Institutional Repository in Medical Sciences
(IRMS – Nicolae Testemițanu SUMPh)

The minimal-invasive aproach in iliac crest harvesting for alveolar bone reconstruction in the context of implantprosthetic rehabilitation. Case report

Show simple item record

dc.contributor.author Ghetiu, Alexandru
dc.date.accessioned 2020-07-04T05:54:07Z
dc.date.available 2020-07-04T05:54:07Z
dc.date.issued 2018
dc.identifier.citation GHETIU, Alexandru. The minimal-invasive aproach in iliac crest harvesting for alveolar bone reconstruction in the context of implantprosthetic rehabilitation. Case report. In: MedEspera: the 7th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2018, p. 214-215. en_US
dc.identifier.uri https://medespera.asr.md/wp-content/uploads/Abastract-Book-2018.pdf
dc.identifier.uri http://repository.usmf.md/handle/20.500.12710/10912
dc.description Department of Oral and Maxillo-facial Surgery and Oral Implantology Arsenie Guțan, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova. en_US
dc.description.abstract Background. The implant-prosthetic rehabilitation in conditions of bone atrophy supposes a bone augmentation surgery with biomaterials of various origins. The optimal mixture of grafting material is considered to be a mixture of 50/50% of autogenous and xenogenic bone. Often the necessary quantity of autogenous graft is difficult or impossible to harvest from intraoral sites. The iliac crest represents a very important bank of bone tissue for reconstructions, from quantitative and qualitative points of view. The classic method of iliac crest bone harvesting consists in making of an extended incision, of 5-7 cm, with its dissection and exposure, in order to harvest the cortico-cancelous blocks, used in the reconstruction itself or milled. This invasive method has an increased risk of complications such as pain, gait disturbance, sensitivity disorders, hernia of abdominal organs, hematoma, iliac crest fracture etc. Aim of the study. Evaluation of minimally- invasive method of harvesting the cortico-cancelous graft from iliac crest with using cylindrical device. Case report. The study was axed on a patient of 34 years old, who suffered an accidental fall trauma at the age of 22, resulted in avulsion of superior incisors with horizontal and vertical defect of alveolar bone. To restore the defect, a bone augmentation using GBR technique with particulated autogenic and xenogenic grafting material has been performed, in relation of 50/50%, 7 cm3 in volume. The autograft, harvested from iliac crest with minimally- invasive approach, was particulated in bone-mill. For the graft stabilization, a resorbable membrane fixed with screws was used. Results. The wound healing in receptor site took place in conventional terms, without peculiarities, but on the donor site a faster healing and an insignificant scar formation has been noticed. The clinical and radiological examination (panoramic X-ray, CBCT) at 3 month postoperative period showed a good bone volume formation, absence of complications both on the donor and receptor sites. The advantage of the used method comparatively to the classical one consists in following: the incision line reduction, limited decolation with minimal trauma of soft tissues; directed bone graft harvesting in the inter-cortical space, that has reduced the traumatic impact on iliac crest, avoided fracture, hematoma, peritoneum perforation or abdominal organs hernia. By this way, the morbidity of donor site has been significantly reduced and allowed early rehabilitation of the patient. Conclusions. The minimally- invasive method of iliac crest bone harvesting is easy and rapid, well-accepted by the patient and with good results and reduced morbidity en_US
dc.language.iso en en_US
dc.publisher MedEspera en_US
dc.subject autogenous bone en_US
dc.subject GBR- Guided Bone Regeneration en_US
dc.subject minimally- invasive en_US
dc.title The minimal-invasive aproach in iliac crest harvesting for alveolar bone reconstruction in the context of implantprosthetic rehabilitation. Case report en_US
dc.type Article en_US


Files in this item

This item appears in the following Collection(s)

  • MedEspera 2018
    The 7th International Medical Congress for Students and Young Doctors, May 3-5, 2018

Show simple item record

Search DSpace


Advanced Search

Browse

My Account

Statistics