Treatment of patients with fracture of alveolar process

03-09-2009
Treatment of patients with fracture of alveolar process
Under the conduction anesthesia is necessary reponirovat otlomok and install it in the correct position. In this case the fingers is fixed and the health section of the alveolar process in order to make sure we do not further break the mucous membrane and periosteum, which is essential for the outcome of treatment. Immobilization of fragments can be accomplished through a smooth tire-bracket, if the undamaged portion of the alveolar process has a sufficient number of stable teeth (at least 2-3 on each side of the line of fracture). In the case of fracture of the lateral section of the alveolar process in the bus should be at least 4.5 stable teeth with intact side. Sometimes it is rational to impose additional chin sling. If the sides otlomlennogo area of the alveolar process has no teeth (or can not be used for the attachment of tooth wire bus), should produce a fast-hardening plastic zubonadesnevuyu bus. Center it have on the damaged alveolar process, and the side sections to form the basis of prosthesis – on both sides of it. Under the base tire drill through the undamaged portion of the alveolar process to the vestibular side of oral. In formed input channels nylon or wire ligatures, impose on reponirovanny alveolar bone bus and connect the ends of ligatures over her mouth in anticipation of [Shvyrkov MB, 1974]. 

Immobilization of alveolar bone fragments are usually carried out during the 5-7ned. If there was a complete separation of splinters, sharp edges should be smooth bone cutter, and the mucous membrane, mobilizing it to take in the tightly wound over the bone, ie to surgical treatment of bone injuries. If you take in the wound is not possible, it is closed gauze pad soaked in yodoformnoy mixture. First shift tampon produced by 7-8-th day. 

If the fracture line passes through the roots of teeth, fragments of consolidation often does not occur. This is due to poor blood supply of the fragment, since such close proximity to the gum line of the fracture edge, he is sclerotized to a considerable length. In addition, remove the broken root of the fragment broke off without any additional incisions and peeling mucous-periosteal flap is not always possible. This further worsens the microcirculation broken-off section of the alveolar process. Therefore a high probability of traumatic osteomyelitis and subsequent sequestration of it. Having said that, in this clinical situation rationally once a radical surgical treatment, similar to that of the full isolation of broken fragments. 


General therapy of patients with fracture of the alveolar process, including medication, aimed at prevention of complications of inflammatory nature and optimization of reparative osteogenesis, is shown in the relevant section of the monograph.

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14 enero, 2013PropdentalLlevamos haciendo este premndicieoto desde hace muchos af1os.Los implantes inmediatos se pueden colocar en el mismo alveolo de la extraccif3n del diente. La fanica diferencia con respecto a la te9cnica convencional es que se han de tener en cuenta una serie de factores biolf3gicos como la cicatrizacif3n postextraccif3n que siempre conlleva a una pequef1a reabsorcif3n de hueso ased como en la posicif3n en la que se debe colocar el implante en estos casos.Por lo deme1s son ventajas ya que nos permite evitar que la reabsorcif3n de hueso postextraccif3n sea mayor y tambie9n permite al paciente recuperar sus dientes al momento sin tener que esperar largos periodos de regeneracif3n y osteointegracif3n para tener su diente fijo.

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13 enero, 2013margarita clelia fenndraez ruizHola soy el Dr. Ricardo J. Benetre Becerra Cirujano Dentista para agradecerles por haber enviado esta informacion sobre los implantes,me gustaria saber desde cuando estan realizando este procedimiento porque justamente conversaba con un primo que tanbiem es odontologo y ha llevado un curso sobre implantes y yo le preguntaba si era posible realizar este procedimiento del cual no tenia el nombre exacto y el me respondio que no se podia porque no habia formacion de hueso y yo le dije pero si la cavidad ya esta y el implante podia colocarse y fijarse de alguna manera.bueno me despido y me gustaria me envien su resuesta y mas videos gracias.

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