Biological effects of compressive forces exerted on particulate bone grafts during socket preservation: animal study

Delgado-Ruíz, Rafael Arcesio; Romanos, Georgios E.; Gerhke, Sergio Alexandre; Val, José Eduardo Maté-Sánchez de; Calvo-Guirado, José Luís

doi:10.1111/clr.12942

Cited by 20 publications

(22 citation statements)

References 30 publications

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“…The membrane should be applied to fix the grafted material [9]. In the case of bone graft for the preservation of the extraction socket, they suggested that applying the appropriate pressure (200 g), together with the membrane, may cause the graft material to condense and form a better quality of bone [10].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Collagen-Based Membranes in Alveolar Bone Augmentation

2018

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Collagen-based membranes (CBMs) have similar permissive bone formation capabilities when compared to non-absorbable membranes. CBMs have been classified as non-cross-linked membranes (NCLMs) and cross-linked membranes (CLMs) depending on whether the cross-linking between the collagen fibers was artificially increased. The purpose of this study is to evaluate the bone maintenance capacity between NCLMs and CLMs by comparing resorption of regenerated bone. The inclusion criteria consisted of: (1) The use of a CBM, either being an NCLM or CLM for coverage of grafted bone; (2) follow-up for more than one year; (3) the presence of the patient's orthopantomographic X-ray (OPTG) immediately following the installation of implants and one year after. The bone resorption observed in the OPTG was determined by measuring the number of exposed threads of the implant. The number of thread exposures in the implant was compared according to CBM types. OPTGs taken immediately following the installation of implants and at one year after installation were compared. The subject of the measurement was always the implant in which the greatest number of exposed threads were present in each patient. A total of 56 subjects and 97 implants were used in this study. There was no significant difference between NCLM and CLM groups (p > 0.05). However, there was a statistically significant difference (p = 0.02) between the groups when a bone graft was applied to both the maxilla and the mandible. The average number of thread exposures was less than 1.5. In this study, no comparison was made between commonly known causes of bone loss and membrane types.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Collagen-Based Membranes in Alveolar Bone Augmentation

2018

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“…A 4.1 mm diameter implant with 12 mm length facilitated the haemostasis of the apical bone and the middle and apical thirds around the implant body. Graft particles were embedded in TXA to stabilise the fibrin clot and to create a more stable and malleable grafting paste11 12; afterward, the graft was compressed to provide additional haemostasis, stabilise the graft particles by reducing the voids between particles and to facilitate the fibrin clot contact with all the surfaces 13 14…”

Section: Discussionmentioning

confidence: 99%

“…Residual bleeding coming from the remnants of the socket walls was controlled by filling the gap (space between the implant body and implant bed produced by the differences between the root anatomy and implant geometry) with a particulate bone graft (Bone Ceramic, Straumann, Basel, Switzerland) previously embedded in TXA11 12 (Amchafibrin, Meda Farma) and packed with 200g compression force with a bone condenser 13. The graft particles were condensed against the base and walls of the socket until the particles were compacted, stabilised and filled with a blood coagulum 14…”

Section: Treatmentmentioning

confidence: 99%

Infected tooth extraction, bone grafting, immediate implant placement and immediate temporary crown insertion in a patient with severe type-B hemophilia

2019

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Haemorrhagic disorders combined with soft tissue inflammation and infection may lead to severe bleeding complications before, during or after dental treatment. In selected cases, a combined therapeutic approach involving clinical therapies and systemic and local medication could improve the treatment outcomes and the patient’s quality of life. This clinical case report, presents for the first time a successful combined approach, completed in a 38-year-old male patient with severe type-B haemophilia in which an infected tooth was extracted, an immediate implant was inserted, bone grafting was performed and early implant loading was successfully applied. In addition to the clinical therapy, medication was provided orally, systemically and locally, thus preventing the haemorrhagic complications and improving the patient’s quality of life.

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“…Bone grafting is a current requirement, and improvement of surgical skills is a prerequisite, providing the foundation for hard‐tissue stability. Recent studies show that particulate bone‐grafting materials should be compressed as formation of new bone is more effective under compression . Empirical approaches need to be tested to provide evidence for clinical practice success.…”

Section: Educational Needs To Prevent and Control Implant Complicationsmentioning

confidence: 99%

Concepts for prevention of complications in implant therapy

Romanos

Delgado-Ruíz

Sculean

2019

Periodontology 2000

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109

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| INTRODUC TI ONDental implant therapy is a well-established dental treatment modality that provides benefits for edentulous and partially edentulous patients. Edentulism is a toothless condition that affects well-being and life quality. Although the prevalence of complete tooth loss has declined since 2002, edentulism remains a major disease worldwide, especially among older adults. 1 According to several studies, tooth loss can affect general health in a number of ways owing to reduced intake of a vitamin-rich diet. 2 Also, it has been demonstrated that the dentition status can impact the healthy eating index score and overall diet quality. 3 Edentulism is significantly associated with depression and poor self-rated health in patients younger than 50 years. 4 Furthermore, in a recent systematic review that evaluated mortality and the rehabilitation of edentulism, a possible relationship was found between death rate and edentulousness, in that death rate was higher among edentulous patients not using dentures compared with denture wearers. 5 Therefore, oral health-care providers should prevent tooth loss with proper dental education and improved treatment quality to rehabilitate the edentulous and partially edentulous patients and reestablish proper masticatory function.Dental implants are a valuable treatment option for improving oral health and quality of life, especially for completely edentulous patients. 6 However, dental implants can fail at different points in time, starting from the moment when they are inserted. Based on the time when the failure occurred and the time of loading, early and late failures have been described. 7 However, implant therapy also can present complications, which do not necessarily lead to implant failure.Therefore, the aim of this volume of Periodontology 2000 is to present an overview on the causes of various types of complications related to implant therapy and to provide the practitioner with clinical concepts on their prevention and management. | BONE DYNAMI C AC TIVIT Y FROM TIME OF IMPL ANT PL ACEMENTThe dental implant treatment process starts with comprehensive planning, followed by surgical management of the alveolar bone to prepare it to receive primary (mechanically) stable implant(s) and implant restoration(s) that are resistant to occlusal loads and meet the functional and esthetic demands of patients. However, complications (biological, surgical, or prosthetic) may be encountered. During surgery, strong dynamic and active processes are present in peri-implant tissues, which are induced by trauma during flap and periosteum elevation at the time of implant insertion and the response of the surrounding tissues to the implant material (ie, titanium). The peri-implant bone density is altered (modified) as a result of bone removal (osteotomy) and subsequent bone condensation (ie, through the use of osteotomes or osseodensification, or undersizing of the osteotomy), and bone density continues to improve by stimulating the surrounding bone using functional loading. This st...

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Biological effects of compressive forces exerted on particulate bone grafts during socket preservation: animal study

Cited by 20 publications

References 30 publications

Efficacy of Collagen-Based Membranes in Alveolar Bone Augmentation

Efficacy of Collagen-Based Membranes in Alveolar Bone Augmentation

Infected tooth extraction, bone grafting, immediate implant placement and immediate temporary crown insertion in a patient with severe type-B hemophilia

Concepts for prevention of complications in implant therapy

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