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Reconstructive surgery of defects of the bones of the facial skeleton using calcium phosphate ceramics

Abstract

Bone defects in the jaw that remain after removal of foci of chronic odontogenic infection, cysts, benign neoplasms, sequesters, reduce the strength of the bone structure, worsen the functioning of the teeth, lead to a violation of the chewing act, noticeably prolong the recovery time of the alveolar processes, complicate, and often make impossible functional prosthetics.

Aim of the study – analysis of the long-term results of the use of calcium–phosphate ceramics in outpatient surgical practice.

Objects and methods. Clinical studies were conducted on 174 patients operated on with the use of calcium phosphate ceramics «KAFAM» for tumor-like formations, root cysts, and retained teeth. When planning surgical intervention, we individually selected the desired form of implantation material for each patient, depending on the shape and size of the defect.

Results. Analysis of the long-term results of the effectiveness of the use of calcium–phosphate ceramics «KAFAM» was objectively evaluated according to the data of radiation research methods. Long-term results were traced in 42 (24.1%) of 174 patients. Comparative X-ray examination of patients with bone postoperative defects showed complete filling of the defects with bone regenerate. In the long-term, in patients at the site of the former defects, mature bone tissue was determined radiographically, which did not visually differ from the surrounding bone tissue.

Conclusion. The use of bioactive bone-replacing material of calcium phosphate ceramics in surgical treatment allows you to fill in bone defects in the alveolar process of the jaw, stabilize and maximize the functionality of the teeth in the field of surgical intervention and thereby increase the effectiveness of complex treatment.

About the Author

V. L. Evtuhov
УО «Белорусский государственный медицинский университет»
Belarus


References

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For citations:


Evtuhov V.L. Reconstructive surgery of defects of the bones of the facial skeleton using calcium phosphate ceramics. Military Medicine. 2020;(3):85-88. (In Russ.)

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ISSN 2074-5044 (Print)