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Kim K, Su Y, Kucine AJ, Cheng K, Zhu D. Guided Bone Regeneration Using Barrier Membrane in Dental Applications. ACS Biomater Sci Eng 2023; 9:5457-5478. [PMID: 37650638 DOI: 10.1021/acsbiomaterials.3c00690] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Guided bone regeneration (GBR) is a widely used technique in preclinical and clinical studies due to its predictability. Its main purpose is to prevent the migration of soft tissue into the osseous wound space, while allowing osseous cells to migrate to the site. GBR is classified into two main categories: resorbable and non-resorbable membranes. Resorbable membranes do not require a second surgery but tend to have a short resorption period. Conversely, non-resorbable membranes maintain their mechanical strength and prevent collapse. However, they require removal and are susceptible to membrane exposure. GBR is often used with bone substitute graft materials to fill the defect space and protect the bone graft. The membrane can also undergo various modifications, such as surface modification and biological factor loading, to improve barrier functions and bone regeneration. In addition, bone regeneration is largely related to osteoimmunology, a new field that focuses on the interactions between bone and the immune system. Understanding these interactions can help in developing new treatments for bone diseases and injuries. Overall, GBR has the potential to be a powerful tool in promoting bone regeneration. Further research in this area could lead to advancements in the field of bone healing. This review will highlight resorbable and non-resorbable membranes with cellular responses during bone regeneration, provide insights into immunological response during bone remodeling, and discuss antibacterial features.
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Affiliation(s)
- Kakyung Kim
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, New York 11794, United States
| | - Yingchao Su
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, New York 11794, United States
| | - Allan J Kucine
- Department of Oral and Maxillofacial Surgery, Stony Brook University, Stony Brook, New York 11794, United States
| | - Ke Cheng
- Department of Biomedical Engineering, Columbia University, New York City, New York 10027, United States
| | - Donghui Zhu
- Department of Biomedical Engineering, Stony Brook University, Stony Brook, New York 11794, United States
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Bertran Faus A, Cordero Bayo J, Velasco-Ortega E, Torrejon-Moya A, Fernández-Velilla F, García F, López-López J. Customized Titanium Mesh for Guided Bone Regeneration with Autologous Bone and Xenograft. MATERIALS (BASEL, SWITZERLAND) 2022; 15:ma15186271. [PMID: 36143583 PMCID: PMC9501097 DOI: 10.3390/ma15186271] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 09/06/2022] [Accepted: 09/07/2022] [Indexed: 06/12/2023]
Abstract
The augmentation of the alveolar crest after the loss of one or several teeth can be carried out using different bone augmentation techniques. These techniques include bone distraction, ridge expansion, bone block grafts, etc. Guided bone regeneration is an alternative to increase the volume of the hard tissues for the subsequent placement of the implants in the optimal three-dimensional position. The objective of this paper is to show a case report of the use of customized titanium mesh for posterior vertical bone regeneration. Case report and Results: A 59-year-old woman comes to rehabilitate edentulous spaces with implants. After taking the anamnesis and the intra and extraoral exploration, a vertical and horizontal bone defect is observed in the third quadrant. After the radiological study with CBCT, a bone height of 6.04 mm to the inferior alveolar nerve and a width of the bone crest of 3.95 mm was observed. It was decided to carry out a regeneration with a preformed titanium mesh (Avinent®, Santpedor, Spain) and four microscrews (Avinent®, Santpedor, Spain). The flap was closed without tension. Regular check-ups were performed without complications. At 7 months, the mesh was removed and two osteoingrated implants (Avinent®, Santpedor, Spain) were placed with a torque greater than 45 N/cm and an ISQ of 82 and 57 N/cm, respectively. The bone gain obtained was 1.84 and 1.92 mm in width and 4.2 and 3.78 mm in height for positions 3.5 and 3.6. The newly formed bone, obtained by trephine, was well-structured and histologically indistinguishable from the previous bone. Conclusion: The use of a customized pre-formed titanium mesh together with the mixture of autologous bone and xenograft is a feasible and predictable technique for vertical bone regeneration.
