficient alveolar ridges. J Oral Implantol. 2014;40:365– 70.
- 14. Valdec S, Pasic P, Soltermann A, Thoma D, Stadlinger B, Rücker M. Alveolar ridge preservation with autologous particulated dentin—a case series. Int J Implant Dent. 2017;3(1).
- 15.Al-Asfour A, Andersson L, Kamal M, Joseph B. New bone formation around xenogenic dentin grafts to rabbit tibia marrow. Dent Traumatol. 2013;29(6):455–60.
- 16.Jensen AT, Jensen SS, Worsaae N. Complications related to bone augmentation procedures of localized defects in the alveolar ridge. A retrospective clinical study. Oral Maxillofac Surg. 2016;20(2):115–22.
- 17.Bormann KH, Suarez-Cunqueiro MM, Sinikovic B, Kampmann A, von See C, Tavassol F, et al. Dentin as a suitable bone substitute comparable to ß-TCP-an experimental study in mice. Microvasc Res. 2012;84(2):116–22.
- 18.Cervera-Maillo JM, Morales-Schwarz D, Morales-Melendez H, Mahesh L, Calvo- Guirado JL. Autologous Tooth Dentin Graft: A Retrospective Study in Humans. Med. 2022;58(1):1–12.
There are 18 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Periodontics |
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 2, 2024 |
| Submission Date | December 20, 2023 |
| Acceptance Date | December 28, 2023 |
| Published in Issue | Year 2023 Volume: 4 Issue: 2 |
