{"id":26694,"date":"2025-07-31T10:00:00","date_gmt":"2025-07-31T07:00:00","guid":{"rendered":"https:\/\/32academy.com\/?p=26694"},"modified":"2025-12-23T21:51:54","modified_gmt":"2025-12-23T19:51:54","slug":"grefa-dentinara-beneficii-in-regenerarea-osoasa","status":"publish","type":"post","link":"https:\/\/32academy.com\/ro\/grefa-dentinara-beneficii-in-regenerarea-osoasa\/","title":{"rendered":"Gref\u0103 dentinar\u0103: beneficii \u0219i clarific\u0103ri \u00een regenerarea osoas\u0103"},"content":{"rendered":"\n<p>\u00centr-un context clinic tot mai exigent, \u00een ceea ce prive\u0219te estetica \u0219i func\u021bionalitatea pe termen lung a tratamentelor orale, regenerarea osoas\u0103 a devenit un pilon central. Pierderile osoase postextrac\u021bionale pot compromite sever inserarea corect\u0103 a implantului \u0219i pot afecta stabilitatea \u0219i armonia restaur\u0103rii finale, \u00een special \u00een regiunea maxilar\u0103 anterioar\u0103 estetic\u0103, unde placa vestibular\u0103 sub\u021bire face ca aceast\u0103 zon\u0103 s\u0103 fie predispus\u0103 la resorb\u021bie accelerat\u0103.\u00a0\u00a0<\/p>\n\n\n\n<p>Studiile clinice arat\u0103 c\u0103 \u00een primele 12 luni dup\u0103 extrac\u021bia dentar\u0103, osul alveolar sufer\u0103 o resorb\u021bie medie de p\u00e2n\u0103 la 63% din l\u0103\u021bime \u0219i peste 20% din \u00een\u0103l\u021bime, cu o accelerare semnificativ\u0103 \u00een primele 8 s\u0103pt\u0103m\u00e2ni, perioad\u0103 \u00een care are loc cea mai mare parte a resorb\u021biei, ajung\u00e2ndu-se la pierderi de p\u00e2n\u0103 la dou\u0103 treimi din creast\u0103 \u00een primele trei luni. \u00cen aceast\u0103 dinamic\u0103, p\u0103strarea volumului osos devine esen\u021bial\u0103.&nbsp;<\/p>\n\n\n\n<p>\u00cen acest context, <strong>grefa dentinar\u0103, <\/strong>mai precis, <em>grefa dentar\u0103 autogen\u0103, <\/em>a atras aten\u021bia medicilor ca alternativ\u0103 promi\u021b\u0103toare la grefele osoase tradi\u021bionale. Ob\u021binut\u0103 prin prelucrarea unui dinte extras de la acela\u0219i pacient, dentina autogen\u0103 beneficiaz\u0103 de o compozi\u021bie biologic\u0103 apropiat\u0103 de cea a osului: 70% frac\u021bie mineral\u0103 (\u00een principal hidroxiapatit\u0103 cu con\u021binut redus de cristale, u\u0219or degradabil\u0103 de osteoclaste), 20% colagen de tip I \u0219i 10% ap\u0103. \u00cen plus, prezen\u021ba proteinelor necolagene \u0219i a factorilor de cre\u0219tere precum BMP-urile \u0219i IGF-urile confer\u0103 dentinei propriet\u0103\u021bi osteoinductive relevante.&nbsp;<\/p>\n\n\n\n<p>De\u0219i nu posed\u0103 capacitatea osteogenic\u0103 a osului autolog, grefa dentinar\u0103 este osteoconductiv\u0103 \u0219i osteoinductiv\u0103, sus\u021bin\u00e2nd astfel formarea de os nou \u00een contextul regener\u0103rii ghidate. Aplicabil\u0103 \u00een tehnici precum socket preservation, sinus lift sau regenerare osoas\u0103 orizontal\u0103, grefa dentinar\u0103 elimin\u0103 nevoia de recoltare osoas\u0103 suplimentar\u0103 \u0219i ofer\u0103 o alternativ\u0103 100% autogen\u0103, bine tolerat\u0103 de organism.