Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology

Gingival recessions constitute serious limitations for effective interdisciplinary periodontal, orthodontic, and implant therapy. A proper bone morphology of the alveolar bone and soft tissues that cover it are interdependent. The regeneration procedures known to date are based on the use of autogen...

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Autores principales:	Marzena Dominiak, Sylwia Hnitecka, Cyprian Olchowy, Sebastian Dominiak, Tomasz Gedrange
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	allogeneic bone bone block bone reconstruction dehiscences gingival recessions mandibular reconstruction Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
Acceso en línea:	https://doaj.org/article/eb6854ef881a4dc9bca331bc2ea262ab
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spelling	oai:doaj.org-article:eb6854ef881a4dc9bca331bc2ea262ab2021-11-11T15:19:51ZPossible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology10.3390/app1121102992076-3417https://doaj.org/article/eb6854ef881a4dc9bca331bc2ea262ab2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3417/11/21/10299https://doaj.org/toc/2076-3417Gingival recessions constitute serious limitations for effective interdisciplinary periodontal, orthodontic, and implant therapy. A proper bone morphology of the alveolar bone and soft tissues that cover it are interdependent. The regeneration procedures known to date are based on the use of autogenous bone, or its allogeneic, xenogeneic, or alloplastic substitutes. These substitutes are characterized by different osteogenesis potentials. No effective procedure for three-dimensional bone reconstruction for cases in which there is dentition with recessions has been described to date, especially in its vertical dimension. This article presents the patented method of the three-dimensional bone reconstruction of the anterior mandible with preserved dentition when using an allogeneic bone block, and also includes a case report with a 2-year follow-up as an example. Based on clinical observations, it was stated that the intended therapeutic effect was achieved. There was no recession, shallowing of the vestibule, signs of inflammation, or pathological mobility of the teeth in the area undergoing reconstruction. The radiographic images revealed the formation of a new layer of cortical bone on the vestibular side and a certain volume of cancellous bone. No radiological demarcation zone of brightening, which indicates an incomplete adaptation, integration, and reconstruction of the bone block, was found.Marzena DominiakSylwia HniteckaCyprian OlchowySebastian DominiakTomasz GedrangeMDPI AGarticleallogeneic bonebone blockbone reconstructiondehiscencesgingival recessionsmandibular reconstructionTechnologyTEngineering (General). Civil engineering (General)TA1-2040Biology (General)QH301-705.5PhysicsQC1-999ChemistryQD1-999ENApplied Sciences, Vol 11, Iss 10299, p 10299 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	allogeneic bone bone block bone reconstruction dehiscences gingival recessions mandibular reconstruction Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999
spellingShingle	allogeneic bone bone block bone reconstruction dehiscences gingival recessions mandibular reconstruction Technology T Engineering (General). Civil engineering (General) TA1-2040 Biology (General) QH301-705.5 Physics QC1-999 Chemistry QD1-999 Marzena Dominiak Sylwia Hnitecka Cyprian Olchowy Sebastian Dominiak Tomasz Gedrange Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
description	Gingival recessions constitute serious limitations for effective interdisciplinary periodontal, orthodontic, and implant therapy. A proper bone morphology of the alveolar bone and soft tissues that cover it are interdependent. The regeneration procedures known to date are based on the use of autogenous bone, or its allogeneic, xenogeneic, or alloplastic substitutes. These substitutes are characterized by different osteogenesis potentials. No effective procedure for three-dimensional bone reconstruction for cases in which there is dentition with recessions has been described to date, especially in its vertical dimension. This article presents the patented method of the three-dimensional bone reconstruction of the anterior mandible with preserved dentition when using an allogeneic bone block, and also includes a case report with a 2-year follow-up as an example. Based on clinical observations, it was stated that the intended therapeutic effect was achieved. There was no recession, shallowing of the vestibule, signs of inflammation, or pathological mobility of the teeth in the area undergoing reconstruction. The radiographic images revealed the formation of a new layer of cortical bone on the vestibular side and a certain volume of cancellous bone. No radiological demarcation zone of brightening, which indicates an incomplete adaptation, integration, and reconstruction of the bone block, was found.
format	article
author	Marzena Dominiak Sylwia Hnitecka Cyprian Olchowy Sebastian Dominiak Tomasz Gedrange
author_facet	Marzena Dominiak Sylwia Hnitecka Cyprian Olchowy Sebastian Dominiak Tomasz Gedrange
author_sort	Marzena Dominiak
title	Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
title_short	Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
title_full	Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
title_fullStr	Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
title_full_unstemmed	Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology
title_sort	possible treatment of severe bone dehiscences based on 3d bone reconstruction—a description of treatment methodology
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/eb6854ef881a4dc9bca331bc2ea262ab
work_keys_str_mv	AT marzenadominiak possibletreatmentofseverebonedehiscencesbasedon3dbonereconstructionadescriptionoftreatmentmethodology AT sylwiahnitecka possibletreatmentofseverebonedehiscencesbasedon3dbonereconstructionadescriptionoftreatmentmethodology AT cyprianolchowy possibletreatmentofseverebonedehiscencesbasedon3dbonereconstructionadescriptionoftreatmentmethodology AT sebastiandominiak possibletreatmentofseverebonedehiscencesbasedon3dbonereconstructionadescriptionoftreatmentmethodology AT tomaszgedrange possibletreatmentofseverebonedehiscencesbasedon3dbonereconstructionadescriptionoftreatmentmethodology
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Possible Treatment of Severe Bone Dehiscences Based on 3D Bone Reconstruction—A Description of Treatment Methodology

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