עדכן רפואת שיניים גיליון 193 ספטמבר-אוקטובר Israel Dental Update no.193 September-October 2024

The behavior of bone cells is dependent on the functioning of the immune system . High level production of oxidants is named oxidative stress , will lead to a failure of the immune system with collateral effects such as infection , bone resorption or fibro - integration . This is the case , for example , in diabetics , smokers , patients allergic to penicillin or in chronic inflammatory diseases . A favorable bone metabolism will necessarily require a reduction of oxidative stress by means of various solutions such as adequate vitamin D supplementation , reduction of LDL cholesterol levels or other adequate immune stimulants . Antibiotic prophylaxis must also be revisited in order to use antibiotics with significant immune - stimulating properties . PRF has also an immune function : decreases the inflammatory level and increases the local anti - oxidants . This new science favored new clinical protocols : the open wound technique . With a powerful immune system there is no fear of infection , It will be easy to demonstrate that peri - implantitis is an immune disease that causes bone loss around the implant , triggered by oxidative bone stress .

– הפסקת קפה וביקור בתערוכה 11:15-11:40

11:40-12:40 - Dr. Snje ž ana Pohl Local, Sustainable, Organic, Recyclable: Intraoral Donor Sites

הרצאה זו סוקרת מגוון אתרים בתוך הפה שניתן להשתמש בהם לקצירת רקמות אוטולוגיות. שימוש ברקמות אוטולוגיות להשתלת חניכיים מנצל את יכולת הצמיחה של הרקמה, אך חשש מפגיעה באזור התורם מרתיע רבים משימוש בטכניקה זו. בהרצאה יינתנו הנחיות מעשיות לשיפור העבודה הקלינית בעבודה עם שתלי רקמה אוטולוגיים.

This lecture explores the diverse range of intraoral donor sites that can be used for autologous tissue harvesting beyond what is typically covered in dental school and training . By utilizing autologous tissue , we can avoid the risk of disease transmission and take advantage of its growth factors . However , the gold standard tissue is often overlooked due to concerns around donor site morbidity . Selecting donor sites that are adjacent to the recipient area is associated with minimal postoperative discomfort . Specifically , the focus is on the utilization of tuberosity bone , translocated ridge segments , and extracted or partially extracted teeth . Additionally , complications that may arise when biological principles are not followed will be reviewed . This lecture ’ s goal is to expand the knowledge of intraoral donor sites and provide practical guidance for their successful utilization in clinical practice .

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