European Journal of Musculoskeletal Diseases 2016; 5(1)Jan-Jun:23-27
CASE REPORT
THE VERSATILITY OF REGENERATION THROUGH ATROPHIC RIDGES OF ABSORBABLE CURVED CORTICAL LAMINAE: SURGICAL TECHNIQUES
M.A. Lopez
Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology, University Polyclinic Foundation, A. Gemelli IRCCS-Catholic University of the Sacro Cuore, Rome, Italy
Correspondence to:
Dr Michele Antonio Lopez, DDS
Department of Head and Neck and Sensory Organs, Division of Oral Surgery and Implantology,
Fondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore,
00168 Rome, Italy
e-mail: micheleantonio.lopez@gmail.com
ABSTRACT
In regenerative surgery, patients with severe bone atrophy are often forced to operate due to site infections, severe periodontitis and peri-implantitis. Therefore, the need to have versatile techniques becomes essential to solve complex cases in which it is necessary to obtain graft stability, even in complex sites. In this work, a technique is proposed that uses of a curved heterologous cortical lamina which has the characteristic of adapting to the defect and reaching the two mesial and distal peaks containing a graft of pre-hydrated and collagenated granules which will subsequently be reabsorbed and turned into bone. The excellent vascularization of the graft combined with the integration of the lamina that must not be removed allows us to propose this technique as a potential alternative to those used.
KEYWORDS: bone, atrophy, regenerative surgery, implant