{"id":341,"date":"2017-04-22T15:44:38","date_gmt":"2017-04-22T13:44:38","guid":{"rendered":"https:\/\/www.dentalespace.com\/patient\/?p=341"},"modified":"2018-02-28T18:11:02","modified_gmt":"2018-02-28T17:11:02","slug":"31-greffe-osseuse-pre-implantaire-htm","status":"publish","type":"post","link":"https:\/\/www.dentalespace.com\/patient\/31-greffe-osseuse-pre-implantaire-htm\/","title":{"rendered":"La greffe osseuse pr\u00e9-implantaire"},"content":{"rendered":"

[et_pb_section bb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n\n\n\n\n\n
Le d\u00e9veloppement de l\u2019implantologie expose de plus en plus souvent l\u2019implantologiste au probl\u00e8me de l\u2019insuffisance de capital osseux chez certains patients.<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/tr>\n
\n\n\n\n
Le plus souvent aujourd’hui, votre praticien vous proposera un comblement avec du substitut osseux, c’est-\u00e0-dire, avec un mat\u00e9riau synth\u00e9tique se pr\u00e9sentant sous forme de micro granules poreuses qui favoriseront la r\u00e9g\u00e9n\u00e9ration de l’os manquant.<\/p>\n

Cette intervention se fait soit le jour de la pose de l’implant, soit avant la pose et n\u00e9cessite \u00e9galement la pose d’une membrane de collag\u00e8ne qui prot\u00e8gera les granules.<\/p>\n

Le temps de cicatrisation sera fortement allong\u00e9. En effet, l’os aura besoin dans ce cas\u00a0 de 8 mois pour se reconstruire compl\u00e8tement.<\/p>\n

Lorsque les pertes osseuses sont vraiment tr\u00e8s importantes, le comblement tel que nous venons de le d\u00e9crire est insuffisant , il faut alors envisager, et ce pour les plus motiv\u00e9s, diff\u00e9rentes techniques de reconstruction osseuse maxillaire permettant de les implanter dans des conditions satisfaisantes.<\/p>\n

Le pr\u00e9l\u00e8vement osseux<\/strong><\/p>\n

Il se fait au niveau du cr\u00e2ne, du menton, du ramus\u00a0ou de la hanche.
\nDans certains cas, quand il n’y a pas une grosse perte de substance, on \u00e9vite le pr\u00e9l\u00e8vement en utilisant des mat\u00e9riaux\u00a0synth\u00e9tiques ou d’origine bovine ou humaine.<\/p>\n

1. Les comblements sous-sinusiens<\/strong><\/p>\n

Ils sont indiqu\u00e9s dans les insuffisances osseuses en hauteur<\/strong> des secteurs post\u00e9rieurs au maxillaire sup\u00e9rieur.<\/p>\n

Le sinus est une cavit\u00e9 qui apr\u00e8s la perte des dents prend une place importante dans le maxillaire sup\u00e9rieur (un peu comme un trou dans un morceau de gruy\u00e8re).<\/p>\n

Pour placer l’implant (vis en titane) on comble partiellement cette cavit\u00e9.<\/p>\n

Actuellement, on utilse de plus en plus des mat\u00e9riaux synth\u00e9tiques pour les comblements sinusiens.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbavant comblement\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"\"

Avant le comblement.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbApr\u00e8s comblement\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"\"

Apr\u00e8s le comblement. Il n’a jamais \u00e9t\u00e9 not\u00e9 une quelconque perturbation de la physiologie sinusienne.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

2. Les greffes d\u2019apposition<\/strong><\/p>\n

Elles sont indiqu\u00e9es dans les insuffisances d\u2019\u00e9paisseur<\/p>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"\"

Avant.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

\"\"

Greffe sur la paroi externe de l’os.<\/p><\/div>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=\u00a0\u00bbLigne\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″][et_pb_text admin_label=\u00a0\u00bbTexte\u00a0\u00bb background_layout=\u00a0\u00bblight\u00a0\u00bb text_orientation=\u00a0\u00bbleft\u00a0\u00bb use_border_color=\u00a0\u00bboff\u00a0\u00bb border_color=\u00a0\u00bb#ffffff\u00a0\u00bb border_style=\u00a0\u00bbsolid\u00a0\u00bb]<\/p>\n

CONCLUSION <\/strong><\/p>\n

    \n
  • Le substitut osseux est ce qui se pratique le plus couramment pour les petites ou moyennes pertes osseuses<\/li>\n
  • Le pr\u00e9l\u00e8vement osseux ne constitue pas un acte chirurgical majeur. Sa dur\u00e9e de r\u00e9alisation est de 40 minutes en moyenne et il n\u00e9cessite une hospitalisation variant de 24 \u00e0 48 heures.<\/li>\n
  • Les techniques de greffes osseuses maxillaires en chirurgie pr\u00e9-implantaire permettent d\u2019accro\u00eetre les indications d\u2019implantation chez les patients motiv\u00e9s qui pr\u00e9sentent un d\u00e9ficit osseux maxillaire. Le mat\u00e9riau de r\u00e9f\u00e9rence reste l\u2019os autog\u00e8ne, essentiellement cr\u00e2nien et mentonnier.<\/li>\n
  • Ces techniques doivent \u00eatre mani\u00e9es avec prudence, dans un bloc op\u00e9ratoire, par un chirurgien rompu aux techniques de pr\u00e9l\u00e8vement et de greffe osseuse et susceptible d\u2019assumer les \u00e9ventuelles complications infectieuses qu\u2019elles peuvent entra\u00eener.<\/li>\n<\/ul>\n

    \u00a0<\/strong>Le prix :<\/strong><\/p>\n

    Pour le substitut osseux, il varie de 400 \u20ac \u00e0 1 200 \u20ac sans aucun remboursement de la S\u00e9curit\u00e9 Sociale.<\/strong><\/p>\n

    Pour les greffes osseuses<\/strong>, il varie de 2 200 \u20ac \u00e0 3 200 \u20ac sans aucun remboursement de la S\u00e9curit\u00e9 Sociale.<\/strong><\/p>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

    Le d\u00e9veloppement de l\u2019implantologie expose de plus en plus souvent l\u2019implantologiste au probl\u00e8me de l\u2019insuffisance de capital osseux chez certains patients. Le plus souvent aujourd’hui, votre praticien vous proposera un comblement avec du substitut osseux, c’est-\u00e0-dire, avec un mat\u00e9riau synth\u00e9tique se pr\u00e9sentant sous forme de micro granules poreuses qui favoriseront la r\u00e9g\u00e9n\u00e9ration de l’os manquant. […]<\/p>\n","protected":false},"author":1,"featured_media":424,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[7,18],"tags":[],"class_list":["post-341","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-implants","category-soins-dentaires","et-doesnt-have-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nLa greffe osseuse pr\u00e9-implantaire - Dentalespace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dentalespace.com\/patient\/31-greffe-osseuse-pre-implantaire-htm\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La greffe osseuse pr\u00e9-implantaire - 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