Management of Complications in Anterior Maxilla During Guided Bone Regeneration

Rocchietta, Isabella; Moreno, Federico; Nisand, David

doi:10.1002/9781119427926.ch13

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…The application of the GBR technique to the maxillary anterior teeth is crucial, given the intricate considerations of bone structure, biological characteristics, aesthetic demands, and procedural complexity [ 6 , 7 ]. In achieving optimal outcomes, careful attention must be paid to existing morphological factors, coupled with the prudent selection of appropriate materials [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Simultaneous Implant and Guided Bone Regeneration Using Bovine-Derived Xenograft and Acellular Dermal Matrix in Aesthetic Zone

Devina,

Halim,

Sulijaya

et al. 2024

Dentistry Journal

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Introduction: Implant placement in the maxillary anterior area requires sufficient quantity and quality of both soft and hard tissue. In cases where soft and hard tissues are insufficient, additional regeneration using biomaterials is recommended. Treatment using bovine-derived xenograft and acellular dermal matrix (ADM) may increase bone volume and soft tissue thickness. Case and management: A 65-year-old woman sought help for discomfort and aesthetic issues with her denture, reporting missing teeth (11, 12, 13, 14, and 21) and bone volume shrinkage due to disuse atrophy. Intraoral examination revealed 1 mm gingival thickness. CBCT showed labio-palatal bone thickness of 6.0 mm, 5.8 mm, and 4.7 mm for teeth 21, 12 and 14, respectively. Implant planning and surgical guide fabrication were carried out before the surgery. Surgery included the placement of implants 3.3 mm in diameter and 12 mm in length, with the use of xenograft and ADM. Three months post-op, improvements in soft and hard tissues were observed, with a final prosthesis being a long-span implant-supported bridge. Conclusions: Disuse alveolar atrophy causes soft and hard tissue deficiency. The use of xenograft and ADM show favourable results even on a geriatric patient.

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Section: Introductionmentioning

confidence: 99%

Simultaneous Implant and Guided Bone Regeneration Using Bovine-Derived Xenograft and Acellular Dermal Matrix in Aesthetic Zone

Devina,

Halim,

Sulijaya

et al. 2024

Dentistry Journal

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“…implant placement with simultaneous contour augmentation using a non-resorbable membrane associated with a composite graft  A combined horizontal and vertical bone defect (de novo formation): guided bone regeneration with a non-resorbable membrane associated with a composite graft and delayed implant placement (6 to 9 months) [3] .…”

Section: Introductionmentioning

confidence: 99%

“…Using a barrier has several potential drawbacks. The most common complication is premature exposure of the membrane to the oral environment due to wound dehiscence, infection, and its sequelae [3,4] . Exposed membranes accumulate bacterial plaque associated with inflammation of adjacent gingival tissue within approximately one month of exposure [8,21] .…”

Section: Introductionmentioning

confidence: 99%

In vitro analysis of antimicrobial activity in exposed collagen membranes applying chitosan-metronidazole in topical gel

Trujillo¹,

Durán²,

Pérez³

et al. 2023

Int. J. Appl. Dent. Sci.

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Guided Bone Regeneration through the use of a membrane has been a Gold standard to obtain the best results, in turn, being a sensitive technique whose main complication is its exposure and infection by pathogenic periodontium bacteria. Objective: To observe the antimicrobial effect of topical chitosan-metronidazole on Porphyromona gingivalis. Materials and Methods: Topical Chitosan-Metronidazole was prepared with which it is antimicrobial sensitivity was observed in the crop medium of Müller-Hinton agar with the well diffusion method after having applied 50 microliters of P. gingivalis, 8mm was extracted with a punch and filled with chitosanmetronidazole, the inhibitory halo was analyzed to obtain results. Results: The inhibitory halo was observed and measured in the two samples which is 20 mm for both, obtaining a sensitive result. Conclusion: Topical chitosan-metronidazole was shown to have a good effect on P. gingivalis.

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“…Healing process is conditioned by age, medical status, systemic disease, osteoporosis, patient compliance and many others factors [3]. Considered what has been said, adding a more invasive surgery in both donor and recipient site, longer healing time, more expensive costs, longer and more difficult work with more responsibilities for the surgeon, adds up with choosing modern implantology.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2021

SRDT

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Many patients lack both vertical and horizontal bone dimensions required for endosseous implant insertion. Removable prostheses are also unsuccessful in situation with severe bone resorption. Bone regeneration is the crucial key for a correct implant positioning and allows patients to have fixed prosthesis which is a much more accepted rehabilitation. This clinical case report describes and demonstrates how advanced modern implantology can successfully handle severe vertical and horizontal bone defects.

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Management of Complications in Anterior Maxilla During Guided Bone Regeneration

Cited by 3 publications

References 26 publications

Simultaneous Implant and Guided Bone Regeneration Using Bovine-Derived Xenograft and Acellular Dermal Matrix in Aesthetic Zone

Simultaneous Implant and Guided Bone Regeneration Using Bovine-Derived Xenograft and Acellular Dermal Matrix in Aesthetic Zone

In vitro analysis of antimicrobial activity in exposed collagen membranes applying chitosan-metronidazole in topical gel

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