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Primary and secondary bone grafting of the mandible

Osteoplastic surgery of the lower jaw had the purpose to immediately create strong bone support by transplantation of thick and resistant bone grafts. The mechanical properties of the bone graft had to adhere mechanically recovered bones. With this purpose used a tibial bone, the crest of the Ilium, scapula, metatarsal bone and rib in all its thickness.

It should be noted that the greatest use got the edge. Compared to other bones of the rib has several advantages 1) technique of taking a rib of relatively simple 2) the rib can be easily modelled 3) the curvature of the rib fits the shape to the curvature of the lower jaw. However, the whole edge is covered from all sides of the cortical layer, difficult organization — sprouting of blood vessels from the tissue receiving bed.

The goal of modern methods of free transplantation of autologous bone is to create favorable conditions for further development of the process of regeneration of new bone tissue after surgery. Based on this principle use as a bone graft one of the outer plate edges. The outer plate edges contains all of the elements of bone tissue periosteum, cortical layer, spongy substance.

According to its mechanical properties such bone grafts are durable enough for the initial fastening of the mandibular arch and provide a good basis for bone formation over the filled defect. If all kinds of other bone grafts require special mechanical pre-treatment, that the outer plate edges in this treatment does not need.

Therefore, in the sense of careful attitude to the tissues of the bone graft, this technique gives the best results.


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Директор Центра косметологииС 1998 года медцентром управляет ее главный специалист Поленов Вячеслав Алексеевич, пластический хирург, входит в комиссию ОПРЭХ, специалист в области лазерной медицины, лауреат премии Золотой Лацент.