&nbsp;&nbsp;<\/p>\n\n\n\n<p>\u00cen practica clinic\u0103, tot mai mul\u021bi medici exploreaz\u0103 aceast\u0103 solu\u021bie fie ca metod\u0103 principal\u0103 de augmentare, fie \u00een combina\u021bie cu alte biomateriale, \u00een special atunci c\u00e2nd pacientul dore\u0219te evitarea produselor de origine animal\u0103 sau a tehnicilor invazive. Dar ce dovezi avem p\u00e2n\u0103 \u00een prezent privind eficien\u021ba acestei metode? C\u00e2nd este indicat\u0103 grefa dentinar\u0103 \u0219i care sunt limitele sale biologice sau clinice? \u0218i, mai ales, cum se compar\u0103 cu grefele aloplastice, xenogene sau cu osul autolog?&nbsp;<\/p>\n\n\n\n<p>\u00centr-un moment \u00een care op\u021biunile de regenerare devin tot mai complicate, grefa dentinar\u0103 propune o abordare <em>natural\u0103<\/em>, validat\u0103 de studii recente \u0219i sus\u021binut\u0103 de rezultate clinice favorabile. Acest articol \u00ee\u0219i propune s\u0103 clarifice fundamentele biologice, avantajele clinice \u0219i limitele acestei metode, oferind o imagine clar\u0103 \u0219i actualizat\u0103 despre locul grefei dentinare \u00een regenerarea osoas\u0103 contemporan\u0103.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ce este grefa dentinar\u0103 autogen\u0103 \u0219i cum se ob\u021bine?<\/strong>&nbsp;<\/h2>\n\n\n\n<p>Grefa dentinar\u0103 autogen\u0103 reprezint\u0103 o alternativ\u0103 biologic\u0103 la grefele osoase conven\u021bionale, ob\u021binut\u0103 din din\u021bii extra\u0219i ai aceluia\u0219i pacient. Spre deosebire de alte biomateriale, aceasta valorific\u0103 un \u021besut biologic deja existent, cu o compozi\u021bie asem\u0103n\u0103toare osului uman.&nbsp;<\/p>\n\n\n\n<p><strong>Etapele proces\u0103rii clinice<\/strong>&nbsp;<\/p>\n\n\n\n<p>Procesul de ob\u021binere \u00eencepe cu selec\u021bia atent\u0103 a din\u021bilor extra\u0219i, de regul\u0103, premolari sau molari care nu prezint\u0103 carii profunde, materiale de obtura\u021bie extinse, infec\u021bii active sau tratamente endodontice compromise. Pentru ca dentina s\u0103 fie adecvat\u0103 reconstruc\u021biei osoase, este esen\u021bial ca structura ei s\u0103 fie intact\u0103 \u0219i lipsit\u0103 de contaminan\u021bi.&nbsp;<\/p>\n\n\n\n<p>Dup\u0103 extrac\u021bia dintelui, acesta este supus unui proces de preg\u0103tire \u0219i m\u0103cinare. \u00cen practica actual\u0103, cea mai frecvent utilizat\u0103 metod\u0103 implic\u0103 folosirea unui sistem automatizat, precum <em>Smart Dentin Grinder\u00ae<\/em>, care fragmenteaz\u0103 dentina \u00een particule de 300\u20131200 \u00b5m. Ulterior, particulele sunt sp\u0103late, deproteinizate \u0219i decontaminate cu ajutorul unei solu\u021bii standardizate ce con\u021bine alcool \u0219i hipoclorit de sodiu, urmat\u0103 de neutralizare \u0219i uscare.&nbsp;<\/p>\n\n\n\n<p>Aceast\u0103 etap\u0103 nu doar decontamineaz\u0103 \u0219i sterilizeaz\u0103 materialul, ci p\u0103streaz\u0103 integritatea colagenului de tip I \u0219i a proteinelor necolagene, precum osteocalcina \u0219i osteonectina, al\u0103turi de factori de cre\u0219tere (BMP-uri \u0219i IGF-uri), implica\u021bi \u00een procesele de osteoinduc\u021bie \u0219i mineralizare.