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Affiliation(s)
- Anna Bertran Faus
- Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | - José Cordero Bayo
- Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain
| | - Eugenio Velasco-Ortega
- Department of Comprehensive Dentistry for Adults and Gerodontology, Faculty of Dentistry, University of Seville, 41018 Seville, Spain
| | - Aina Torrejon-Moya
- Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | - Francesca Fernández-Velilla
- Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | - Fernando García
- Faculty of Medicine and Health Sciences (Dentistry), University of Barcelona, 08907 L’Hospitalet de Llobregat, Spain
| | - José López-López
- Department of Oral Medicine, Faculty of Dentistry, Service of the Medical-Surgical Area of Dentistry Hospital, University of Barcelona, 08907 Barcelona, Spain
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Poomprakobsri K, Kan JY, Rungcharassaeng K, Lozada J. Exposure of Barriers Used in GBR: Rate, Timing, Management, And Its Effect on Grafted Bone. A Retrospective Analysis. J ORAL IMPLANTOL 2021; 48:27-36. [PMID: 34505160 DOI: 10.1563/aaid-joi-d-19-00252] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The purpose of this study is to compare exposure rate of three different barrier types after a guided-bone regenerationprocedure, as well as to compare the percentage grafted bone dimensional loss with and without exposed barriers. Patient records from September 2007 to May 2015 were reviewed to identify subjects that had received bone graft and then implant placement procedure after the graft is completely healed. The subjects were divided into 3 groups: 1) resorbable barrier 2) non-resorbable barrier, and 3) titanium-mesh barrier. Incidences of barrier exposure were recorded. Cone-beam computed tomography images before treatment (T0), right after grafting (T1), and after healing (T2) were used to determine percentage grafted bone dimensional loss (%) and quantitative grafted bone remained (mm 2 ). Three cross-sectioned areas, at 1mm apart, of preplanned implant positions at the grafted site were measured on cone-beam computed tomography to calculate for grafted bone remained and grafted bone dimensional change. The exposure rate of all guided bone regeneration was 36.9%. Exposure rate of resorbable barrier (23.3%) is significantly lower than Titanium mesh (68.9%) and Non-resorbable (72.7%) (Chi-Square, P < .001). The result from this study revealed that barrier types have significant effect on exposure rate. There was also a significant different in grafted bone dimensional loss in sites with barrier exposure (58.3%) and sites with no barrier exposure (44.1%) during the healing period (Mann-Whitney U, P = .008).
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Affiliation(s)
- Kiddee Poomprakobsri
- Loma Linda University School of Dentistry Assistant Professor Division of General Dentistry 11092 Anderson St. UNITED STATES Loma Linda CA 92354 Loma Linda University School of Dentistry
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Hasegawa H, Kaneko T, Endo M, Kanno C, Yamazaki M, Yaginuma S, Igarashi H, Honma H, Masui S, Suto M, Sakisaka Y, Ishihata H. Comparing the Efficacy of a Microperforated Titanium Membrane for Guided Bone Regeneration with an Existing Mesh Retainer in Dog Mandibles. MATERIALS 2021; 14:ma14123358. [PMID: 34204390 PMCID: PMC8234924 DOI: 10.3390/ma14123358] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/07/2021] [Accepted: 06/15/2021] [Indexed: 11/16/2022]
Abstract
Acute-type lateral ridge defects (25 mm × 6 mm × 5 mm) were bilaterally created in the mandibles of four dogs (two defects per animal). The defects were reconstructed with particulate autologous bone and covered with a microperforated titanium membrane (Ti-honeycomb membrane, TiHM) or an existing conventional titanium mesh as control. The samples were dissected after 16 weeks postoperatively and processed for radiographic, histologic, and histomorphometric analyses. Regenerated tissue and bone volume were significantly larger in the TiHM group than in the control group (p = 0.05; p = 0.049). In contrast, bone mineral density was similar between the two groups. Histomorphometric analysis revealed that the regenerated bone area and calcific osseous area were larger in the TiHM group than in the control group; however, the differences were not significant. The efficacy of TiHM was generally satisfactory with the potential to become a standard tool for the GBR procedure; however, early membrane exposure will be a major problem to overcome.
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Affiliation(s)
- Hiroshi Hasegawa
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
- Correspondence: ; Tel.: +81-24-547-1111; Fax: +81-24-547-1352
| | - Tetsuharu Kaneko
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
| | - Manabu Endo
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
| | - Chihiro Kanno
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
| | - Morio Yamazaki
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
| | - Sadanoshin Yaginuma
- Department of Oral Surgery and Dentistry, Fukushima Medical University, 1, Hikariga-oka, Fukushima 960-1295, Japan; (T.K.); (M.E.); (C.K.); (M.Y.); (S.Y.)
