The aim of the investigation was to assess the efficacy of the 3D reconstruction of the alveolar bone by means of guided bone regeneration based on computer-assisted 3D planning using a resorbable dental membrane.Materials and Methods. 35 practically healthy patients without a marked concomitant somatic pathology with a diagnosis of "partial teeth loss complicated by alveolar bone atrophy" took part in the study. All patients underwent reconstructive operations to eliminate the defects and restore the alveolar bone volume using guided bone regeneration procedure and resorbable dental membranes. Planning and operations were performed according to the developed unified protocol including computer-assisted 3D operation planning and fabrication of intraoperative templates for dental membranes using 3D prototyping.Results. The developed method of computer-assisted 3D operation planning and fabrication of intraoperative templates for dental membranes using 3D prototyping has proved to be effective as it reduces the time of operative intervention, excludes the risk of forming a smaller membrane of inadequate shape, gives the required bone volume.Conclusion. The proposed method of computer-assisted 3D operation planning and fabrication of intraoperative templates for dental membranes using 3D prototyping allows surgeons to improve the precision of the guided bone regeneration operations, to diminish the intraoperative time of membrane adaptation, and avoid the possibility of its mispositioning. At the same time, application of the resorbable dental membrane increases the efficacy of the 3D alveolar bone reconstruction.
This review aims to analyze the domestic and foreign professional literature, and it shows the main positive and negative properties of the materials for the manufacture of membranes used in modern dental practice in bone-grafting interventions and guided tissue regeneration. Emphasis is placed on the importance of developing a new individual membrane made of polytetrafluorethylene, due to high relevance of such researches owing toreduce the risk of infection of surgical wounds and high degree of adaptation to the geometry of the bone defect.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.