Recent Advancements in Bone Grafting & Dental Implantology Flashcards

1
Q

What are the congenital causes of bone loss

A
  • congenital
  • traumatic
  • infection
  • natural
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2
Q

What are congenital causes of bone loss

A

o Some people are born without sufficient bone in certain areas of the jaw
o Cleft lip/palate where part of the alveolar bone is missing
o Hypodontia resulting in less bone where there is missing teeth

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3
Q

What are the types of bone graft

A

autogenous
xenograft
allograft
alloplastic
bone bioengineering

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4
Q

What is autogenous bone graft

A

grafted from the same patient

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5
Q

Where can bone grafts be taken from

A

o Intra-oral (chin, ramus tuberosity, coronoid process
o Extra oral (hip and calvarium)

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6
Q

What are xenografts

A

harvested from different species, most common type is bovine

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7
Q

What is an allograft

A

from same species (cadavers), irradiated sterilized freeze dried bone blocks

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8
Q

What are alloplastic grafts

A

synthetic, natural sources and synthetic materials

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9
Q

What are bioengineering bone grafts

A

growth factors, bone morphogenic protein (BMP)

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10
Q

What are the principles of grafting

A
  • osteoconduction
  • osteoinduction
    *
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11
Q

What is osteoconduction

A

the concept of scaffold that supports the bone forming cells
Piece of bone replaced and it acts as a scaffold only

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12
Q

What is osteoinduction

A

Osteogenesis is induced through recruitment of immature cells (UMC) for bone formation

Material has ability to stimulate bone formation through inducing undifferentiated cells to change to osteoblasts to form bone

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13
Q

Is osteoconduction better or osteoinduction

A

 Osteoinduction is better as it triggers the body’s own mesenchymal cells
 Osteoconduction has a higher risk of infection

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14
Q

What are the different ways to apply grafts

A

onlay
interpositional
sinus lift

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15
Q

What are the different ridge augmentation procedures

A
  • graft application
  • IAN retraction
  • distraction osteogenesis
  • zygomatic implants
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16
Q

What is onlay bone graft

A

placed on top

17
Q

What is an interpositional bone graft

A

Placed in between two pieces of bone

18
Q

What is a sinus lift bone graft

A

Placed underneath bone or to layer the cavity
 Done to allow bone height for implant without perforating sinus lining

19
Q

What is inferior dental nerve retraction done for

A

o Deals with deficiency in height where a bone graft cannot be done

risk of numbness

20
Q

What is distraction osteogenesis

A

o Bone is cut and a distractor pulls 2 pieces of bone apart slowly and new bone grows to fill the gap

21
Q

What are the basic principles of distraction osteogenesis

A

 Osteotomy
 Latency
 Distraction
 Consolidation
 Remodelling