| | - Hiroki Igarashi
- Department of Dentistry and Oral Surgery, Koseikai Hospital, 16-2, Nariide, Kitasawamata, Fukushima 960-8251, Japan;
| | - Hideaki Honma
- Department of Dentistry and Oral Surgery, Omachi Hospital, 3-97, Omachi, Haranomachi-ku, Minami-Soma, Fukushima 975-0001, Japan;
| | - Seiichiro Masui
- Clinical Research Center, Fukushima Medical University Hospital, 1, Hikariga-oka, Fukushima 960-1295, Japan;
| | - Mizuki Suto
- Division of Periodontology and Endodontology, Department of Ecological Dentistry, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan; (M.S.); (Y.S.); (H.I.)
| | - Yukihiko Sakisaka
- Division of Periodontology and Endodontology, Department of Ecological Dentistry, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan; (M.S.); (Y.S.); (H.I.)
| | - Hiroshi Ishihata
- Division of Periodontology and Endodontology, Department of Ecological Dentistry, Tohoku University Graduate School of Dentistry, Sendai 980-8575, Japan; (M.S.); (Y.S.); (H.I.)
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Xie Y, Li S, Zhang T, Wang C, Cai X. Titanium mesh for bone augmentation in oral implantology: current application and progress. Int J Oral Sci 2020; 12:37. [PMID: 33380722 PMCID: PMC7773733 DOI: 10.1038/s41368-020-00107-z] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 12/03/2020] [Accepted: 12/07/2020] [Indexed: 02/05/2023] Open
Abstract
Guided bone regeneration (GBR) is an effective and simple method for bone augmentation, which is often used to reconstruct the alveolar ridge when the bone defect occurs in the implant area. Titanium mesh has expanded the indications of GBR technology due to its excellent mechanical properties and biocompatibility, so that the GBR technology can be used to repair alveolar ridges with larger bone defects, and can obtain excellent and stable bone augmentation results. Currently, GBR with titanium mesh has various clinical applications, including different clinical procedures. Bone graft materials, titanium mesh covering methods, and titanium mesh fixing methods are also optional. Moreover, the research of GBR with titanium mesh has led to multifarious progresses in digitalization and material modification. This article reviews the properties of titanium mesh and the difference of titanium mesh with other barrier membranes; the current clinical application of titanium mesh in bone augmentation; common complications and management and prevention methods in the application of titanium mesh; and research progress of titanium mesh in digitization and material modification. Hoping to provide a reference for further improvement of titanium mesh in clinical application and related research of titanium mesh.
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Affiliation(s)
- Yu Xie
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Department of Implant Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Songhang Li
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Department of Implant Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Tianxu Zhang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Department of Implant Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Chao Wang
- College of Stomatology, Chongqing Medical University, Chongqing, China
- Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University, Beijing, China
| | - Xiaoxiao Cai
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Head and Department of Implant Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
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Kim YK, Ku JK. Guided bone regeneration. J Korean Assoc Oral Maxillofac Surg 2020; 46:361-366. [PMID: 33122463 PMCID: PMC7609932 DOI: 10.5125/jkaoms.2020.46.5.361] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 09/14/2020] [Indexed: 12/15/2022] Open
Abstract
Guided bone regeneration (GBR) is a surgical procedure that utilizes bone grafts with barrier membranes to reconstruct small defects around dental implants. This procedure is commonly deployed on dehiscence or fenestration defects ≥2 mm, and mixing with autogenous bone is recommended on larger defects. Tension-free primary closure is a critical factor to prevent wound dehiscence, which is critical cause of GBR failure. A barrier membrane should be rigidly fixed without mobility. If the barrier is exposed, closed monitoring should be utilized to prevent secondary infection.
