| 摘要 |
A method for dental implantation using local tissues by simultaneous bone grafting, in which, after the anesthesia on the crest of the alveolar process mucosal incision of the periosteum is carried, kept under angle, which limits the dentition defect, muco- periosteal flap is peeled off in the direction of tongue and direction of the cheek at a distance of 1-2 mm in the bone of the crest, the vertical osteotomy is performed in the projection area, which limits the defect of dentition recede from teeth 1.5 mm, directed to the vestibular periosteum, then line osteotomy is performed to the alveolar ridge, which connects previously created vertical channels bone (osteotomy depth should be at least 6 mm, if necessary, osteotomy is repeated, leaving the bone plate width not less than 3 mm), bone fragments together with the mucosa and periosteum are separated from the crest of the alveolar process, leaving a fragmented cortical plate in mucoperiosteal flaps form the bone bed for the implant, implant is set with gingiva shaper fitted so that when overlapping mucoperiosteal - bone graft, it holds the flap in the projection of papillae adjacent teeth, bone defect region, the uncoated portion of the implant and bone shaper, bone plastic cover material is left free with end portion of gingiva shaper only, mucoperiosteal bone fragment covers the wound so that one of the bone plate is located at the end of gingiva shaper, the wound is sutured . |