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-1024x683.jpg\" alt=\"grefa-dentinara\" class=\"wp-image-26699\" style=\"width:444px;height:auto\" srcset=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-1024x683.jpg 1024w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-300x200.jpg 300w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-768x512.jpg 768w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-1536x1024.jpg 1536w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-2048x1365.jpg 2048w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-1-600x400.jpg 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Forme de prezentare \u0219i utilizare chirurgical\u0103<\/strong>&nbsp;<\/p>\n\n\n\n<p>Grefa dentinar\u0103 poate fi utilizat\u0103 \u00een mai multe forme, \u00een func\u021bie de defectul care necesit\u0103 reconstruc\u021bie:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sub form\u0103 de particule<\/strong>, \u00een defecte osoase alveolare postextrac\u021bionale (socket preservation), defecte de dehiscen\u021b\u0103 sau \u00een timpul sinus lift-ului.\u00a0<\/li>\n\n\n\n<li><strong>Ca bloc dentinar<\/strong> (solid dentin block), t\u0103iat \u0219i ajustat pentru a se adapta la defecte mai mari sau verticale, o abordare mai rar\u0103, dar cu rezultate promi\u021b\u0103toare \u00een augment\u0103ri tridimensionale.\u00a0<\/li>\n\n\n\n<li><strong>Mixat\u0103 cu alte biomateriale<\/strong> (os autolog, xenogrefe, PRF), pentru cre\u0219terea volumului \u0219i optimizarea stabilit\u0103\u021bii \u00een defecte complexe.\u00a0<\/li>\n<\/ul>\n\n\n\n<p>Fixarea \u00een situsul grefat se face similar altor biomateriale, folosind membran\u0103 de colagen resorbabil\u0103 sau tehnici avansate de sutur\u0103. Integrarea complet\u0103 a materialului poate fi observat\u0103 radiologic \u0219i histologic dup\u0103 3\u20136 luni, cu formare de os vital \u00een zonele ini\u021bial ocupate de dentin\u0103.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"624\" src=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-1024x624.jpg\" alt=\"augmentare-grefa-dentinara\" class=\"wp-image-26695\" style=\"width:470px;height:auto\" srcset=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-1024x624.jpg 1024w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-300x183.jpg 300w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-768x468.jpg 768w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-1536x936.jpg 1536w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-2048x1248.jpg 2048w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/augmentare-grefa-dentinara-600x366.jpg 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Avantaje practice \u0219i acceptabilitate clinic\u0103<\/strong>&nbsp;<\/p>\n\n\n\n<p>Pe l\u00e2ng\u0103 costurile reduse \u0219i lipsa reac\u021biilor imunologice, grefa dentinar\u0103 are avantajul de a fi un material <em>ready-to-use<\/em> \u00een cadrul aceleia\u0219i \u0219edin\u021be operatorii, f\u0103r\u0103 nevoia unei recolt\u0103ri osoase invazive. Acest lucru o face o op\u021biune atractiv\u0103 pentru pacien\u021bii care doresc s\u0103 evite utilizarea de materiale de origine animal\u0103 sau procedurile invazive de recoltare osoas\u0103 autolog\u0103&nbsp;<\/p>\n\n\n\n<p>Mai multe studii clinice \u0219i meta-analize au confirmat c\u0103 dentina autogen\u0103 prezint\u0103 o rat\u0103 de succes comparabil\u0103 cu grefele xenogene sau alloplastice, mai ales \u00een indica\u021bii precum conservarea alveolar\u0103 \u0219i sinus lift.