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METHOD FOR DISTAL ALVEOLAR PROCESS OF UPPER JAW IN CHRONIC POLYPOUS MAXILLARY SINUSITIS

机译:慢性多发性上颌窦窦上颌远端牙槽突的治疗方法

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to surgical dentistry and maxillofacial surgery, and is applicable for an increase in the volume of the distal portion of the maxillary alveolar process in the patients with chronic polypous maxillary sinusitis. Autogenous bone chips are sampled in the trephine opening area and in the maxillary tuber in order to be added to the osteoplastic material to increase its osteogenic properties. Mucous membrane of the maxillary sinus is delaminated without disturbing the integrity and raising it to the required height. Perforation is performed to remove polyps from sinus. Lower part of the maxillary sinus mucous membrane is sutured on the upper bone wall through a boron-formed hole to reduce the size of the perforation. S-shaped arrangement of collagen membrane is performed to completely close the perforation. Allogenic cortical material is introduced into the upper subantral space to prevent further resorption of the newly formed bone tissue. Dental implantation is performed at bone height of 3 mm and simultaneously with width of alveolar process less than 6 mm of operation of intercortical splitting.;EFFECT: method enables the accessible and effective reconstruction of the maxillary alveolar process, the complex treatment, reduced length of rehabilitation of patients with no teeth and atrophy of distal portion of alveolar process of upper jaw in chronic maxillary polyposis sinusitis due to simultaneous sanitation of maxillary sinus, subantral augmentation, direct dental implantation with implants with micro-thread on the neck at residual bone height of 3 mm, use of osteoplastic xenotissue with autogenous shaving, as well as addition of allogenic cortical bone into upper layers.;3 cl, 18 dwg, 3 ex
机译:领域:药物:本发明涉及药物,即外科牙科和颌面外科手术,并且适用于增加慢性息肉上颌窦炎患者上颌牙槽突远端部分的体积。自环骨开口区域和上颌块茎中取样自体骨屑,以便添加到骨塑材料中以增加其成骨特性。上颌窦粘膜分层而不会影响其完整性并将其升高至所需高度。进行穿孔以去除鼻窦息肉。上颌窦粘膜的下部通过硼形成的孔缝合在上骨壁上,以减小穿孔的大小。进行S形胶原膜排列以完全闭合穿孔。将同种异体皮质材料引入上颌下腔,以防止新形成的骨组织进一步吸收。牙种植是在3 mm的骨高下进行的,同时牙槽突的宽度小于皮层间劈开术的6 mm .;效果:该方法能够轻松有效地重建上颌牙槽突,治疗复杂,缩短了长度慢性上颌窦息肉性鼻窦炎无牙齿和上颌牙槽突远端萎缩的患者的康复,原因是同时上颌窦卫生,下颌骨隆起,直接在牙齿上植入具有残余细牙高度的颈部微螺纹植入物3毫米,使用自体剃须的骨塑异种骨组织,以及在上层中添加同种异体皮质骨; 3 cl,18 dwg,3 ex

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