Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report

Veljanovski, Darko and Baftijari, Denis and Susak, Zoran and Stojanovska, Aneta Atanasovska (2021) Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report. PRILOZI, 42 (2). pp. 103-108. ISSN 1857-8985

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Abstract

Implant Site Guided Bone Regeneration and Pontic Site Ridge Preservation: A Case Report Darko Veljanovski Optimum Dental Clinic , Skopje , N Macedonia Denis Baftijari Vita Dent Clinic , Tetovo , N Macedonia Zoran Susak Dr. Susak Team , Skopje , N Macedonia Aneta Atanasovska Stojanovska Faculty of Dentistry, Department of Oral Pathology and Periodontology , University Ss. Cyril and Methodius , Skopje , N Macedonia Abstract

Guided bone regeneration (GBR) is a therapeutic modality to achieve bone regeneration with the use of barrier membranes. The use of deproteinized bovine bone material (DBBM) for ridge preservation allows the preservation of the edentulous ridge dimensions. Here, we present a case of horizontal GBR using DBBM and a resorbable membrane, with simultaneous implant placement. Simultaneously, ridge preservation of the pontic area, using DBBM within a “socket seal” procedure was performed. Two implants were places at sites 23 and 26 to support a fixed partial denture (FPD). The mesial implant showed exposed buccal threads, which were then covered with autogenous bone particles and small size granules of DBBM. The collagen membrane was stabilized with periosteal mattress suture. Six months postoperatively, CBCT images revealed a stable buccal bone layer at the implant site, indicating a successful GBR procedure. At this point in time, tooth 24 was atraumatically extracted. A ridge preservation was done utilizing DBBM, and a soft tissue graft form the tuber. A ceramic-metal FPD with excellent “white aesthetics” and a harmonic transition zone to the soft tissue was fabricated. At 3 years follow up, the peri-implant bone levels were stable, and the clinical outcomes were excellent. It is concluded that a GBR procedure, utilizing DBBM and a collagen barrier membrane with simultaneous implant placement, as well as ridge preservation using DBBM, are predictable therapeutic methods. However, gentle manipulation of the soft tissues, and wound stability, with tension-free passive closure of the wound margins are prerequisites for a long-term clinical success.
10 01 2021 10 26 2021 10 01 2021 103 108 10.2478/prilozi-2021-0028 http://creativecommons.org/licenses/by-nc-nd/4.0 10.2478/prilozi-2021-0028 https://www.sciendo.com/article/10.2478/prilozi-2021-0028 https://www.sciendo.com/pdf/10.2478/prilozi-2021-0028 10.1111/j.1600-0501.2010.01922.x 1. Retzepi M, Donos N. Guided Bone Regeneration: biological principle and therapeutic applications.Clin.Oral.Impl.Res.21, 2010: 567–57 doi:10.1111/j.1600-0501.2010.01922.x10.1111/j.1600-0501.2010.01922.x20666785 10.1111/prd.12039 2. Benic, G. I., & Hämmerle, C. H. F. Horizontal bone augmentation by means of guided bone regeneration. Periodontology 2000, 66(1), 2014; 13–40 doi:10.1111/prd.1203910.1111/prd.1203925123759 10.1034/j.1600-0501.1990.010104.x 3. Buser D, Bragger U, Lang NP, Nyman S. Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Implants Res 1990: 1: 22–32 doi:10.1034/j.1600-0501.1990.010104.x10.1034/j.1600-0501.1990.010104.x2099209 4. Dahlin C, Lekholm U, Becker W, Becker B, Higuchi K, Callens A, van Steenberghe D. Treatment of fenestration and dehiscence bone defects around oral implants using the guided tissue regeneration technique: a prospective multicenter study. Int J Oral Maxillofac Implants 1995: 10: 312–318 5. Jovanovic SA, Spiekermann H, Richter EJ. Bone regeneration around titanium dental implants in dehisced defect sites: a clinical study. Int J Oral Maxillofac Implants 1992: 7: 233–245 10.1111/eos.12364 6. Elgali, I, Omar, O, Dahlin, C, Thomsen, P. Guided bone regeneration: materials and biological mechanisms revisited. Eur J Oral Sci 2017; 125: 315 – 337 doi:10.1111/eos.1236410.1111/eos.12364560129228833567 10.1111/j.1600-0501.2008.01689.x 7. Schliephake H, Terheyden H, Schwarz F. Use of a new cross-linked collagen membrane for the treatment of dehiscence-type defects at titanium implants: a prospective, randomized-controlled double-blinded clinical multicenter study. Clin Oral Implants Res 2009: 20: 742–749 doi:10.1111/j.1600-0501.2008.01689.x10.1111/j.1600-0501.2008.01689.x19302393 8. Jensen SS, Terheyden H. Bone augmentation procedures in localized defects in the alveolar ridge: clinical results with different bone grafts and bone-substitute materials. Int J Oral Maxillofac Implants 2009: 24: 218–236 10.1111/clr.12170 9. Lindhe, J, Cecchinato, D, Donati, M, Tomasi, C, Liljenberg, B. Ridge preservation with the use of deproteinized bovine bone mineral. Clin. Oral Impl. Res. 25, 2014: 786–790 doi:10.1111/clr.1217010.1111/clr.1217023556467 10. Landsberg CJ, Bichacho N. A modified surgical/prosthetic approach for optimal single implant supported crown. Part I--The socket seal surgery. Pract Periodontics Aesthet Dent. 1994:6(2):11-7 10.1016/j.aanat.2014.02.005 11. Anitua E, Alkhraisat MH, Piñas L, Orive G. Efficacy of biologically guided implant site preparation to obtain adequate primary implant stability. Ann Anat, 2015;199:9-.10.1016/j.aanat.2014.02.00524661634 10.1016/j.aanat.2014.02.005 12. Anitua E, Alkhraisat MH, Piñas L, Orive G. Efficacy of biologically guided implant site preparation to obtain adequate primary implant stability. Ann Anat. 2015:199:9-15 doi:10.1016/j. aanat.2014.02.005

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Darko Veljanovski
Date Deposited:	05 Mar 2024 11:24
Last Modified:	05 Mar 2024 11:26
URI:	https://eprints.ugd.edu.mk/id/eprint/33827

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