Avtor/Urednik | Žerdoner, Danijel; Konstantinović, Vitomir; Kansky, Andrej | |
Naslov | Kirurška priprava atrofične maksile za vsaditev dentalnih implantatov | |
Prevedeni naslov | Surgical correction of atrophic maxilla for insertion of endosseous dental implants | |
Tip | članek | |
Vir | Zdrav Vestn | |
Vol. in št. | Letnik 73, št. 4 | |
Leto izdaje | 2004 | |
Obseg | str. 265-8 | |
Jezik | slo | |
Abstrakt | Background. Alveolar process atrophy is a physiological process in edentulous patients that may heavily compromise the succes of dental prosthetic rehabilitation. This is particulary important for insertion of endosseous implants. Because of the direct vicinity of maxillary sinuses, implantation is often impossible without previous pre-prosthetic surgical intervention. Methods. Two types of pre-prosthetic surgical procedures are described and their relative advantages are discussed. An illustrative case report is presented, describing the patients problems, his treatment and clinical outcome. Conclusions. In cases when maxillary alveolar process atrophy is so severe that insertion of dental implants is impossible, surgical correction with sinus floor lift is necessary. In our institution, the results of this procedure are good. Good quality of the antral mucosa and normal anatomic shape of the maxillary sinuses are two prerequisites for its success. | |
Izvleček | Izhodišča. Atrofija zobiščnega nastavka po izgubi zob je fiziološki pojav, ki neugodno vpliva na kasnejšo stomatoprotetično rehabilitacijo. To je zlasti pomembno pri oskrbi manjkajočih zob z dentalnimi implantati. Neposredna bližina čeljustnih votlin v maksili pa v mnogih primerih brez pripravljalnega kirurškega posega vsaditev popolnoma onemogoči. Metode. Prikazana sta dva načina predimplantoloških operativnih posegov. Opisana je prednost enega in drugega. Prikazan je primer bolnika, njegove težave, potek in končni rezultat zdravljenja. Zaključki. Kadar je atrofija zobiščnega nastavka po izgubi zob v maksili tolikšna, da vsaditev dentalnih implantatov ni mogoča, jo s kirurško korekcijo dviga sinusnega dna ustrezno pripravimo. V naši ustanovi dosegamo s to metodo dobre rezultate, seveda z upoštevanjem zahtev po kakovostni antralni sluznici in normalnih anatomskih oblikah čeljustnih votlin. | |
Deskriptorji | ALVEOLAR BONE LOSS JAW, EDENTULOUS, PARTIALLY MAXILLA SURGERY, ORAL, PREPROSTHETIC DENTAL IMPLANTS ADULT |