hrvatski

Implanto-protetska terapija kod monoostotskog tipa fibrozne displazija – prikaz slučaja

Fibrous dysplasia is a benign progressive pathological bone condition where the fibrous tissue gradually expands and replaces the normal bone tissue. It shows a wide variability of symptoms depending on the type of the disorder (monostotic form, polyostotic form and McCune-Albright syndrome in which, along with bone involvement, pigmentation and endocrine disorders are present). We will present a case of a healthy patient who came to the Department of Oral Surgery for oral rehabilitation. Panoramic x ray revealed an abnormality located in the mandible. CBCT and biopsy revealed the fibrous dysplasia. The patient was referred to a radiological/endocrinological examination which excluded the existence of fibrous dysplasia in other bones, after which a monostotic form of fibrous dysplasia was diagnosed. Teeth 36 and 37 were extracted. Cases of successful implant-prosthetic treatment were reported in the available literature. After an informative conversation with the patient we decided to place dental implants in regions 36 and 46. Bego Semados implant 4, 1 x 11.5 mm was placed in the region 46 and ISQ value was measured after reaching the primary stability (83, 78). Bego Semados implants 4, 1 x 7 mm was placed in the region 36 and the buccal area augmented using collagen membrane and xenogeneic bone substitute. The covering screws were placed and the wound stitched with 4-0 silk. After 6 months the implants were opened using modified flaps to preserve and widen the height of the keratinized gingiva. Implants’ stability measured (ISQ 46-74, ISQ 36-84). One month after surgery metal ceramic crowns were made and control x-ray was taken.

koštana regeneracija ; augmentacija alveolarnog grebena ; koštani nadomjestni materijali

nije evidentirano

engleski

Implant-prosthetic therapy for monoostotic fibrous dysplasia – a case report

Fibrous dysplasia is a benign progressive pathological bone condition where the fibrous tissue gradually expands and replaces the normal bone tissue. It shows a wide variability of symptoms depending on the type of the disorder (monostotic form, polyostotic form and McCune-Albright syndrome in which, along with bone involvement, pigmentation and endocrine disorders are present). We will present a case of a healthy patient who came to the Department of Oral Surgery for oral rehabilitation. Panoramic x ray revealed an abnormality located in the mandible. CBCT and biopsy revealed the fibrous dysplasia. The patient was referred to a radiological/endocrinological examination which excluded the existence of fibrous dysplasia in other bones, after which a monostotic form of fibrous dysplasia was diagnosed. Teeth 36 and 37 were extracted. Cases of successful implant-prosthetic treatment were reported in the available literature. After an informative conversation with the patient we decided to place dental implants in regions 36 and 46. Bego Semados implant 4, 1 x 11.5 mm was placed in the region 46 and ISQ value was measured after reaching the primary stability (83, 78). Bego Semados implants 4, 1 x 7 mm was placed in the region 36 and the buccal area augmented using collagen membrane and xenogeneic bone substitute. The covering screws were placed and the wound stitched with 4-0 silk. After 6 months the implants were opened using modified flaps to preserve and widen the height of the keratinized gingiva. Implants’ stability measured (ISQ 46-74, ISQ 36-84). One month after surgery metal ceramic crowns were made and control x-ray was taken.

bone regeneration ; alveolar ridge augmentation ; bone substitutes

nije evidentirano