[Aplication of demineralized human bone matrix in the surgical dental fusion treatment. Report of a case].
The purpose of this work is to present a surgical alternative in the treatment of the dental fusions through the placement of demineralized human bone matrix (DHBM) (Grafton Putty)*, immediately after the separation and extraction of the fused tooth to the permanent one. The dental fusion is a dental anomaly of union, that consists in the union of two dental germs during development. It could happen at any of the dental germ evolution stages from the dental sheet or from more advanced processes of differentiation. For the clinical treatment, an allograft of DHBM with osteoinductive and osteoconductive properties was used. This had several factors of bone growth, it allowed the gradual growth of a new bone that helped to correct the bone defects post-extraction and to cover the exposed distal wall of the remaining permanent tooth. The clinic evaluation and the periapical and panoramic radiographies images were used for the clinical control. It can be concluded that the surgical separation and the extraction of the tooth with less anatomical likeness to the contralateral and the placement of the DHBM, represent a surgical treatment alternative of the dental fusion.
Mora-Rincones
Oscar A
OA
Unidad de Cirugía Bucal y Maxilofacial, Centro Médico Dr. Rafael Guerra Méndez, Valencia, Venezuela. oscarkatty@cantv.net
Corona-Rodríguez
Julio C
JC
Díaz-Carvajal
Alvaro L
AL
Franco-Carrero
Isabel C
IC
D002648:Child; D016299:Dental Implantation, Subperiosteal / Q000379:methods*; D015921:Dental Implants; D003804:Dentin; D005671:Fused Teeth / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D009805:Odontogenesis; D011859:Radiography; D014078:Tooth Eruption; D014081:Tooth Extraction / Q000379:methods; D014096:Tooth, Supernumerary / Q000000981:diagnostic imaging / Q000601:surgery*; D014097:Tooth, Unerupted / Q000000981:diagnostic imaging / Q000601:surgery*; D014184:Transplantation, Homologous
C093073:Demineralized Dentin Matrix; D015921:Dental Implants