[Alveolar bone reconstruction with hydroxyapatite in aged humans].

Area of Science:

• Oral and Maxillofacial Surgery
• Biomaterials Science
• Geriatric Dentistry

Context:

• Increasing life expectancy drives demand for advanced preprosthetic surgery.
• Optimal oral rehabilitation is a key goal for improved patient quality of life.
• Residual ridge resorption presents challenges in denture stability and function.

Purpose:

• To present a novel method for reconstructing residual ridges using a hydroxylapatite-fibrin paste.
• To evaluate the efficacy of this technique in patients requiring preprosthetic surgery.
• To define patient selection criteria for optimal outcomes.

Summary:

• A hydroxylapatite-fibrin paste is utilized for ideal residual ridge reconstruction.
• The procedure is beneficial for patients with mild to moderate age-related neurological disorders, including dementia and psychomotor slowing.
• Exclusion criteria include psychiatric conditions (hypochondria, psychotic disturbances) and neurological deficits causing facial/oral hyperkinesia.

Impact:

• Offers a viable solution for improving denture support and function in specific patient populations.
• Enhances the potential for successful oral rehabilitation in the elderly.
• Highlights the importance of careful patient screening for successful preprosthetic augmentation outcomes.