The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Immediate Autogenous Fresh Demineralized Tooth (Auto-FDT) Graft for Alveolar Bone Reconstruction

즉시 탈회 치아이식재를 사용한 치조골 재건술

  • Lee, Eun-Young (Department of Oral and Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University)
  • 이은영 (충북대학교 의과대학 구강악안면외과교실)
  • Received : 2016.03.07
  • Accepted : 2016.04.17
  • Published : 2016.05.01
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Abstract

Ideal autogenous or allogenic bone graft materials should provide 1) stabilization of blood clot, 2) scaffolds for cellular proliferation and differentiation, 3) release of osteogenic growth factors, 4) appropriate resorption profile for remodeling of new bone. Teeth, especially dentin, mostly contain hydroxyapatite and type I collagen which are similar to bone, and could be valuable graft material. Clinically teeth are used as calcined or demineralized forms. Demineralized form of dentin can be more effective as a graft material. But a conventional decalcification method takes time and long treatment time may give negative effects to various osteogenic proteins in dentin. Author used a new clinical method to prepare autogenous teeth, which could be grafted into the removal defects immediately after extraction using vacuum ultrasonic system. The process could be finished within two hours regardless of the form (powder, chip or block). Teeth were processed to graft materials in block, chip, or powder types immediately after extraction. It took 120 minutes to prepare block types and 40 minutes to prepare powder. Clinical cases did not show any adverse response and the healing was favorable. Rapid preparation of autogenous teeth with the vacuum ultrasonic system could make the immediate one-day extraction and graft possible.

Keywords

References

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