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Beneficiile clinice ale grefei dentinare<\/strong>&nbsp;<\/h2>\n\n\n\n<p>De la concept la aplicabilitate clinic\u0103, grefa dentinar\u0103 autogen\u0103 a evoluat rapid de la o solu\u021bie experimental\u0103 la o alternativ\u0103 viabil\u0103 \u00een arsenalul tehnicilor de regenerare osoas\u0103. \u00centr-un context \u00een care biocompatibilitatea, predictibilitatea \u0219i sustenabilitatea tratamentului devin priorit\u0103\u021bi majore pentru medicul stomatolog, aceast\u0103 op\u021biune ofer\u0103 un echilibru interesant \u00eentre performan\u021ba biologic\u0103 \u0219i eficien\u021ba clinic\u0103. Studiile clinice \u0219i datele histologice recente au \u00eenceput s\u0103 contureze mai clar avantajele acestei metode, comparabile \u00een multe cazuri cu grefele osoase autologe sau cu biomaterialele consacrate. Iat\u0103 principalele beneficii oferite de grefa dentinar\u0103 din perspectiv\u0103 clinic\u0103:&nbsp;<\/p>\n\n\n\n<p><strong>Biocompatibilitate crescut\u0103<\/strong>&nbsp;<\/p>\n\n\n\n<p>Fiind un material complet autolog, provenit din dintele propriu al pacientului, grefa dentinar\u0103 elimin\u0103 orice risc de reac\u021bie imunologic\u0103 sau transmitere de agen\u021bi infec\u021bio\u0219i. \u00cen contextul unor pacien\u021bi cu profil sistemic delicat sau alergii cunoscute la biomateriale aloplastice ori animale, aceast\u0103 solu\u021bie devine nu doar sigur\u0103, ci \u0219i preferabil\u0103. Integrarea biologic\u0103 a materialului are loc \u00eentr-un mediu familiar organismului, f\u0103r\u0103 a genera inflama\u021bii persistente sau procese de respingere, o tr\u0103s\u0103tur\u0103 documentat\u0103 \u00een multiple studii clinice \u0219i revizii sistematice.&nbsp;<\/p>\n\n\n\n<p><strong>Osteoconductivitate \u0219i poten\u021bial osteoinductiv<\/strong>&nbsp;<\/p>\n\n\n\n<p>De\u0219i nu posed\u0103 capacitatea osteogenic\u0103 direct\u0103 a osului autogen, grefa dentinar\u0103 ofer\u0103 un suport excelent pentru regenerare prin mecanisme osteoconductive \u0219i, \u00een anumite condi\u021bii, osteoinductive. Structura sa mineral\u0103 permite colonizarea cu celule osteoprogenitoare, \u00een timp ce prezen\u021ba proteinelor morfogenetice osoase, precum BMP-2 \u0219i TGF-\u03b2, poate stimula diferen\u021bierea osteoblastic\u0103. Acest poten\u021bial osteoinductiv este semnificativ, dar depinde de procesul de preg\u0103tire a grefei \u0219i de vitalitatea celulelor din jur.&nbsp;<\/p>\n\n\n\n<p><strong>Integrare predictibil\u0103 cu osul nativ&nbsp;<\/strong><\/p>\n\n\n\n<p>Grefa dentinar\u0103 autogen\u0103 ofer\u0103 o integrare stabil\u0103 \u00een osul gazd\u0103, comport\u00e2ndu-se similar cu o gref\u0103 osoas\u0103 autolog\u0103 \u00een majoritatea studiilor clinice disponibile. Formarea de os nou \u0219i men\u021binerea volumului alveolar sunt raportate constant \u00een literatura de specialitate, cu rezultate predictibile din punct de vedere radiologic \u0219i clinic. \u00cen numeroase cazuri, particulele de dentin\u0103 sunt resorbite treptat \u0219i \u00eenlocuite cu os matur, sus\u021bin\u00e2nd stabilitatea pe termen lung a restaur\u0103rii protetice.