Zaragoza-Cisneros ML, Moreno-Vargas YA, Munive-Martínez MA

Idioma: Español
Referencias bibliográficas: 40
Paginas: 256-266
Archivo PDF: 376.65 Kb.

RESUMEN

Introducción: La implantología dental es un campo respaldado por evidencia científica y clínica cuya tasa de éxito es de 98%, siempre que se tenga una base ósea suficiente. La zona anterosuperior es una localización crucial, el objetivo del tratamiento se centra en funcionalidad y estética. Al presentarse un defecto horizontal de la cresta, se debe elegir bien el procedimiento, ya que pueden existir limitaciones y complicaciones. De ahí que la lámina ósea sea de reciente uso, la cual es una barrera de hueso cortical heterólogo de origen porcino. Objetivo: Evaluar el éxito de una ROG de un defecto óseo horizontal por medio del uso de lámina ósea en el sector anterosuperior previo a la colocación de implantes dentales. Material y métodos: Se presenta paciente femenino con defecto horizontal en el sector anterosuperior para colocación de implantes dentales. La técnica regenerativa de elección fue por medio de lámina ósea de tipo fino. Posteriormente, se valoró a la paciente a los cinco meses por medio de tomografía computarizada de haz cónico (TCHC) para valoración del área en aumento y planificación de los futuros implantes dentales. Resultados: Se observó un aumento óseo en la zona del OD 21 que fue: en apical 6.5 mm, medio de 5.9 mm y en crestal 4.6 mm. En la zona del OD 22 en apical fue de 6.9 mm, medio de 6 mm y en crestal de 5.6 mm. Conclusión: La lámina ósea parece ser capaz de cumplir los criterios de diseño específicos de una ROG para la reconstrucción de defectos horizontales en el sector anterosuperior, evitando las desventajas y complicaciones de las técnicas alternativas reportadas en la literatura.

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