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Affiliation(s)
- Young-Kyun Kim
- Editor-in-Chief of J Korean Assoc Oral Maxillofac Surg, Seongnam, Korea.,Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Seongnam, Korea.,Department of Dentistry & Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea
| | - Jeong-Kui Ku
- Section Editor of J Korean Assoc Oral Maxillofac Surg, Seongnam, Korea.,Department of Oral and Maxillofacial Surgery, Section of Dentistry, Armed Forces Capital Hospital, Armed Forces Medical Command, Seongnam, Korea
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Hartmann A, Seiler M. Minimizing risk of customized titanium mesh exposures - a retrospective analysis. BMC Oral Health 2020; 20:36. [PMID: 32013940 PMCID: PMC6998104 DOI: 10.1186/s12903-020-1023-y] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Accepted: 01/27/2020] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Recommendations for soft tissue management associated with customized bone regeneration should be developed. The aim of this study was to evaluate a new protocol for customized bone augmentation in a digital workflow. METHODS The investigators implemented a treatment of three-dimensional bone defects based on a customized titanium mesh (Yxoss CBR®, ReOSS, Filderstadt, Germany). Patients and augmentation sites were retrospectively analysed focussing on defect regions, demographic factors, healing difficulties and potential risk factors. An exposure rate was investigated concerning surgical splint application, A®- PRF and flap design. RESULTS In total, 98 implants could be placed. Yxoss CBR® was removed after mean time of 6.53 ± 2.7 months. Flap design was performed as full flap preparation (27.9%), full flap and periosteal incision (39.7%), periosteal incision (1.5%), poncho/split flap (27.9%) and rotation flap (2.9%). In 25% of the cases, exposures of the meshes were documented. Within this exposure rate, most of them were slight and only punctual (A = 16.2%), like one tooth width (B = 1.5%) and complete (C = 7.4%). A®- PRF provided significantly less exposures of the titanium meshes (76.5% no exposure vs. 23.5% yes, p = 0.029). Other parameters like tobacco abuse (p = 0.669), diabetes (p = 0.568) or surgical parameters (mesh size, defect region, flap design) did not influence the exposure rate. Surgical splints were not evaluated to reduce the exposure rate (p = 0.239). Gender (female) was significantly associated with less exposure rate (78,4% female vs. 21.6% male, p = 0.043). CONCLUSIONS The results of this study suggest that the new digital protocol including patient-specific titanium meshes, resorbable membranes and bone grafting materials was proven to be a promising technique. To improve soft tissue healing, especially A®-PRF should be recommended.
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Affiliation(s)
- Amely Hartmann
- Private Practitioner, Affiliate to the Department of Oral and Maxillofacial Surgery, University Medical Centre of the Johannes Gutenberg University of Mainz, Augustusplatz 2, 55131, Mainz, Germany. .,Department Head, Private Dental Practice, Echterdinger Str. 7, 70794, Filderstadt, Germany.
| | - Marcus Seiler
- Department Head, Private Dental Practice, Echterdinger Str. 7, 70794, Filderstadt, Germany
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Evaluation of Risk Parameters in Bone Regeneration Using a Customized Titanium Mesh. IMPLANT DENT 2019; 28:543-550. [DOI: 10.1097/id.0000000000000933] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Tallarico M, Ceruso FM, Muzzi L, Meloni SM, Kim YJ, Gargari M, Martinolli M. Effect of Simultaneous Immediate Implant Placement and Guided Bone Reconstruction with Ultra-Fine Titanium Mesh Membranes on Radiographic and Clinical Parameters after 18 Months of Loading. MATERIALS 2019; 12:ma12101710. [PMID: 31130717 PMCID: PMC6566839 DOI: 10.3390/ma12101710] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Revised: 05/14/2019] [Accepted: 05/22/2019] [Indexed: 11/16/2022]
Abstract
Background: The aim of the present prospective case series study was to evaluate the implant and prosthetic survival rates, complications and marginal bone loss using ultra-fine titanium mesh membrane with simultaneous implant placement, to provide space maintenance mandatory for guided bone reconstruction of alveolar bone defects. Materials and Methods: patients were recruited and treated at a private clinic in Rome, Italy, between March 2016 and October 2017. Self-tapping tapered implants were placed through a computer-guided template-assisted approach. Autogenous bone was placed alone over the exposed implant surface, then mixed with inorganic bovine bone material. Finally, the membrane was connected and shaped in order to securely enclose the graft area, and the healing cap was connected and screwed onto the height connector. Outcome measures were: implant and prosthetic failure, biological and mechanical complications, marginal and volumetric bone level changes, esthetic evaluation performed according to the pink aesthetic score (PES). Results: in total, seven patients (five women, two men) with a mean age of 52.7 ± 20.3 years (range: 27–71) received 10 self-tapping tapered implants and simultaneous guided bone regeneration with ultra-fine titanium mesh membranes. No implants and no prostheses failed during the entire follow-up period. One slightly membrane exposure was observed one month after implant placement in one patient. The mean marginal bone loss (MBL) at implant loading was 0.13 ± 0.09 mm (95% CI 0.08–0.19). At the 18-month follow-up examination, the mean MBL was 0.28 ± 0.33 mm (95% CI 0.07–0.50) The difference was not statistically significant (0.15 ± 0.31; 95% CI 0.05–0.35; P = 0.1888). The mean horizontal alveolar ridge width was 3.72 ± 1.08 mm (95% CI 3.22–4.22 mm). At the II-stage surgery, the mean bone width was 8.79 ± 0.98 mm (95% CI 8.51–9.07 mm). The mean bone gain was 5.06 ± 1.13 mm (95% CI 4.68–5.44 mm; P = 0.000). The mean volume of the grafted bone calculated using the superimposition technique was 0.99 ± 0.38 CC (95% CI 0.75–1.23 CC). The mean PES at implant loading was 8.2 ± 0.8 mm (95% CI 7.7–8.7). At the 18-month follow-up examination, the mean PES was 12.0 ± 0.7 mm (95% CI 11.5–12.5) The difference was statistically significant (3.8 ± 0.4; 95% CI 3.5–4.1; P = 0.0000); Conclusion: with the limitation of the present prospective study, the guided bone reconstruction using an ultra-fine titanium mesh membrane with simultaneous implant placement seems to provide good and stable results in implant/prosthesis success. Further research with a longer follow-up and a higher sample size are needed to confirm the results from this preliminary report.
