Implant Placement with Guided Bone Regeneration in the Maxillary Area : A Case Report
Keywords:
Dental implant, Guided bone regeneration, bone substitutes, resorbable membraneAbstract
A 55-year-old patient presented with horizontal ridge resorption at the 21 area from extraction due to a root fracture. The treatment planning was achieved based on clinical and radiographic (cone beam computed tomography) evaluation. Dental implant placement and guided bone regeneration using xenograft and resorbable membrane were simultaneously performed. Four-month follow-up showed a clinically dimensional bone gain in the augmented area. The second stage of surgery was then started by applying the healing abutment connection with good implant stability. The provisional restoration was placed to establish an adequate emergence profile for 1-2 months. Screw-retained ceramic crown could be delivered with good stability of both hard and soft tissue support. The patient was satisfied with the esthetic outcome.
Keywords: Dental implant, Guided bone regeneration, bone substitutes, resorbable membrane
References
Weber HP, Fiorellini JP, Buser DA. Hard-tissue augmentation for the placement of anterior dental implants. Compend Contin Educ Dent. 1997;18(8): 779-84, 86-8, 90-1; quiz 92.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent. 2003;23(4):313-23.
Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32(2):212-8.
Pagni G, Pellegrini G, Giannobile WV, Rasperini G. Postextraction alveolar ridge preservation: biological basis and treatments. Int J Dent. 2012;2012:151030.
McAllister BS, Haghighat K. Bone augmentation techniques. J Periodontol. 2007;78(3):377-96.
Benic GI, Hammerle CH. Horizontal bone augmentation by means of guided bone regeneration. Periodontol 2000. 2014;66(1):13-40.
Elgali I, Omar O, Dahlin C, Thomsen P. Guided bone regeneration: materials and biological mechanisms revisited. Eur J Oral Sci. 2017;125(5):315-37.
Garcia J, Dodge A, Luepke P, Wang HL, Kapila Y, Lin GH. Effect of membrane exposure on guided bone regeneration: A systematic review and meta-analysis. Clin Oral Implants Res. 2018;29(3):328-38.
Goldberg VM, Stevenson S. The biology of bone grafts. Semin Arthroplasty. 1993;4(2):58-63.
Rawashdeh MaA, Telfah H. Secondary Alveolar Bone Grafting: the Dilemma of Donor Site Selection and Morbidity. British Journal of Oral and Maxillofacial Surgery. 2008;46(8):665-70.
Zimmermann G, Moghaddam A. Allograft bone matrix versus synthetic bone graft substitutes. Injury. 2011;42:S16-S21.
García-Gareta E, Coathup MJ, Blunn GW. Osteoinduction of bone grafting materials for bone repair and regeneration. Bone. 2015;81:112-21.
Figueiredo A, Coimbra P, Cabrita A, Guerra F, Figueiredo M. Comparison of a xenogeneic and an alloplastic material used in dental implants in terms of physico-chemical characteristics and in vivo inflammatory response. Materials Science and Engineering: C. 2013;33(6):3506-13.
Jung RE, Fenner N, Hämmerle CHF, Zitzmann NU. Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after 12–14 years. Clinical Oral Implants Research. 2013;24(10):1065-73.
Wittneben JG, Buser D, Belser UC, Brägger U. Peri-implant soft tissue conditioning with provisional restorations in the esthetic zone: the dynamic compression technique. Int J Periodontics Restorative Dent. 2013;33(4):447-55.
Retzepi M, Donos N. Guided Bone Regeneration: Biological principle and therapeutic applications. Clinical Oral Implants Research. 2010;21(6):567-76.
Chiapasco M, Zaniboni M. Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clinical Oral Implants Research. 2009;20(s4):113-23.
Grunder U, Gracis S, Capelli M. Influence of the 3-D bone-to-implant relationship on esthetics. Int J Periodontics Restorative Dent. 2005;25(2):113-9.
Tarnow D, Elian N, Fletcher P, Froum S, Magner A, Cho SC, et al. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J Periodontol. 2003;74(12):1785-8.
Wittneben JG, Millen C, Brägger U. Clinical performance of screw- versus cement-retained fixed implant-supported reconstructions--a systematic review. Int J Oral Maxillofac Implants. 2014;29 Suppl:84-98.
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