Osseointegrated implant associated with guided bone regeneration: a case report
DOI:
https://doi.org/10.33448/rsd-v11i13.34439Keywords:
Dental implant; Bone regereration; Biocompatible materials.Abstract
Implantology has been used on rehabilitation of edentulous patients, however, some clinical situations, such as bone atrophy, may limit treatments with osseointegrated implants (OI). However, the technological advance of the biomaterials and the development of bone regeneration techniques made it possible. The present article is about a patient who had the region of the dental elements 21 and 22 edentulous and with severe horizontal bone atrophy. Guided Bone Regeneration (GBR) was performed with a biocompatible biphasic calcium phosphate alloplastic material, and simultaneous placement of narrow OI. After 4 months postoperatively, the GBR and the installation of the OI were considered clinically and imagenologically satisfactory.GBR is an applicable procedure that can be used in regions with horizontal and vertical alveolar bone atrophy. In the clinical case studied, it was possible to verify that the GBR technique associated with an alloplastic biomaterial allowed an improvement in the thickness of the hard tissue in the region and, also, allowed the installation of narrow IO simultaneously.
References
Buser, D., Ingimarsson, S., Dula, K., Lussi, A., Hirt, H. P., & Belser, U. C. (2002). Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. International Journal of Periodontics & Restorative Dentistry, 22 (2), 108-117.
Benic, G. I., & Hämmerle, C. H. F. (2014). Horizontal bone augmentation by means of guided bone regeneration. Periodontology 2000, 66 (1), 13-40.
Benic, G. I., Thoma, D. S., Jung, R. E., Sanz-Martin, I., Unger, S., Cantalapiedra, A., & Hämmerle, C. H. F. (2017). Guided bone regeneration with particulate vs. block xenogenic bone substitutes: a pilot cone beam computed tomographic investigation. Clinical Oral Implants Research, 28 (11), 1-9.
Chappuis, V., Rahman, L., Buser, R., Janner, S. F. M., Belser, U. C., & Buser, D. (2017). Effectiveness of contour augmentation with guided bone regeneration: 10-year results. Journal of Dental Research, 97 (3), 266-274.
Chavda, S., & Levin, L. (2018). Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review. Journal of Oral Implantology, 44 (1), 74-84.
Chiapasco, M., Casentini, P., Zaniboni, M., Corsi, E., & Anello, T. (2012). Titanium–zirconium alloy narrow‐diameter implants (Straumann Roxolid®) for the rehabilitation of horizontally deficient edentulous ridges: prospective study on 18 consecutive patients. Clinical Oral Implants Research, 23 (10), 1136-1141.
Chiapasco, M., & Casentini, P. (2018). Horizontal bone‐augmentation procedures in implant dentistry: prosthetically guided regeneration. Periodontology 2000, 77 (1), 213-240.
De Lange, G. L., Overman, J. R., Farré-Guasch, E., Korstjens, C., Hartman, B., Langenbach, G. E. J., Duin, M. A. V., & Klein-Nulend, J. (2014). A histomorphometric and micro–computed tomography study of bone regeneration in the maxillary sinus comparing biphasic calcium phosphate and deproteinized cancellous bovine bone in a human split-mouth model. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 117 (1), 8-22.
Esposito, M., Grusovin, M. G., Felice, P., Karatzopoulos, G., Worthington H. V., & Coulthard, P. (2009). Interventions for replacing missing teeth: horizontal and vertical bone augmentation techniques for dental implant treatment. The Cochrane database of systematic reviews, 7 (4), 1-48.
Esposito, M., Barausse, C., Pistilli, R., Sammartino, G., Grandi, G., & Felice, P. (2015). Short implants versus bone augmentation for placing longer implants in atrophic maxillae: One-year post-loading results of a pilot randomised controlled trial. European Journal of Oral Implantology, 8 (3), 257-268.
Fardin, A. C., Jardim, E. C. G., Pereira, F. C., Guskuma, M. H., Aranega, A. M., & Garcia Júnior, I. R. (2010). Enxerto ósseo em odontologia: revisão de literatura. Innovations Implant Journal, 5 (3), 48-52.
Jensen, S. S., Bornstein, M. M., Dard, M., Bosshardt, D. D., & Buser, D. (2009). Comparative study of biphasic calcium phosphates with different HA/TCP ratios in mandibular bone defects. A long‐term histomorphometric study in minipigs. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 90 (1), 171-181.
Jung, R. E., Fenner, N., Hämmerle, C. H. F., & Zitzmann, N. (2013). 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, 24 (10), 1065-1073.
Lang, N. P., Brägger, U., Hämmerle, C. H., & Sutter, F. (1994). Immediate transmucosal implants using the principle of guided tissue regeneration. I. Rationale, clinical procedures and 30‐month results. Clinical Oral Implants Research, 5 (3), 154-163.
Le, B. T., & Borzabadi-Farahani, A. (2014). Simultaneous implant placement and bone grafting with particulate mineralized allograft in sites with buccal wall defects, a three-year follow-up and review of literature. Journal of Cranio-Maxillo-Facial Surgery, 42 (5), 552-559.
Liu, J., & Kerns, D. G. (2014). Mechanisms of Guided Bone Regeneration: A Review. The Open Dentistry Journal, 16 (8), p. 56-65.
Orentlicher, G., & Abboud, M. (2011). Guided surgery for implant therapy. Dental Clinics, 55 (4), 715-744.
Papadimitriou, D. E. V., Friedland, B., Gannam, C., Salari, S., & Gallucci, G. O. (2015). Narrow‐Diameter versus Standard‐Diameter Implants and Their Effect on the Need for Guided Bone Regeneration: A Virtual Three‐Dimensional Study. Clinical Implant Dentistry and Related Research, 17 (6), 1127-1133.
Pinto, J. G. S., Cinprandi, M. T. O., Aguiar, R. C., Lima, P. V. P., Hernandez, P. A. G., & Silva Júnior, A. N. Enxerto autógeno x biomateriais no tratamento de fraturas e deformidades faciais–uma revisão de conceitos atuais. Revista da Faculdade de Odontologia-UPF, 12 (3), 79-84. 2007.
Retzepi, M., & Donos, D. (2010). Guided bone regeneration: biological principle and therapeutic applications. Clinical Oral Implants Research, 21 (6), 567-576.
Sanz-Sanchez, I., Vigón, A. O., Sanz-Mártin, I., Figuero, E., & Sanz, M. (2015). Effectiveness of lateral bone augmentation on the alveolar crest dimension: a systematic review and meta-analysis. Journal Of Dental Research, 94 (9), 128S-142S.
Yao, J., Lee, K. K., Mcgrath, C., Wu, Y. N., Li, K. Y., & Matheos, N. (2017). Comparison of patient‐centered outcomes after routine implant placement, teeth extraction, and periodontal surgical procedures. Clinical Oral Implants Research, 28 (4), 373-380.
Wessing, B., Urban, I., Montero, E., Zechner, W., Hof, M., Alandéz, J., Alndéz, N., Polizzi, G., Meloni, S., & Sanz, M. (2017). Guided bone regeneration using collagen membranes simultaneous to implant placement at compromised sites leads to reproducible results and high success rates. Musculoskeletal Regeneration,10.14800/mr.1537
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Gabriel Lucio Calazans Duarte; Ana Luísa de Barros Pascoal; Rafaella da Cruz Polizelli Scannavino; Paulo Domingos Ribeiro Júnior; Antônio Ricardo Calazans Duarte
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
