USING OF OSTEOPLASTIC MATERIALS IN RECONSTRUCTION OF JAW BONES DURING TREATMENT OF PATIENTS WITH DEFECTS OF DIFFERENT ETIOLOGY

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Aim. To increase the efficiency of surgical treatment of patients with jaw bone defects of different etiology on basis of different osteoplastic materials. Materials and methods. On the base of Sechenov First Moscow State Medical University and the privacy medical clinic during 8 years 83 patients were under the supervision: 34 with radicular cysts upper and lower jaw; 21 had retention dystopia of third molar; 18 patients with chronic maxillary perforative sinusitis; 7 while the open sinus lifting and 3 patients with bone plasty. All patients were appropriate operated in accordance with the detected pathology and using for filling of jaw defects with different materials and combinations - collagen I type, auto bone, xenogenic complex hydroxyapatite and collagen I type, PRF. For intergroup comparison, we used Mann-Whitney U-test and χ2-test. Results and Discussion. There were no any complications in early period after operations among all patients. They were got complex medication and daily changed of bandaging. Sutures were removed on 9-12 days. While X-ray and CT-after 1 month we watched first signs of new bone formation in the field of defects, high density osteoregenerate was found in the area filled with materials with hydrohyapaptite due to their primary features. In 3 months more pronounced signs of bone regeneration were detected. Full recovery of the bone tissue noted through 4-6 months. Conclusions. The using of different osteoplastic materials was showed good results during filling of jaw bone defects and their chose must be done by surgeon according each clinical case.