A method of dentoalveolar reconstruction using a manual, impact-free mucotome-osteotome device for harvesting a three-layer autograft from the maxillary tuberosity during immediate dental implantation

Claims

A method of dentoalveolar reconstruction using the developed manual impact-free device mucotome-osteotome for collecting a three-layer autograft from the tuberosity of the upper jaw during immediate dental implantation, characterized in that after local anesthesia of the area of ​​the tooth to be removed and the donor area of ​​the tuberosity of the upper jaw, then a low-traumatic extraction of the tooth is carried out and a navigation surgical template is installed, bone tissue is prepared to create a bed for the dental implant, the navigation template is removed and a three-layer autograft is collected from the tuberosity of the upper jaw (triple graft) using a manual impact-free device mucotome-osteotome with reciprocal movements of the hand, applying moderate force and controlling the advancement of the working part of the instrument, sutures are applied in the donor area to preserve the blood clot,On a sterile wooden spatula or glass slide, the epithelial layer is excised using a 15C scalpel, then a three-layer autograft is adapted from the maxillary tubercle into the fenestration of the socket of the extracted tooth with a soft tissue component coronally, then a dental implant is installed, additionally immobilizing (“wedging”) the graft between the body of the implant and the vestibular residual bone, after which the required height and width of the gingival cuff former are selected, a scanned abutment is installed and the installed dental implant is scanned to obtain an STL file, after scanning, a gingival former is installed for the time of modeling and milling of the temporary orthopedic structure, the resulting STL file is sent to a digital dental laboratory, where a temporary orthopedic structure is modeled in a special program,As it is being manufactured, the gum former is removed and a temporary orthopedic structure is installed on a screw fixation with a force of 15 N / cm; permanent prosthetics are carried out 2-3 months after the final integration of the implant.