Surgical Procedures in the Treatment of Large Osseous Cavities of the JawsReportar como inadecuado

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Acta stomatologica Croatica, Vol.38 No.4 December 2004. -

The problem of the choice of surgical procedure in the treatment of large osseous cavities which remain after the removal of benign pathological lesions of the jaws implies the need to prevent possible recurrences of local invasive lesions by the surgical procedure and to ensure organisation of the blood clot and restoration of the bone without infection. This was the reason for the appearance of several different surgical procedures that developed throughout history. The treatment of large osseous cavities by Partsch II method with intraoral postoperative suction and Partsch II method with decortication of one side of the jaw will be presented, and the results after filling the bone defect with resorbable granulate tricalcic phosphate (BioResorb, Oraltronics), and the results of treatment by biphase surgical procedure. From the results of clinical investigations it can be concluded that each of the above methods produces good results, when applied in correctly chosen indications. The application of intraoral suction is safe and the cheapest method for the largest osseous defects, particularly if at the same time decortication of one osseous wall is performed. The application of alloplastic resorbable material is safer than the application of nonresorbable materials, and healing is completed without complications within a period of six months. Biphase surgical procedure in the treatment of odontoma of the jaws is unique in the literature. The abandoned methods of marsupialisation are again being revived after experimental investigations showed changes in the virility of the epithelia of such treated odontogenic keratocysts, which from the literature and daily practice are known to be extremely prone to recurrence, and therefore in modern pathology today they are classified as odontogenic tumours.

Autor: Goran Knežević -



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