Marzena Dominiak

Prof.Dr.Marzena Dominiak - Prof.Dr.Tomazs Gedrange

An innovative, personalized three-dimensional bone reconstruction in case of orthodontic treatment

Orthodontic treatment is currently very common in a significant percentage of dental patients, regardless of age. It is well known that proper and effective tooth movement requires the presence of an adequate amount and quality of bone. Induced tooth movement should only be carried out at the alveolar bone trabeculae. Unfortunately, the occurrence of a gingival recession is still a common side effect. One of the basic assumptions is that the thickness of the anterior part of the alveolar bone should be considered as a limiting factor for orthodontic treatment. Exceeding these anatomical limits is associated with an increased risk of bone loss and the formation of alveolar defects – dehiscences and fenestrations. In addition, pre-existing bone defects often act as “predisposing factors” for gingival recession. For this reason, alternative solutions and treatment methods are being sought. Regenerative medicine, which has already been known in reconstructive surgery, is used increasingly more often in the treatment of alvelora bone defects. That’s why 3D personalized bone reconstruction will be presented as a method for improvement of alveolar ridge before or after orthodontic treatment.

Head of Oral Surgery Department, Wroclaw Medical University, Poland Autografts, allografts and xenogeneic or alloplastic materials are commonly used for regenerative procedures. Autograft is still considered the gold standard, because of its properties, however, its harvesting is associated with potential, additional complications. For these reasons, there is a growing interest in using the extracted tooth as an autogenous bone graft material, due to the fact, that its composition is similar to the cortical bone. Removed tooth may, in a few minutes, become an immediate bacteria-free graft material, which undergo ankylosis and provide a stable bone-dentin tissue with slow remodeling process. Different possibility of harvested autografts and different methods of their usage will be presented on case series presentation. In case of advanced bone loss is necessary provide individualized bone reconstruction using auto or allo bone plates (BBM technique) or 3D customized bone block. Modern technique for management bone loss around tooth or edentolus areas will be described.
Vice Rector for strategic initiatives Medical University of Wroclaw, Poland Full Professor and Head of the Department of Oral Surgery, Medical University of Wroclaw. Visiting professor in TU Dresden, Germany. Specialist in oral surgery. Member of FDI Education Committee. President of Polish Dental Association
The author of more than 250 full-text publications, book chapters and/or abstracts published in journals in Polish, English and German language.
Section editor of ACEM Journal (IF journal). She is the editor and/or co-edited of 7 books in Polish and English and head and / or co-author for a total of 50 research projects commercial and noncommercial, including EU, and 16 within international research projects supported by Camolg Foundation®, Osteology Foundation®, Osteohelth Company®, Geistlich® company and others. Author of 4 national and international patents.
She gave more than 350 lectures in English and Polish language.
2022