RESUMO
Sixty-three patients with inadequate topography of the edentulous ridge were treated with mandibular ramus/body grafts to allow for the placement of endosseous implants. After 4 months of osseous healing, 187 implants were placed in the grafted sites. The mandibular ramus/body grafts remained viable regardless of the age or the extent of alveolar resorption in the patients treated. The ease of harvesting this graft in the office setting, its long-term resistance to resorption, and minimal postoperative morbidity makes this a viable intraoral donor site for horizontal alveolar augmentation.
Assuntos
Aumento do Rebordo Alveolar/métodos , Transplante Ósseo/métodos , Implantação Dentária Endóssea , Implantes Dentários , Mandíbula/cirurgia , Fatores Etários , Matriz Óssea/transplante , Reabsorção Óssea/cirurgia , Parafusos Ósseos , Substitutos Ósseos/uso terapêutico , Feminino , Seguimentos , Sobrevivência de Enxerto , Humanos , Arcada Edêntula/reabilitação , Arcada Edêntula/cirurgia , Masculino , Minerais/uso terapêutico , Osseointegração , Osteotomia/instrumentação , Osteotomia/métodos , Periodonto/cirurgia , CicatrizaçãoRESUMO
This case report emphasizes: aggressive HIV-related periodontal lesions can be managed by general practitioners using standard scaling and root planing procedures in combination with proper antibiotic and antimicrobial pharmaceuticals; these lesions can be managed over long periods of time with adequate home care and professional recall; motivation from both the dental team and the patient can translate into a very rewarding result which can improve the quality of life for persons who experience the extreme consequences of HIV-associated dental disease.