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Regeneration statt Reparation

Eine kritische Bewertung des autogenen Knochentransplantates als „Goldstandard“ bei der rekonstruktiven Chirurgie im Kieferbereich

Regeneration instead of reparation

A critical review of the autogenous bone transplant as “golden standard” of reconstructive oral surgery

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Zusammenfassung

In der Literatur wird das autogene Knochentransplantat noch immer für viele Eingriffe in der Mund-, Kiefer- und Gesichtschirurgie als der „Goldstandard“ angesehen. In diesem Übersichtsartikel wird die Stellung des autogenen Knochentransplantates unter Berücksichtigung von aktuellen Forschungsergebnissen und Langzeitstudien, Patientensicherheit und -risiken sowie Kostengesichtspunkten kritisch diskutiert. Besonders durch die Weiterentwicklung von Knochenersatzmaterialien, welche in Langzeitstudien z.T. überlegene Resultate liefern, muss der routinemäßige Einsatz von autogenen Knochentransplantaten neu überdacht werden.

Abstract

Autogenous bone transfer is still regarded as the “golden standard” for many indications in oral and cranio-maxillofacial surgery. In this overview, the status of the autogenous bone is re-evaluated under consideration of current research results, clinical long-term studies, risks and safety of the patient as well as the costs. Due to the further development of modern bone substitute materials, which reveal in parts superior long-term results for special indications, the routine use of autogenous bone has to be critically reviewed.

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  1. Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie der Technischen Universität München, Klinikum rechts der Isar, Ismaninger Str. 22, D-81675, München, Germany

    Hans-Henning Horch & Christoph Pautke

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Horch, HH., Pautke, C. Regeneration statt Reparation. Mund Kiefer GesichtsChir 10, 213–220 (2006). https://doi.org/10.1007/s10006-006-0004-x

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