Estudio Prospectivo Comparativo de la Eficacia en el Aumento Horizontal de Crestas Alveolares Atróficas con Regeneración Ósea Guiada y Expansores Motorizados de Cresta
- Autores: José Nart Molina
- Directores de la Tesis: Antonio Santos Alemany (dir. tes.), Lluís Giner Tarrida (dir. tes.)
- Lectura: En la Universitat Internacional de Catalunya ( España ) en 2010
- Idioma: español
- Tribunal Calificador de la Tesis: Miquel Cortada Colomer (presid.), Núria Casals Farré (secret.), José Javier Echeverría (voc.)
- Materias:
- Enlaces
- Tesis en acceso abierto en: TDX
- Resumen
The purpose of this prospective, randomized, controlled clinical investigation is to evaluate the performance of the Motorized Ridge Expanders (MRE), and to compare its results with the ones achieved utilizing lateral ridge augmentation (LRA). Eight subjects with bilateral ridge deformities were selected. One technique was used on the right site and the other on the left site. Implants were placed six months after the bone augmentation procedures. All the measurements were recorded at 2 and 5 mm from the most coronal part of the crest. The augmentation achieved with both techniques was statistically significant, 1.2 mm in the LRA, 1.5 mm in MRE at 2 mm from the crest; 1.5 mm and 1.6 mm respectively at 5mm from the crest. The differences between the two techniques were statistically insignificant. The amount of expansion achieved in the MRE site appears to be negatively correlated (P-Value <0.05) with the thickness of the cancellous bone, and it is not affected by the thickness of the cortical plate. The MRE technique appears to be as effective as the LRA technique in augmenting the thickness of atrophic ridges. The defect treated with the MRE showed less bone width contraction during the first 6 months of healing. Histologically, the regenerated bone was vital, trabecular in nature and in direct contact with bone graft particles.
