Assessment of Soft Tissue Expansion Using Osmed Self Inflating Hydrogel Prior to Mandibular Ridge Augmentation

Elbokle, Nader; Chehata, Ingy Mohamed

doi:10.21608/edj.2017.74753

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…Although in group II, volumetric measurements showed an average mean of 7.58± 1.46 cm3 and 9.27± 2.19 cm3 6 and 24 months postoperative, respectively. This is in accordance with Elbokle et al10 who proved that these differences in graft resorption clearly favors the placement of soft tissue expanders before ridge augmentation and suggest that the periosteal flap tension to be a major contributing factor in increased bone resorption in cases where soft tissue expansion is not attempted 30…”

Section: Discussionsupporting

confidence: 89%

“…For a fixed prosthesis supported by an endosseous dental implant, predictable results have been described. 9,10 Tissue expanders are now available in a wide range of shapes and sizes, and the outcomes of tissue gain are highly encouraging, with lower incidence of problems such as infection and tissue herniation. 7,8,11,12 Bone grafts in expanded tissue have also been successful in implant osseointegration, possibly due to the greater vascularity and flexibility of the expanded capsule and tissue bed.…”

Section: Resultsmentioning

confidence: 99%

“…. For a fixed prosthesis supported by an endosseous dental implant, predictable results have been described 9,10. Tissue expanders are now available in a wide range of shapes and sizes, and the outcomes of tissue gain are highly encouraging, with lower incidence of problems such as infection and tissue herniation 7,8,11,12.…”

mentioning

confidence: 99%

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Tissue Expander Followed by Autogenous Bone Graft Versus Autogenous Bone Graft Alone for Mandibular Reconstruction: Quantitative Assessment

Tawfik

El-Sayed

Mohamed

et al. 2022

Journal of Craniofacial Surgery

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Section: Discussionsupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

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Tissue Expander Followed by Autogenous Bone Graft Versus Autogenous Bone Graft Alone for Mandibular Reconstruction: Quantitative Assessment

Tawfik

El-Sayed

Mohamed

et al. 2022

Journal of Craniofacial Surgery

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Soft tissue expansion using self-inflating osmotic hydrogel expanders prior to bone augmentation: healing and complications. Evidence-based review

Ellesøe,

Shado,

Pereira

et al. 2023

BDJ Open

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Aim This review aims to assess complication rates, soft tissue gain, and bone gain associated with the use of self-inflating osmotic hydrogel tissue expanders (SOHTEs) for soft tissue expansion (STE). Methods A comprehensive search on Pubmed and Google Scholar databases was conducted to identify human studies using SOHTEs for STE; last searched in March 2023. Expansion phase details and expander variables were documented. Complication rates, soft tissue gain, and bone gain reported in each study were also recorded. The inclusion criteria encompassed human studies ranging from evidence levels II–IV (Oxford Centre for Evidence-Based Medicine Levels of Evidence), without specific date limits. For assessing bias in randomized controlled trials (RCTs), a Risk of Bias tool was employed. The synthesised results were presented through tables, sunburst plots, and bar charts. Results A total of 13 studies were identified, comprising 4 RCTs, 1 cohort study, and 8 case-series. Employment of SOHTEs yielded an overall complication rate of 17% (24/140 sites), with expander perforation accounting for 9.3% (13/140) of the sites. Specific complication rates included dehiscence (1.4%, 2/140 sites), paraesthesia (1.4%, 2/140 sites), and infection (1.4%, 2/140 sites). All randomized controlled trials (RCTs) were categorised at Level II. The remaining investigations primarily consisted of Level IV case-series lacking controls. All studies demonstrated some concerns towards bias. Conclusion STE studies using SOHTEs exhibit a reduction in complications associated with bone augmentation in scenarios of inadequate soft tissue coverage. Preliminary evidence suggests potential benefits even in cases with sufficient soft tissue. Adherence to procedural precautions may reduce the risk of expander perforations, further diminishing complications. Subsequent studies should incorporate individual patient and expander variables in their reports to explore the impact of expansion phases on complication rates, as well as bone and soft tissue augmentation.

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Assessment of Soft Tissue Expansion Using Osmed Self Inflating Hydrogel Prior to Mandibular Ridge Augmentation

Cited by 2 publications

References 23 publications

Tissue Expander Followed by Autogenous Bone Graft Versus Autogenous Bone Graft Alone for Mandibular Reconstruction: Quantitative Assessment

Tissue Expander Followed by Autogenous Bone Graft Versus Autogenous Bone Graft Alone for Mandibular Reconstruction: Quantitative Assessment

Soft tissue expansion using self-inflating osmotic hydrogel expanders prior to bone augmentation: healing and complications. Evidence-based review

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