&nbsp;<\/p>\n\n\n\n<p><strong>Remodelare osoas\u0103 eficient\u0103 \u00een timp<\/strong>&nbsp;<\/p>\n\n\n\n<p>Unul dintre avantajele grefei dentinare este capacitatea sa de a sus\u021bine regenerarea tridimensional\u0103 a defectului, f\u0103r\u0103 o resorb\u021bie accelerat\u0103 sau pierdere semnificativ\u0103 de volum \u00een fazele postoperatorii. Aceast\u0103 stabilitate este esen\u021bial\u0103 mai ales \u00een zona maxilar\u0103 anterioar\u0103, unde reducerea conturului vestibular afecteaz\u0103 direct estetica. Studiile clinice&nbsp; arat\u0103 c\u0103 osul format \u00een jurul particulelor de dentin\u0103 are o densitate comparabil\u0103 cu cel ob\u021binut prin grefe autologe.&nbsp;<\/p>\n\n\n\n<p><strong>Disponibilitate imediat\u0103<\/strong>&nbsp;<\/p>\n\n\n\n<p>Un beneficiu logistic semnificativ este faptul c\u0103 materialul este disponibil imediat, \u00een cadrul aceleia\u0219i \u0219edin\u021be operatorii. \u00cen contextul unei extrac\u021bii dentare, dintele este procesat rapid cu ajutorul sistemelor dedicate, precum <em>Smart Dentin Grinder<\/em> sau <em>Tooth Transformer<\/em>, \u0219i reintrodus \u00een acela\u0219i c\u00e2mp operator sub form\u0103 de particule sterilizate. Aceast\u0103 procedur\u0103 elimin\u0103 necesitatea planific\u0103rii unei interven\u021bii suplimentare, reduc\u00e2nd timpul total de tratament \u0219i stresul pacientului.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" width=\"1024\" height=\"503\" src=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-1024x503.jpg\" alt=\"grefa-dentinara\" class=\"wp-image-26701\" style=\"width:601px;height:auto\" srcset=\"https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-1024x503.jpg 1024w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-300x147.jpg 300w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-768x377.jpg 768w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-1536x755.jpg 1536w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-2048x1006.jpg 2048w, https:\/\/32academy.com\/wp-content\/uploads\/2025\/07\/grefa-dentinara-2-600x295.jpg 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>Costuri reduse<\/strong>&nbsp;<\/p>\n\n\n\n<p>Folosirea unei surse proprii de material biologic implic\u0103 un cost direct redus. Nu sunt necesare biomateriale suplimentare, membrane costisitoare sau kituri de recoltare osoas\u0103. Acest lucru poate face diferen\u021ba \u00een planificarea tratamentelor complexe sau multiple, unde bugetul pacientului influen\u021beaz\u0103 deciziile terapeutice. \u00cen plus, eliminarea unei a doua zone chirurgicale (cum este cazul recolt\u0103rii de gref\u0103 autolog\u0103 din creasta mentonier\u0103 sau ram mandibular) reduce semnificativ morbiditatea \u0219i timpul de vindecare.&nbsp;<\/p>\n\n\n\n<p><strong>Estetic\u0103 optimizat\u0103&nbsp;<\/strong><\/p>\n\n\n\n<p>Grefa dentinar\u0103 a demonstrat eficien\u021b\u0103 \u00een men\u021binerea conturului alveolar, \u00een special \u00een cazurile cu inserare imediat\u0103 a implantului post-extrac\u021bional. Particulele pot fi plasate strategic pentru a sus\u021bine corticala vestibular\u0103 \u0219i a preveni colapsul crestei, contribuind la un profil de emergen\u021b\u0103 estetic \u0219i armonios. Acest aspect este crucial \u00een regiunea frontal\u0103, mai ales la pacien\u021bii cu linie gingival\u0103 \u00eenalt\u0103 sau cerin\u021be estetice ridicate.