The bone window is closed in two cases: there is a risk of migration / loss of particles of the bone bioimplant and the mucoperiosteal flap is split in the area of contact with the bone bioimplant. The window can be closed with a special product LIO-120 or dura mater membranes of suitable size.
TMO membranes have 2 direct readings:
1 Stability of bone material. If we have bone bioimplant plastic and immobile, then the membrane is permissible not to use.
2 The TMO membrane is always placed when, as a result of splitting of the flap and movement of the remnants of the periosteum over the alveolar process, the free (mobile) mucosa contacts the bone bioimplant.
The purpose of the operation: the creation of the volume and thickness of the attached gingiva in the area of future bone grafting, an increase in the vestibule of the oral cavity, the launch of the patient's own regenerative potentials.
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The purpose of manipulation: the release of reticulo-fibrous cells (Pritchard) from under the compact plate of the alveoli into the cavity to start regenerative processes in the blood clot and osteogenesis.
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The waiting time depends on the baseline, volume and quality of the patient's bone in the sinuses, the condition of the soft tissues, the age of the patient, associated diseases and other factors.
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The purpose of manipulation: thinning of the cortical plate, access to osteogenic cells of spongiosa, alteration of deep cells of compact bone, launch of regenerative potentials
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