Oral and Maxillo-facial Surgery
Oral and Maxillo-facial Surgery
Surgery and oral implantology have been developed in recent years as a result of patients demands for aesthetics. To achieve such an aesthetic result, have recourse increasingly on additions and reconstruction of soft and hard tissues. Although the general trend has been, and is still oriented to more extensive and sophisticated interventions, an elite group of specialists doctors developed a trend based on minimally invasive treatment concepts, biology and patient comfort. aesthetics ONE clinic is an excellence and training center for biological concept, minimally invasive open healing.
Alveolar bone ridge reconstruction by open healing method
Guided tissue regeneration is currently the most commonly used augmentation technique of alveolar bone ridge and refers to the use of a membrane covered by a tight sutured flap that separates and protects addition material from the oral cavity.
In the past 10 years, we have analyzed if the augmentation of the alveolar ridge using a resorbable collagen membrane which is deliberately left discovered without being covered by a flap, represents an alternative to the classical method of guided tissue regeneration by creating a better quality bone, but also by increasing patient comfort in daily practice.
Clinical analysis results provided a better perception on the scientific basis of minimal invasive approach using the open healing protocol, flapless implantation and reverse planning of the treatment, taking into account the observance of biological principles.
Socket preservation is the intraoperative treatment, performed immediately after tooth extraction and involves the “filling” of the post-extraction socket with an addition material. As described in professional literature, in the first two to three years following a tooth extraction, the adjacent bone to that area is reabsorbed in proportion of 40 to 65%. Unfortunately, simple tooth extraction without the use of addition procedures to maintaining bone volume is still widely practiced, resulting edentulous ridges being low and often inadequate for inserting an implant with a recommended minimum diameter.
Growth factors (PRGF - Endoret technology)
Endoret is biomedical technology dedicated to stimulating tissue regeneration, by applying the body’s own proteins. This provides the necessary isolation and concentration of blood proteins involved in tissue regeneration by direct application to the affected area, making it the most efficient technology used in oral surgery, being applied successfully in minimally invasive therapies performed in the aesthetic ONE clinic. Using growth factors (PRGF) contributes to a considerable increase in quality of life and postoperative comfort by decreasing inflammation and pain, partial or total removal of additional medication and reducing healing time.
Enlarging bone ridge therapeutically technique performed in clinical aesthetics ONE is the minimally invasive and biological treatment alternative for situations where the bone is too narrow to allow the insertion of a normal diameter implant. This technique involves inserting implants in the same treatment session, the volumetric stability thus obtained leading to good long-term osseointegration and also to the maximum comfort for the patient, and it does not require any other surgery or subsequent additions.
Loss of teeth in the lateral areas involves alveolar bone resorption and is often associated with increased volume of air into the sinus. In these circumstances, in order to insert implants of a suitable length, it is necessary to raise the sinus membrane completed or not by bone addition, depending on the local particularities identified in the 3D imaging investigations (CBCT – Cone Beam Computed Tomography). Whatever the case, the surgical approach is minimally invasive and implant insertion is made in the same session. The patient comfort is increased and healing is fast in case of strict observance of the post-operative behavior.