• Published
    06-03-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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THE COMPARISON OF THE EFFECTIVENESS OF DENSITY IN BONE HEALING PROCESS USING THE GRANULES TYPE OF SYNTHETIC BONE GRAFT SUBSTITUTE VERSUS WITHOUT USING THE GRANULES TYPE OF SYNTHETIC BONE GRAFT SUBSTITUTE IN MAXILLARY FRACTURE AT Dr. MOEWARDI GENERAL HOSPITAL : AN EXPERIMENTAL STUDY

  • Dewi Haryanti Kurniasih 1 , Rachmi Fauziah Rahayu Sp. Rad (K) N-KL2 , Meily Anggreini 3

Keywords: #

ABSTRACT:-
Background : The bone substitutes are being spreadly used in long bone but not in maxillofacial fracture, the reconstruction of maxilla itself was the 4th grade of the 10 most common treatment in the departement of plastic surgery in dr. Moewardi hospital (Aug-Oct 2022).2,4 The benefits of synthetic bone graft is to reduce complications of infectious that can be transmitted by allografts, and the availability of materials in the market.10 We attracted to research the difference in the effectiveness of density in bone healing between the use of synthetic bone substitute granule (SBSG) and without synthetic bone substitute granule (Non SBSG) in reconstruction of maxilla fractures at Dr. Moewardi Hospital. Methods: This study is an experimental study, using independent T Test statistical study, and consecutive sampling. We compared 16 patient between the group reconstruction of maxilla using a granule type of synthetic bone graft substitute, and 16 patient in the group control. We evaluated the bone density in hounsfield units (HU) once in the period of 4 to 6 months after the reconstruction, using a Head CT scan.8 Result : The density of maxillary group reconstructed with the Synthetic Bone Substitute Granule (SBSG) is 618.06 HU, and 401.63 HU in the Group control. With p value < 0.001 (signifikan p < 0.05), its mean the hypothesis has been proved. We also found that there is no significantly differences between the each group based on age and gender. Finding : The defects with minimum sized 0.5 cm was filled with bone graft substitute, as a bridging, the materials have properties of osteoconduction to conjunct the osteoblasts on the edges of defects to spread and form a new bone and osteoinduction to stimulate the osteopregenitor.1,.3 Those two roles combine with osteogenesis in the remodeling phase, at 4-6 months after surgery, which form high bone density.11