FIELD: medicine.
SUBSTANCE: invention relates to surgical dentistry and can be applied for plasty of alveolar process of mandible in case of its atrophy. From vestibular side semi-oval incision of mucous membrane to bone is made, with base facing alveolar process apex. Two vertical saw cuts, perpendicular to alveolar process of mandible and passing through external and internal cortical layers, are made, after which made is horizontal saw cut, connecting vertical saw cuts and passing through external cortical layer and spongy part of bone to internal cortical layer. In zone of vertical saw cut installed is raspatory or osteotom and with rotatory movement bone fragment is lifted from vestibular side with infraction of internal cortical plate. In formed defect osteogenesis-stimulating biomaterial is introduced. Bone fragment is fixed to mandible by means of microplates and microscrews. From above zone of reconstruction is covered with resorbable membrane. Muco-periosteal flap is mobilised and placed on wound without tension. Wound is sewn tightly with knot sutures.
EFFECT: method allows to form bone, able to hold occlusion load on implant.
2 ex, 2 dwg
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Authors
Dates
2010-12-10—Published
2009-02-17—Filed