Application of bioactive ceramics for functional surgery in masticatory organs

Area of Science:

• Oral and Maxillofacial Surgery
• Biomaterials Science
• Orthodontics

Background:

• Tooth transplantation, replantation, and artificial root implantation are prone to ankylosis.
• Adequate functional loads and proper fixation postoperatively can prevent ankylosis.
• Bioceramic granules can further enhance the prevention of ankylosis.

Purpose of the Study:

• To introduce and evaluate the efficacy of 'functional surgery' in preventing ankylosis.
• To assess the success of tooth transplantation, replantation, and artificial root implantation using functional surgery.
• To investigate the application of functional surgery in treating masticatory skeletal deformities.

Main Methods:

• Application of adequate functional loads and proper fixation in 30 transplanted/replanted vital teeth (23 patients) over 6-96 months.
• Implantation of 57 artificial hydroxyapatite roots (19 patients) over 5 years, guided by functional surgery principles.
• Treatment of 15 patients with masticatory skeletal deformities using functional surgery, including artificial bone, tooth transplantation, artificial root implantation, and mastication training.

Main Results:

• Successful outcomes in tooth transplantation, replantation, and artificial root implantation by preventing ankylosis.
• Excellent results in treating jaw deformities through functional surgery combined with bioceramics.
• Demonstrated long-term stability and favorable results in all clinical applications.

Conclusions:

• Functional surgery, incorporating bioceramics and functional loading, is a viable method for preventing ankylosis.
• This therapeutic concept enables successful tooth transplantation, replantation, and artificial root implantation.
• Functional surgery offers a steady treatment for jaw deformities, improving function and aesthetics.