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Affiliation(s)
- Marco Tallarico
- DDS, Implantology and Prosthetic Aspects, Master of Science in Dentistry Program, Aldent University, Tirana, Albania. Private practice, 00100 Rome, Italy.
| | - Francesco Mattia Ceruso
- DDS, Department of Dentistry, "Fra G.B. Orsenigo-Ospedale San Pietro F.B.F.", 00100 Rome, Italy.
| | | | - Silvio Mario Meloni
- DDS, School of Dentistry, University of Sassari, and private practice, 07021 Arzachena, Italy.
| | - Yong-Jin Kim
- DDS, Ilsan Apsun Dental Clinic, Ilsan 10381, Korea.
| | - Marco Gargari
- DDS, Department of Clinical Science and Translational Medicine, University of Rome "Tor Vergata", 00100 Rome, Italy.
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Ricci L, Perrotti V, Ravera L, Scarano A, Piattelli A, Iezzi G. Rehabilitation of deficient alveolar ridges using titanium grids before and simultaneously with implant placement: a systematic review. J Periodontol 2012. [PMID: 23205918 DOI: 10.1902/jop.2012.120314] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND The aim of the present study is to perform a systematic review of the literature on the use of titanium grids for implant surgery before and simultaneously with implant placement and to assess the success rate of the procedure, as well as survival and success rates of implants placed in the regenerated areas. METHODS Medline was used to identify studies in English published from 1996 to 2011. An additional hand search was performed of the relevant journals and of the bibliographies of the papers identified. Articles retrieved by two independent authors were screened using specific inclusion criteria: randomized controlled trials (RCTs), controlled clinical trials, and prospective clinical studies regarding vertical and/or horizontal regeneration of the alveolar ridge using titanium grids, in association or not with biomaterials, before and simultaneously with implant placement. RESULTS Six articles were selected, including a total of 79 patients, 87 titanium grids, and 141 implants. Twenty-four implants were placed simultaneously with titanium grids, and 117 implants were inserted after a period of 4 to 9 months. Titanium grids in combination with autogenous bone were used in 43 cases, 25 in combination with a mixture of autogenous bone and bone substitutes, 14 in association with bone substitutes, five using only titanium grids. The overall success rate of the regenerative procedures was 98.86%; the overall survival and success rates of implants were 100% and 93.2%, respectively. CONCLUSIONS The main limit of the present systematic review is the scarcity of papers with an adequate and consistent methodology regarding the data collection and analysis and the lack of RCTs and large well-designed long-term trials. Survival and success rates of implants placed in the areas treated with titanium grids were comparable to those of implants placed in native, non-regenerated bone and of implants placed in bone regenerated with resorbable and non-resorbable membranes.
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Affiliation(s)
- Laura Ricci
- Department of Medical, Oral, and Biotechnological Sciences, Dental School, University of Chieti-Pescara, Chieti, Italy
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Guided Bone Regeneration Using Cyanoacrylate-Combined Calcium Phosphate in a Dehiscence Defect: A Histologic Study in Dogs. J Oral Maxillofac Surg 2012; 70:2070-9. [DOI: 10.1016/j.joms.2012.04.044] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2012] [Revised: 04/23/2012] [Accepted: 04/27/2012] [Indexed: 11/20/2022]
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Lee JY, Kim YK, Yun PY, Oh JS, Kim SG. Guided bone regeneration using two types of non-resorbable barrier membranes. J Korean Assoc Oral Maxillofac Surg 2010. [DOI: 10.5125/jkaoms.2010.36.4.275] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Ji-Young Lee
- Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Young-Kyun Kim
- Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Pil-Young Yun
- Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, Korea
| | - Ji-Su Oh
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
| | - Su-Gwan Kim
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Korea
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