&nbsp;<\/p>\n\n\n\n<p>\u00cen concluzie \u00eentr-un domeniu \u00een care biomaterialele evolueaz\u0103 constant \u0219i cerin\u021bele pacien\u021bilor devin tot mai variate, grefa dentinar\u0103 autogen\u0103 propune o solu\u021bie cu beneficii clinice clare: disponibilitate imediat\u0103, biocompatibilitate ridicat\u0103, integrare predictibil\u0103 \u0219i estetic\u0103 optimizat\u0103. Departe de a fi doar o op\u021biune de rezerv\u0103, aceast\u0103 metod\u0103 s-a dovedit, prin multiple studii clinice \u0219i aplica\u021bii practice, o alternativ\u0103 valid\u0103 \u0219i eficient\u0103 \u00een regenerarea osoas\u0103 ghidat\u0103.&nbsp;<\/p>\n\n\n\n<p>Desigur, succesul ei depinde de selec\u021bia corect\u0103 a cazului, de respectarea protocoalelor de procesare \u0219i de o bun\u0103 \u00een\u021belegere a limit\u0103rilor biologice implicate. \u00cens\u0103 pentru medicii care caut\u0103 metode autologe, minim invazive \u0219i sustenabile, grefa dentinar\u0103 merit\u0103 pe deplin un loc \u00een arsenalul terapeutic.&nbsp;<\/p>\n\n\n\n<p>Dac\u0103 vrei s\u0103 aprofundezi utilizarea grefei dentinare \u00een regenerarea osoas\u0103 \u0219i s\u0103 vezi cum se aplic\u0103 \u00een cazuri clinice reale, <strong>32Academy<\/strong> \u00ee\u021bi pune la dispozi\u021bie cursul intensiv<a href=\"https:\/\/32academy.com\/ro\/webinar\/natural-guided-regeneration-therapy-challenging-the-paradigm-of-soft-and-hard-tissue-regeneration\/\" target=\"_blank\" rel=\"noreferrer noopener\"> <strong>Natural Guided Regeneration Therapy<\/strong><\/a>. Sub \u00eendrumarea Dr. Nelson Pinto, dezvoltator al terapiei de regenerare ghidat\u0103 natural\u0103 pentru managementul r\u0103nilor cronice, vei descoperi un protocol minim invaziv care reduce semnificativ timpul de vindecare \u0219i ofer\u0103 rezultate mai fiabile \u0219i predictibile.\u00a0<\/p>\n\n\n\n<p><em>Bibliografie: mdpi.com, journals.lww.com, researchgate.net, onlinelibrary.wiley.com<\/em>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00centr-un context clinic tot mai exigent, \u00een ceea ce prive\u0219te estetica \u0219i func\u021bionalitatea pe termen lung a tratamentelor orale, regenerarea osoas\u0103 a devenit un pilon central. Pierderile osoase postextrac\u021bionale pot compromite sever inserarea corect\u0103 a implantului \u0219i pot afecta stabilitatea \u0219i armonia restaur\u0103rii finale, \u00een special \u00een regiunea maxilar\u0103 anterioar\u0103 estetic\u0103, unde placa vestibular\u0103 sub\u021bire [&hellip;]<\/p>\n","protected":false},"author":19860,"featured_media":26697,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[443],"tags":[],"class_list":["post-26694","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articole"],"acf":[],"_links":{"self":[{"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/posts\/26694","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/users\/19860"}],"replies":[{"embeddable":true,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/comments?post=26694"}],"version-history":[{"count":0,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/posts\/26694\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/media\/26697"}],"wp:attachment":[{"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/media?parent=26694"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/categories?post=26694"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/32academy.com\/ro\/wp-json\/wp\/v2\/tags?post=26694"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}