Dott.re Giuseppe Spinelli

Autologous maxillary bone grafts

AUTOLOGOUS MAXILLARY BONE GRAFTS

Reconstructive surgery

With a graft bone intervention (or transplantation) the goal is in increasing the amount of maxillary and / or mandibular bone tissue to allow the implants insertion and a following fixed prostheses is made where, for the diminished amount of bone would be possible only the realization of conventional removable dentures

Description: Increasing bone quantity in the maxillary or the jaw.

Anesthesia: Local anesthesia with sedation in d.h. At specific request of pc. surgery under general anesthesia can be performed, and/or one night stay in the clinic.

Guarigione: 3-4 days to return to normal life 3-6 months to complete otseointegration.

La soluzione terapeutica per questo tipo di squilibri è rappresentata da un trattamento combinato chirurgico-ortodontico: viene infatti previsto un trattamento ortodontico preventivo che predisporrà gli elementi dentali al successivo spostamento chirurgico dei mascellari.

Attraverso un intervento di chirurgia ortognatica si può ottenere un miglioramento dal punto di vista funzionale, ossia della masticazione, poiché viene corretta l’occlusione, sia un miglioramento dell’estetica globale del viso poiché vengono corrette le alterazioni dei reciproci rapporti tra i vari componenti dello scheletro facciale. A questo stesso tipo di intervento possono essere associati anche altri interventi di chirurgia estetica quali la rinoplastica, blefaroplastica, mentoplastica.

THE SURGERY

The surgery involves the removal of a certain amount of bone tissue, its shaping and fixing in the area where this is lacking. Normally autologous bone donor centers, or of the patient himself, are the posterior region of the mandible or chin. Removal from extra-oral locations is carried out in cases where it is necessary to use greater amounts of bone tissue, usually the cranial theca

DURATION OF SURGERY

In case of graft taken from intra-oral location, surgery lasts about an ‘hour and can be performed on an outpatient regime, under local anesthesia combined with conscious sedation or in cases where it is requested by the patient under general anesthesia. In cases where it is necessary to recure to extra-oral location the surgery is performed in the operating room under general anesthesia. The duration varies from one to two hours, depending on the complexity of the case.

HEALING

On bone graft places slight swelling may be present in the days following surgery, the donor sites will be swelling for 5-6 days after surgery. After about 6 days after surgery you can resume normal work activities. It takes from 3 to 6 months to allow the full integration of the grafted bone and to be able to insert implants.